40-17G 1 d307956d4017g.htm FORM 40-17G Form 40-17G

 

LOGO

 

February 28, 2012    James P. MacLean  
   (617) 951-7003  
   jim.maclean@ropesgray.com  

VIA EDGAR

Securities and Exchange Commission

Judiciary Plaza

450 Fifth Street, N.W.

Washington, D.C. 20549

Ladies and Gentlemen:

Enclosed herewith for filing on behalf of RGIP, LLC (the “Company”) pursuant to the Investment Company Act of 1940, as amended (the “1940 Act”), and Rule 17g-1 promulgated thereunder, are the following materials required to be filed with the Securities and Exchange Commission (the “Commission”) pursuant to Rule 17g-1(g) under the 1940 Act: (i) a copy of the crime policy covering the Company to November 6, 2012; (ii) a copy of the unanimous resolutions of the Company’s managing members approving such policies and the portion of the premium to be paid by the Company; and (iii) a copy of the agreement among joint insureds covered governing the criteria by which recoveries under the policies will be allocated among them.

Premiums have been paid through November 6, 2012. The current joint crime policy is in the amount of $5.0 million, which exceeds the amount that would be required if the Company were insured under a separate fidelity bond, as opposed to a joint crime policy.

If you have any questions or need any clarification concerning the foregoing or the enclosed, please call the undersigned at (617) 951-7003.

Please acknowledge receipt of the enclosed materials by stamping the enclosed copy of this letter and returning it in the enclosed postage-paid envelope.

 

Very truly yours,

/s/ James P. MacLean

James P. MacLean

Enclosures

cc:    R. Bradford Malt
   Ann L. Milner
   Erik G. Johnston


 

     LOGO   CERTIFICATE OF LIABILITY INSURANCE   OP ID: DU          

DATE (MM/DD/YYYY)

11/03/11

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

 

TD Insurance, Inc. (WS)

PO Box 3600

West Springfield, MA 01090-3600

TD Insurance, Inc.

413-781-5940         413-733-7722

 

CONTACT

NAME:    Danielle C. Dupuis, AAI

 

PHONE:

(A/C, No, Ext):    207-239-3527

 

FAX

[A/C, No]:    207-775-0339

 

E-MAIL

ADDRESS:    danielle.dupuis@tdinsure.com

 

PRODUCER

CUSTOMER ID #:    ROPES-2

     
    INSURER(S) AFFORDING COVERAGE   NAIC #

INSURED

 

Ropes & Gray, LLP

RGIP, LLC

Prudential Tower

800 Boylston St

Boston, MA 02199-3600

  INSURER A: Federal Insurance Company     20281
  INSURER B:    
  INSURER C:    
  INSURER D:    
  INSURER E:    
    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 CONTRACT OR 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

 

SUBR

WVD

 

POLICY

NUMBER

 

POLICY EFF

(MM/DD/YYYY)

 

POLICY EXP

(MM/DD/YYYY)

  LIMITS
   

 

GENERAL LIABILITY

                EACH OCCURRENCE   $
                      DAMAGE TO RENTED  

$

        COMMERCIAL GENERAL LIABILITY                 PREMISES (Ea occurrence)  
            CLAIMS-MADE       OCCUR                 MED EXP (Any one person)   $
                              PERSONAL & ADV INJURY   $
                              GENERAL AGGREGATE   $
    GEN’L AGGREGATE LIMIT APPLIES PER:                 PRODUCTS-COMP/OP AGG   $
        POLICY       PROJECT         LOC                                 $
   

 

AUTOMOBILE LIABILITY

                             

COMBINED

SINGLE LIMIT

(Ea accident)

  $
        ANY AUTO                  
                        BODILY INJURY   $
        ALL OWNED AUTOS                 (Per person)    
                        BODILY INJURY   $
        SCHEDULED AUTOS                 (Per accident)    
        HIRED AUTOS                 PROPERTY DAMAGE   $
                        (Per accident)    
        NON-OWNED AUTOS                     $
                              $
       

UMBRELLA

LIAB

      OCCUR                         EACH OCCURRENCE   $
       

EXCESS

LIAB

      CLAIMS-MADE                 AGGREGATE   $
        DEDUCTIBLE                                 $
        RETENTION    $                                 $
   

 

WORKERS COMPENSATION

AND EMPLOYERS’ LIABILITY

  Y/N                                

WC STATU-

TORY LIMITS

     

OTH-

ER

   
   

 

ANY PROPRIETOR/PARTNER/EXECUTIVE

        N/A           E.L. EACH ACCIDENT   $
   

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

                   
    If yes, describe under               E.L. DISEASE – EA EMPLOYEE   $
    DESCRIPTION OF OPERATIONS below              

E.L. DISEASE

– POLICY LIMIT

  $
A   Crime                      

80588127

(PRIMARY)

  11/06/11   11/06/12       Crime           5,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

Cancellation Provisions apply per attached form 14-02-0042.

