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HomeMy WebLinkAbout507746 DENOVO VENTURES LLC - INSURANCE CERTIFICATE (3)page 2 of 3 Client#: 1776055 150DENOVV EN ACORD.,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/01/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlficate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Co NAME: CT Jemle Verdura McGriff Insurance Services PHONE 610 279-8550 TF 6102798543 2500 Renaissance Blvd Suitel00 E-MAIL JVerdra@McGriffinsurance.com ADDRESS_--.___.-._ ____ _ King Of Prussia, PA 19406-2639 - INSURERS)AFFORDING COVERAGE NAIC 610 279-8550 INSURER A: Netlonel fln Irourana coot Heruora 20478 INSURED ___.._....._.... - 2044 Denovo Ventures Holdings LLC 6400 Lookout Road, Suite 101 Boulder, CO 80301 INSURER B : crealrrerael �ltY Campenv 3 INSURER C : eaunmr cawm ty Compenr 31127 INSURER D: FeeerNl-Cmrperry 20281 INSURER F: COVFRAGFS CFRTIFICATF NI IMRPP- octncrnwr r.0 uacco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR _ TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MM/DD/YYVY) POLICY EXP � MM/DDVYYY LIMBS A �( COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XOCCUR 6056754109 1/05/2018;11/051201 EACH OCCURRENCE $1 000 000 PREMISES Eaoccurrrrence $100000 MED EXP (Any one person) $15 000 PERSONAL & ADV INJURY __ $1 000 000 GEN'L AGGRE(GAAT�E LIMIT APPLIES PER: POLICY I I ECT 7 LOC _ OTHER: GENERAL AGGREGATE $2 000,000 PRODUCTS - COMP/OP AGG $2 000 00O $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY --- C5099672411 1/05/2018 11/05/2019 11/05/2019 EO 1c1c'EED dimtSINGLE LIMIT 1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acciden $ $ B UMBRELLA LIB EXCESS LIAR OCCUR CLAIMS -MADE CUE5099672456 1/05/2018 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000_,000 DED I X RETENTION $10000 $ A C D iEPLI D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y fN OFFICER/MEMBER EXCLUDED? f 7N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Cyber E&O 50k Ded 3rdParty EE Thef N/A WC599672473 596630552 82495392 82495392 I1/05/2018 1/05/2018 5/01/2018I05/0112019 5/011201 8105/01/20191 11/0W201 11/05/2019 X PER OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE -POLICY LIMIT $1 000 000 5,000,000 2,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins is additional insured with regards to general liability if required in a written contract or agreement, and subject to policy terms and conditions. a2Aif1IelLA_I City of Fort Collins, Purchasing Division P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 1 136 #S21257846/M21257738 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JV3