HomeMy WebLinkAbout507746 DENOVO VENTURES LLC - INSURANCE CERTIFICATE (4)Client#: 1776055
150DENOVVEN
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ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
11/03/2017
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 certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
BB&T - The Addis Group
2500 Renaissance Blvd Suite100
King Of Prussia, PA 19406-2639
610 279-8550
CONTACT
NAME: Jamie Verdura
lnHON Ems) 610 279-8550FAX
(A c, No): 6102798543
E-MAIL
ADDRESS: JVerdura@bbandt.com
INSURER(S) AFFORDING COVERAGE
NAIC
INSURER A, National Fire Insurance Co of H
2O478
INSURED
Denovo Ventures Holdings
6400 Lookout Road, Suite 101
Boulder, CO 80301
INSURER B: Continental Casualty Company
20443
INSURER C: Columbia Casualty Company
31127
INSURER D : Travelers Indemnity Company
25658
INSURER E :National Fire &Marine Insuranc
20079
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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
ADDLSUBR
INSR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYY
POLICY EXP
MM/DD/YYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
6020616996
11/05/2017
11/05/2018
EACH OCCURRENCE
$1,000,000
PFEMISES ERENTED
occurrence
$50,000
MED EXP (Any one person)
$15,000
PERSONAL & ADV INJURY
$1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGG
s2,000,000
$
E
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X HIRED AUTOS X NON -OWNED
AUTOS
5099672411
11/05/2017
11/05/201
COMBINED SINGLE LIMIT
Ea accident
$1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
B
UMBRELLA LIAR
EXCESSLIAB
OCCUR
CLAIMS -MADE
5099672456
11/05/2017
11 /051201
EACH OCCURRENCE
$5 000 000
AGGREGATE
$5 000 000
DED X RETENTION $10000
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE Y / N
OFFICERiMEMBER EXCLUDED?
(Mandatory In NH)
It describe un
DESCR PTION OFder OPERATIONS below
NIA
WC599672473
11/05/2017
11/05/201
X STATUTE ERH
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
E.L. DISEASE- POLICY LIMIT
$1,000,000
C
D
Cyber E&050KDed.
EPLI
13rdParty EETheft
1
1106274871
596630552
106274871
11/05/2017
5/01/2017
�5/01/2017
11/05/2018
05/01/2018
05/01/2018
$5,000,000
$2,000,000
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached R 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.
City of Fort Collins, Purchasing
Division
P.O. Box 580
Fort Collins, CO 80522
VHIYV CLLH I IVIA
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 (2014101) 1 Of 1
3417 #S19008555/M19008322
C 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
JV3