 

CERTIFICATE HOLDER   CANCELLATION

MANAG-2  

 

Managing Members of RGIP, LLC

C/O Ropes & Gray, LLP

800 Boylston Street

Boston, MA 02199-3600

  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
 

 

TD Insurance, Inc.

   

© 1988-2009 ACORD CORPORATION. All rights reserved.

ACORD 25 (2009/09)                                   The ACORD name and logo are registered marks of ACORD


Section 6.

Termination

Provisions

         
Termination as to Any Partner or Employee    6.1   

This policy shall terminate as to any partner or Employee (1) immediately upon discovery by the Insured, any partner of the Insured or any elected or appointed officer of the Insured (not in collusion with such partner or Employee) of any act of Theft or other fraudulent or dishonest act by the partner or Employee, without prejudice to the loss of any property then being conveyed by the partner or Employee outside the Premises, or (2) twenty days after the receipt by the Insured of a written notice of termination from the Company, whichever first occurs.

 

Termination of Policy or Insuring Clause    6.2   

This policy shall terminate in its entirety:

 

(A)    sixty days after the receipt by the Insured of a written notice of termination from the Company;

 

(B)    upon the receipt by the Company of a written notice of termination from the Insured;

 

(C)    at such other time as may be agreed upon by the Company and the first named Insured;

 

(D)    upon the voluntary liquidation or dissolution of the first named Insured;

 

(E)    upon the appointment of (1) a receiver, trustee or other fiduciary of the property of the first named Insured, or (2) a committee for the dissolution thereof; or

 

(F)     as to any Insured other than the first named upon the appointment of (1) a receiver, trustee or other fiduciary of the property of said Insured or (2) a committee for the dissolution thereof;

 

whichever first occurs.

 

Any Insuring Clause or coverage for any Insured other than the first named shall terminate sixty days after the receipt by the Insured of a written notice of termination from the Company or upon the request of the Insured.

 

The Company shall refund the unearned premium computed at customary short rates if the policy is terminated in its entirety by the Insured. Under any other circumstances the refund shall be computed pro rata.

 

Termination of Prior Bonds or Policies    6.3   

The taking effect of this policy shall terminate, if not already terminated, all previous liability of the Company to the Insured under bonds or policies specified in Item 8 of the Declarations of this policy. By reason of the issuance of this policy, the prior bonds or policies shall not cover any loss not discovered and notified to the Company prior to the effective date of this policy as specified in Item 6 of the Declarations.

 


2011-2012

SUMMARY OF INSURANCE

PREPARED FOR:

 

LOGO

PRESENTED BY:

 

LOGO

 

Account Executive:    Jacob E. Stone
Account Manager:    Deborah Neudek
Client Service Agent:    Danielle C. Dupuis
Address:    P.O. Box 3600, West Springfield, MA 01090-3600
Phone:    800-688-7256
Fax:    413-733-7722
Date:    December 26, 2011

This is a convenient coverage summary, not a legal contract. Please refer to the actual policies quoted for specific terms, conditions, limitations, and exclusions that will govern in the event of a loss. In evaluating your exposures to loss, we have depended upon information provided by you. If there are other areas that need to be evaluated prior to binding coverage, please bring these areas to our attention. Should any of your exposures change after coverage is bound, such as new operations, hiring employees in additional states, buying more property, etc., please let us know so proper coverage(s) can be discussed. Higher liability limits may be available. Let us know if you would like a quote for higher limits.

Your policies may contain exclusions for terrorism and/or mold.

 

Page 1


U.S. PROPERTY LOCATIONS

 

1) 525 University Ave., Palo Alto, CA (Subleased—Property Excluded)

 

2) 1211 Avenue of the Americas, New York, NY

 

3) 700 12th Street, One Metro Center, Washington, DC

 

4) 111 S. Wacker Drive, Chicago, IL 60603

 

5)

1900 University Way, 6th Floor, Ste 600, East Palo Alto, CA

 

6) 800 Boylston Street, Prudential, Boston, MA

 

7) 885 3rd Avenue, New York, NY (Subleased—Property Excluded)

 

8) 3 Embarcadero Center, San Francisco, CA

 

9) 260 Locke Drive, Marlborough, MA—Sungard Data Center

 

10) 610 Opperman Drive, Eagan, MN—West Data Center

Location to be added—Pending information

 

   

Pending additional locations used for off-site storage of valuable papers

FOREIGN PROPERTY LOCATIONS

 

1)

Yusen Building, 2nd Floor, Marunouchi 2-3-2, Chiyoda-ku, Tokyo, Japan

 

2) 5 New Street Square, London, UK

 

3) Park Place Office Building No. 1601, Nan Jing Rd (W) Jing An District, Shanghai, China

 

4)

8 Connaught Place, 41st Floor, One Exchange Square, Central Hong Kong

 

5) 107 Fenchurch Street, London (Subleased—Property Excluded)

JAPAN APARTMENTS 1

 

1. Minami Azabu 1-1-11, Room #301, Minato-Ko Japan

 

2. Aoyama Dai-ichi Mansions, Rm 902, No. 4-10, Akasaka 8-chome, Minato-ku Tokyo

 

3. Hill Court Yoyogi, 5-32-4 Yoyogi, Shibuya-ku, Tokyo

 

4. Shibaura Island Bloom Tower 1617, 4-20-2 Shubaura, Minato-Ku, Tokyo 108-0023, Japan

 

5. Homat Ruby Room 401, 26-6, Minami-Aoyama, 1-Chome, Minato-Ko

 

6. Aoyama Park Tower #2504, 1-19-18 Shibuya, Shibuya-ku, Tokyo Japan

 

 

1 

Covered for liability only, no property coverage.

 

Page 2


COMMERCIAL PROPERTY

 

INSURING COMPANY:    Vigilant Insurance Co./Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 254,802 2

 

COVERAGE

        LIMIT  

Blanket Property, including EDP, I&B (Premises 2-6 & 8-10) Deductible $5,000

      $ 197,734,389   

Blanket Business Income w. Extra Expense (Premises 2-6 & 8) 24 Hour Waiting Period

      $ 47,906,000   

Building Ordinance (Premises 2-6 & 8)

        Included   

Blanket Fine Arts (Premises 2-6 & 8) Deductible $2,500

      $ 4,755,255   

Blanket Valuable Papers (Premises 2-6 & 8) Deductible $2,500

      $ 8,000,000   

Earthquake (Premises 2-4, 6, 9 & 10)

   Annual Aggregate    $ 15,000,000   

Deductible $50,000, BI 48 hour waiting period

   Per Occurrence    $ 15,000,000   

Flood 3 (Premises 2-4, 6, 8, 9 & 10)

   Annual Aggregate    $ 15,000,000   

Deductible $50,000, BI 48 hour waiting period

   Per Occurrence    $ 15,000,000   
PROPERTY-BLANKET LIMIT OF INSURANCE       $ 500,000   

(Automatic blanket limit applies but is not limited to the following)

     

 

 

Accounts Receivable

 

 

Electronic Data Processing Property

 

 

Leasehold Interest – Bonus Payment, Prepaid Rent, Sublease Profit, Tenants’ Lease Interest

 

 

Leasehold Interest – Electronic Date Processing Equipment

 

 

Leasehold Interest – Undamaged Tenants’ Improvements & Betterments

 

 

Outdoor Trees, Shrubs, Plants or Lawns

 

 

Personal Property of Employees

 

 

Physical Evidence

 

 

Public Safety Service Charges

PROPERTY RATES

 

 

11-12: 0.129 based on blanket property value of $197,734,389

COVERAGE NOTES

 

 

Equipment Breakdown is included at property limits

 

 

Valuation: Replacement cost.

 

 

Coinsurance does not apply.

 

 

Automatic coverage for renovation projects for office space build-outs.

 

 

Named Insured includes Fish & Neave

 

 

See policy for additional property coverages, extensions and exclusions.

 

 

2 

Includes $418 taxes/surcharges and $26,442 for optional Terrorism coverage.

3 

Inundation, back-up, mud excluded as well as Flood excluded at location 5 (1900 University Ave) – Flood Zone A.

 

Page 3


COMMERCIAL LIABILITY

 

INSURING COMPANY:    Vigilant Insurance Company/Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 55,077 4

 

COVERAGE

        LIMITS  

General Liability – Occurrence Form

     

General Aggregate (applies per location)

      $ 2,000,000   

Products/Completed Operations

      $ 1,000,000   

Bodily Injury & Property Damage Liability – Non Professional

      $ 1,000,000   

Personal and Advertising Injury Liability

      $ 1,000,000   

Medical Payments

   Each Person    $ 10,000   

Fire Legal Liability

   Any One Fire    $ 1,000,000   

Exposure Basis:

 

   

11-12: 983 Lawyers

 

Employee Benefits Liability – Claims-made Form

     

Retroactive Date: 11/6/2007

   Per Claim    $ 1,000,000   

Deductible: $1,000

   Aggregate    $ 1,000,000   

Exposure Basis:

 

   

11-12: 1,915 Employees

COVERAGE COMMENTS

 

   

General Liability/coverage for Third Party Discrimination (Harassment, segregation, discrimination other than employee related)

 

   

Auditable upon policy expiration

 

   

Defense outside limits

 

   

Additional Insured – Schedule Person or Organization: Contra Costa Health Services, Contracts and Grants Unit, 50 Douglas Drive, Ste 320A Martinez, CA 94553

 

   

Named Insured includes Fish & Neave

 

   

See policy for additional coverages, extensions and exclusions.

 

 

4 

Includes $541 annual premium for optional Terrorism coverage

 

Page 4


AUTO LIABILITY

 

INSURING COMPANY:    Federal Insurance Co./Chubb
POLICY PERIOD:    11/6/11 to 11/6/12
PREMIUM:    $ 2,029

 

COVERAGE

   LIMITS  

Hired and Non-owned Auto Liability

   $ 1,000,000   

Hired Physical Damage Comprehensive & Collision Deductibles each $1,000

     Actual Cash Value (ACV)   

 

Page 5


WORKERS COMPENSATION

 

INSURING COMPANY:    Pacific Indemnity Insurance Co./Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 475,604 5 – Includes Dividend Plan *

 

COVERAGE

        LIMITS  

Voluntary Workers’ Compensation

        Statutory   

Employer’s Liability

   Per Accident    $ 500,000   
   Policy Limit    $ 500,000   
   Each Employee    $ 500,000   

EXPERIENCE MODIFICATION *

 

Policy Term:

   11-12  

CA

     0.74   

All Other States

     0.83   

PAYROLLS & RATES

 

Policy Term:

   11/6/11 to 11/6/12  
   Payrolls      Employee  

State

   Estimated      Count  

CA

   $ 20,574,006         144   

CT

   $ 204,204         1   

DC

   $ 23,348,667         157   

IA

   $ 71,471         1   

MA

   $ 150,349,466         1,127   

PA

   $ 394,355         3   

VA

   $ 139,230         1   

CO

   $ 144,573         1   

IL

   $ 8,207,229         55   

NJ

   $ 486,820         3   

WI

   $ 93,291         1   

WA

   $ —           0   

**NY

   $ 84,011,149         444   

MD

   $ 206,905         2   

SC

   $ 210,000         1   

Total Payroll

   $ 288,441,366         1,941   
* Dividend Plan following page

 

 

5 

Workers Compensation $98,284 attributable to Terrorism charge.

 

Page 6


Net Cost Exhibit

Standard Premium: $354,218

Premium Discount: $-36,994

Policy Premium: $317,224

 

Loss
Ratio
    Losses     Div. %
Pol. Prem
    Indicated *
Dividend
    Net **
Cost
 
    0%      $            0.00        33.94   $ 107,663.00      $ 209,561.00   
    5%      $   17,705.00        28.77   $   91,272.00      $ 225,952.00   
  10%      $   35,412.00        24.66   $   78,231.00      $ 238,993.00   
  15%      $   53,116.00        20.20   $   64,070.00      $ 253,154.00   
  20%      $   70,823.00        15.73   $   49,904.00      $ 267,320.00   
  25%      $   88,531.00        11.27   $   35,745.00      $ 281,479.00   
  30%      $ 106,237.00          5.40   $   17,119.00      $ 300,105.00   
  35%      $ 123,942.00          2.46   $     7,810.00      $ 309,414.00   
  40%      $ 141,645.00          0.00   $            0.00      $ 317,224.00   
  45%      $ 159,352.00          0.00   $            0.00      $ 317,224.00   
  50%      $ 177,062.00          0.00   $            0.00      $ 317,224.00   
  55%      $ 194,765.00          0.00   $            0.00      $ 317,224.00   
  60%      $ 212,471.00          0.00   $            0.00      $ 317,224.00   

Net Cost does not include state assessments.

* Indicated Dividend reflects variable state charges and losses.

** Net Cost to the insured is the policy premium less indicated dividend.

DIVIDEND PLAN

 

   

Incurred losses used in the actual dividend calculation (based on audited premiums) will be valued as of 12 months and 24 months after expiration or cancellation.

 

   

The insured will receive 50% of the estimated dividend due at the first adjustment. Upon the second (final adjustment), this amount will be subtracted from the total dividend amount.

 

   

Dividends cannot be guaranteed and are declared at the sole discretion of the Board of Directors of the Pacific Indemnity Company.

 

   

The “Net Cost Exhibit” is an overview of projected dividends at various loss ratios.

 

   

The actual dividend calculation will use audited premiums.

The dividends indicated in the above exhibit are estimates. The final dividend amount will be based on final audited payrolls and premiums and actual loss experience. By law dividends cannot be guaranteed and are declared at the sole discretion of the Board of Directors. As a matter of record the Board of Directors has never failed to declare a dividend under the terms of a contributory dividend plan

 

Page 7


FOREIGN LOCAL COVERAGE – JAPAN

 

INSURING COMPANY:    Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 8,539 excluding local taxes & fees

LOCATION:    Yusen Building, 2nd Floor, Marunouchi 2-3-2, Chiyoda-ku, Tokyo, Japan

 

PROPERTY COVERAGES

   LIMITS  

Contents, Electronic Equipment, Improvements & Betterments

   USD $ 3,377,000   

Fine Arts

   USD $  72,025   

Deductible $5,000

  

Equipment Breakdown included

  

Excludes Earthquake, Flood, Wind, Theft.

  

Business Interruption - 12 months

   USD$ 100,000   

GENERAL LIABILITY COVERAGE

   LIMITS  

Premises Operations

   USD $ 1,000,000   

EMPLOYERS LIABILITY

   LIMITS  

Per accident

   USD $ 1,000,000   

Policy limit

   USD $ 1,000,000   

Per Employee

   USD $ 1,000,000   

COVERAGE COMMENTS:

 

 

This policy is a requirement of the foreign government in Japan.

 

 

Employers Liability Exposure: USD $1,054,500 (Expiring: USD $ 818,472 payroll)

 

 

Premium will be billed annually by your local broker in Japan and must be paid in local currency prior to the effective date of coverage.

LOCAL BROKER:

Mojumdar & Company, Ltd.

Foreign Home Based Broker for Japan

No 3-7-10 6F., Nihonbashi Chuo-ku

Tokyo Japan 103-0027

Larry Mojumdar, President

Phone: +81-3-3281-2119 / Fax: +81-3-3281-2118

E-mail: larry@gol.com / sales@mojumdar.com

 

Page 8


FOREIGN LOCAL COVERAGE – LONDON, UK

 

INSURING COMPANY:    Chubb
POLICY PERIOD:    11/6/11 to 11/6/12
PREMIUM:    $ 14,993 excluding local taxes & fees

LOCATION: 5 New Street Square, London, United Kingdom (UK)

 

PROPERTY COVERAGES

   LIMITS  

Contents, Electronic Equipment, Improvements & Betterments

   USD $ 4,300,000   

Fine Arts

   USD $ 174,184   

Deductible $5,000

  

Equipment Breakdown included

  

Excludes Earthquake, Flood, Wind, Theft.

  

GENERAL LIABILITY COVERAGE

   LIMITS  

Public Liability

   USD $ 1,000,000   

Product Liability

   USD $ 1,000,000   

EMPLOYERS LIABILITY

   LIMITS  

Per Occurrence Limit

   £ 10,000,000   

Per Occurrence or Series of Occurrences

  

Consequent on or attributable to an act of terrorism

   £ 5,000,000   

COVERAGE COMMENTS:

 

 

Local Employers’ Liability coverage is a requirement of the foreign UK government if staff consists of salaried/hourly employees. Per Ropes & Gray, partners are not considered salaried employees.

 

 

Employers’ Liability Exposure: £4,051,546 (Expiring: £3,297,694)

LOCAL UK BROKER:

Lark Insurance Brokering Group, London Office

Ibex House, 42-47 Minories, London, EC3N 1DY

Direct Tel: 01622 356920

Mobile: 07557 152997

http://www.larkinsurance.co.uk/

Contact: Eloise Morgan

 

Page 9


FOREIGN LOCAL COVERAGE – SHANGHAI, CHINA

 

INSURING COMPANY:    Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
ESTIMATED ANNUAL PREMIUM:    $ 7,500 excluding local taxes & fees

LOCATION:

Units 07-08 of 32/F, Park Place Office Building, No.l601 Nan Jing Road(W),Jing An District, Shanghai, China

 

PROPERTY COVERAGES

   LIMITS  

Contents, Electronic Equipment, Improvements & Betterments, Personal Property of Others - $5,000 Deductible

   USD $     1,400,000   

GENERAL LIABILITY COVERAGE

   LIMITS  

Premises Operations

   USD$ 1,000,000   

EMPLOYERS LIABILITY

 

(l) Death:36 Months Salary Sublimit: RMB 1,000,000 per person per accident

 

(2) Disablement:48 Months salary Sublimit: RMB 1,350,000 per person per accident (Mix. Amount of indemnity to be calculated by multiplying the percentages set forth in the indemnity scale of the policy in respect of the injured part and extend of injury with the limit of indemnity stipulated in the policy)

 

(3) Temporary Disablement:70% of salary for period of temporary disability up to 52 weeks.Sublimit:RMB 5,000 per person per week

 

(4) Medical Expenses:RMB 10,000 per person per accident and RMB 100,000 per person in aggregate during the policy period

 

(5) Employer’s Liability:RMB 1,000,000 any one accident & in aggregate

 

(6) Limit of Indemnity in aggregate during the policy period:RMB 1,350,000

COVERAGE COMMENTS:

 

 

Terrorism included

 

 

Local general liability coverage for your premise operations is primary and is a requirement of the foreign China government.

 

 

See policy for exclusions and additional coverages and sublimits

 

 

Employers’ Liability Exposure USD $ 271,425 (Expiring USD $0)

 

 

Premium will be billed annually by your local broker in China and must be paid in local currency.

LOCAL CHINA BROKER:

Continental Insurance Brokers Limited, Shanghai Branch

Wini Tong, Account Excutive

Room 21-D,World Plaza, No.855 Pudong Road(S), Shanghai 200120,China

Office +86-21-5109 6006-803 Mobile +86-1361 184 7989 Fax +86-21-5836 9945

tongwenting@chinacib. com

 

Page 10


FOREIGN LOCAL COVERAGE - HONG KONG

 

INSURING COMPANY:    Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 2,770 excluding local taxes & fees

LOCATIONS:

8 Connaught Place, 41st Floor, One Exchange Square, Central Hong Kong

 

EMPLOYERS LIABILITY

   LIMITS  

Per accident

   USD $ 1,000,000   

Policy limit

   USD $ 1,000,000   

Per Employee

   USD $ 1,000,000   

COVERAGE COMMENTS:

 

 

This policy is a requirement of the foreign government in Hong Kong.

 

 

Payroll Exposure: USD $1,834,261 (Expiring: USD $2,034,843)

 

Page 11


FOREIGN ‘WORLDNET’ PACKAGE

 

INSURING COMPANY:    Great Northern Insurance Co./Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 36,283

 

PROPERTY6 COVERAGES             ($5,000 Deductible)    LIMITS  

1% Wind/Hail Deductible per premise/per occurrence (Premises 1, 3 & 4)- Minimum

   $ 100,000   
Japan   Property    $ 3,377,000   
  Fine Arts    $ 72,025   
UK   Property    $ 4,300,000   
  Fine Arts    $ 174,184   
China   Property    $ 1,400,000   
Hong Kong   Property    $ 3,950,000   
Blanket   Business Interruption (24 Hour Waiting Period)    $ 100,000   

 

GENERAL LIABILITY COVERAGE

   LIMITS  

General Aggregate

   $ 2,000,000   

Products/Completed Operations Aggregate Limit

   $ 1,000,000   

Advertising Injury and Personal Injury Aggregate Limit

   $ 1,000,000   

Each Occurrence Limit

   $ 1,000,000   

Damage to Premises Rented To You Limit

   $ 1,000,000   

Medical Expenses Limit

   $ 10,000   

Neighbors and Tenants Liability

   $ 2,500,000   

AUTO COVERAGE—Hired and Non-Owned

   LIMITS  

Auto Liability—Bodily Injury & Property Damage

   $ 1,000,000   

Physical Damage—Per Vehicle / Aggregate

   $ 2,500/$10,000   

WORKERS COMPENSATION

   LIMITS  

U.S. Nationals

     State of Hire Benefits  

Other International Employees

     Country of Origin Benefits   

EMPLOYERS LIABILITY

   LIMITS  

Per accident / Policy Limit / Per Employee

   $ lMil / $lMil / $lMil   

Repatriation Each Employee / Aggregate

   $ 250,000 / $500,000   

INTERNATIONAL TERRITORY

Responds to suits brought outside the United States & Canada for bodily injury & property damage occurrence & advertising injury & personal injury offenses that take place outside the US & Canada.

COVERAGE COMMENTS:

 

 

Coverage includes liability for individual employee apartments leased through Ropes & Gray.

 

 

Worldnet provides excess coverage to foreign local policies, excluding employers’ liability in the UK.

 

 

Property Valuation: Replacement cost with no coinsurance penalty.

 

 

Earthquake excluded. Earthquake sprinkler leakage for Japan excluded.

 

 

See policy for additional coverages, extensions and exclusions.

 

 

Exposure: # Trips - 340; Local National Payroll: Japan - $1,054,500; Hong Kong $1,834,261; China $271,425 London £4,051,546; UK Excluded

 

 

6 

“Property” includes electronic data processing equipment and improvements and betterments. See location schedule in Section II under Foreign Property Locations. Blanket limit of $13,273,209 applies.


UMBRELLA

 

INSURING COMPANY:      Federal Insurance Co./Chubb
POLICY PERIOD:      11/06/11 to 11/06/12
PREMIUM:      $ 54,159 7

 

COVERAGES

   LIMITS  

Each Occurrence

   $ 40,000,000      

Aggregate (applies per location)

   $ 40,000,000      
RATING EXPOSURES:              
Payroll:    $ 288,441, 366        Domestic         
   $  3,160,186        International   
     Excluding UK Payroll   
Number of Lawyers:         983 including Partners   
Number of Locations:         8 Domestic   
        5 Internationally   

COVERAGE COMMENTS:

 

 

Follow Form to Fire Legal Liability

 

 

Follow form to Third Party Discrimination

 

 

See policy for exclusions

UNDERLYING COVERAGES:

 

 

General Liability

 

 

Employee Benefits Liability

 

 

Auto Liability

 

 

Employer’s Liability - All States

 

 

Foreign Worldnet General, Auto and Employer’s Liability

 

 

7 

Includes $536 annual premium for terrorism coverage.

 

Page 13


KIDNAP, RANSOM & EXTORTION / WORKPLACE VIOLENCE

 

INSURING COMPANY:    Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 16,698

 

KIDNAP, RANSOM & EXTORTION

   LIMITS      DEDUCTIBLE  

Special Coverage

   $ 5,000,000       $ 0   

Custody

   $ 5,000,000      

Expense

   $ 5,000,000      

Accidental Loss - Loss of life

   $ 5,000,000      

Mutilation

        25

All Other Accidental Loss

        100

WORKPLACE VIOLENCE EXPENSE

   LIMITS      DEDUCTIBLE  

Each Insured Event*

   $ 2,000,000       $ 25,000   

* Includes consultation costs, expenses, business interruption, death benefit per decendent and rehabilitation expenses

TERRITORY: Worldwide

 

Page 14


LAYER 1—PRIMARY CRIME

 

INSURING COMPANY:    Federal Insurance Company / Chubb
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $  47,000

 

COVERAGE 8

   LIMIT      DEDUCTIBLE  

Employee Theft

   $ 5,000,000       $ 35,000   

Depositors Forgery & Alteration

   $ 5,000,000       $ 35,000   

Theft, Disappearance & Destruction

   $ 5,000,000       $ 35,000   

Money, Securities and other Property

     

Computer and Funds Transfer Fraud

   $ 5,000,000       $ 35,000   

LAYER 2—EXCESS OVER PRIMARY

 

INSURING COMPANY:    Travelers Casualty & Surety Company
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 35,250

 

COVERAGE

   LIMIT
Employee Theft    $10,000,000 excess of $5,000,000
Depositors Forgery & Alteration    $10,000,000 excess of $5,000,000

Theft, Disappearance & Destruction

   $10,000,000 excess of $5,000,000

Money, Securities and other Property

  
Computer and Funds Transfer Fraud    $10,000,000 excess of $5,000,000

LAYER 3—EXCESS CRIME OVER EXCESS AND PRIMARY

 

INSURING COMPANY:    Hanover Insurance Company
POLICY PERIOD:    11/06/11 to 11/06/12
PREMIUM:    $ 17,600

 

COVERAGE

   LIMIT
Employee Theft    $10,000,000 excess of $15,000,000
Depositors Forgery & Alteration    $10,000,000 excess of $15,000,000
Theft, Disappearance & Destruction    $10,000,000 excess of $15,000,000

Money, Securities and other Property

  
Computer and Funds Transfer Fraud    $10,000,000 excess of $15,000,000

 

8 

Chubb’s Crime is worldwide coverage. ERISA included.

 

Page 15


REGISTERED MAIL

 

INSURING COMPANY:    Chubb
POLICY PERIOD:    4/4/11 to 4/4/12 (Continuous)
PREMIUM:    $1,000

 

COVERAGE

   LIMITS
Aggregate    $5,000,000

COVERAGE COMMENTS;

 

 

Liability for shipments of property shall not exceed the limit shown above to any one addressee on any one day

 

 

If the declared value of shipments of all property from any one sender to any one addressee on any one day exceeds the aggregate limit shown above, the excess over that amount will be covered hereunder only upon confirmation of acceptance from Chubb Group of Insurance Companies.

 

Page 16


RGIP, LLC

Action by Written Consent of Managing Members

The undersigned being all of the managing members of RGIP, LLC, a Delaware limited liability company (the “Company”), hereby consent to the following actions and adopt the following votes:

 

VOTED:

   That after considering all relevant factors, the naming of the Company as a named insured under the crime insurance policy issued by the Federal Insurance Company to Ropes & Gray LLP and the other insureds named thereunder for the one year period commencing on November 6, 2011 in the amounts listed on Annex A for an annual premium of $47, 000 (the “Policy”), the Company’s share of the premium being $0.00, is approved and ratified.

VOTED:

   That the amount, type, form and coverage of the Policy are approved.

VOTED:

   That the participation by the Company in the Policy is in the best interests of the Company.

VOTED:

   That the proposed premium for the Policy coverage described above allocated to the Company is fair and reasonable to the Company.

VOTED:

   That the form, terms and provisions of the Agreement Among Joint Insureds, in the form furnished to the Managing Members of the Company are approved.

VOTED:

   That James P. MacLean, in his capacity as a vice president of the Company, is designated as the officer of the Company who shall make the filings and give the notices required by Rule 17g-1(g) under the Investment Company Act of 1940, as amended.

 

/s/ R. Bradford Malt

R. Bradford Malt

/s/ Ann L. Milner

Ann L. Milner

/s/ Alfred O. Rose

Alfred O. Rose

Dated: As of February 28, 2012


Annex A

 

Partner or Employee Theft Coverage

   $ 5,000,000   

Premises Coverage

   $ 5,000,000   

Transit Coverage

   $ 5,000,000   

Depositors Forgery Coverage

   $ 5,000,000   

Computer Theft of Merchandise Coverage

   $ 5,000,000   

Investigative Costs Coverage

   $ 100,000   

Credit Card Forgery

   $ 100,000   

Money Orders and Counterfeit Currency Charges

   $ 1,000,000   


AGREEMENT AMONG JOINT INSUREDS

THIS AGREEMENT made as of November 6, 2011 by and among RGIP, LLC, a Delaware limited liability company (the “Company”), the entities listed as signatories below and each person or entity that becomes a party hereto pursuant to Section 2 (collectively with the Company the “Insureds”).

WHEREAS, the Insureds are named insureds under a crime insurance policy issued by Federal Insurance Company (the “Insurer”), as amended, endorsed, extended or restated from time to time (the “Policy”);

WHEREAS, the Insureds desire to establish the criteria by which recoveries under the Policy shall be allocated among them;

NOW, THEREFORE, it is agreed as follows:

1. In the event that the claims of loss of the Insureds under the Policy are so related that the Insurer is entitled to assert that the claims must be aggregated, the Company shall receive an equitable and proportionate share of the recovery, but at least equal to the amount it would have received had it provided and maintained a single insured policy with the minimum coverage required under Rule 17g-1 under the Investment Company Act of 1940, as amended.

2. Each person or entity who becomes a named insured under the Policy may become a party to this Agreement by executing a joinder to this Agreement in substantially the form of Exhibit A and delivering it to Ropes & Gray LLP on behalf of itself and each other Insured c/o Ropes & Gray LLP, 800 Boylston St, Prudential Tower, Boston, Massachusetts 02199-3600, Attention: Chief Financial Officer.

IN WITNESS WHEREOF, the parties initially party hereto have executed this Agreement as of the date first above written.

 

RGIP, LLC
By:  

/s/ ANN L. MILNER

  Managing Member - ANN L. MILNER
ROPES & GRAY LLP
By:  

/s/ R. BRADFORD MALT

  Partner - R. BRADFORD MALT
ROPES & GRAY, LTD
By:  

/s/ MATTHEW M. BURKE

  Title: DIRECTOR - MATTHEW M. BURKE


 

ROPES & GRAY INTERNATIONAL LLP
By:  

/s/ R. BRADFORD MALT

  Title: PARTNER - R. BRADFORD MALT

 

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EXHIBIT A

JOINDER

The undersigned, which is a named insured under a crime policy issued by             , hereby agrees to be a party to the Agreement Among Joint Insureds dated as of             ,             , as from time to time in effect, among RGIP, LLC and the other parties from time to time party thereto with the same force and effect as if it was a signatory thereto and was expressly named therein.

 

[Name of Entity/Person]
By  

 

  Title:

Dated:                 ,     

 

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