40-17G 1 d191276d4017g.htm FORM 40-17G Form 40-17G

LOGO   

  

ROPES & GRAY LLP

PRUDENTIAL TOWER

800 BOYLSTON STREET

BOSTON, MA 02199-3600

WWW.ROPESGRAY.COM

 

September 30, 2016    Akhil Sethi  
   (212) 596-9855  
   akhil.sethi@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, LP (the “Partnership”) 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 Partnership to January 1, 2017; (ii) a copy of the unanimous resolutions of the Partnership’s managing members approving such policies and the portion of the premium to be paid by the Partnership; 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 January 1, 2017. The current joint crime policy is in the amount of $5.0 million, which exceeds the amount that would be required if the Partnership 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 (212) 596-9855.

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/ Akhil Sethi

Akhil Sethi

Enclosures

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


LOGO   CERTIFICATE OF PROPERTY INSURANCE      

DATE (MM/DD/YYYY)

 

06/15/2016

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.

 

    

PRODUCER

 

Aon Risk Services Northeast, Inc.

New York NY Office

199 Water Street

New York NY 10038-3551 USA

 

CONTACT

NAME:    

 

PHONE

(A/C. No. Ext):    (866) 283-7122

 

FAX

(A/C. No.):    (800) 363-0105

 

E-MAIL

ADDRESS:    

 

PRODUCER

CUSTOMER ID #:    570000038347

    INSURER(S) AFFORDING COVERAGE   NAIC #

INSURED

 

RGIP, LP

Prudential Tower

800 Boylston Street

Boston MA 02199 USA

  INSURER A: The Continental Insurance Company     35289
  INSURER B:    
  INSURER C:    
  INSURER D:    
  INSURER E:    
    INSURER F:    

COVERAGES                         CERTIFICATE NUMBER:        570062553911              REVISION NUMBER:

 

LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

 

 

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   POLICY NUMBER  

POLICY EFFECTIVE

DATE

(MM/DD/YYYY)

 

POLICY EXPIRATION

DATE

(MM/DD/YYYY)

  COVERED PROPERTY   LIMITS
        PROPERTY                       BUILDING    
    CAUSES OF LOSS   DEDUCTIBLES                   PERSONAL PROPERTY    
        BASIC   BUILDING                   BUSINESS INCOME    
        BROAD   CONTENTS                   w/o Extra Expense    
        SPECIAL                       EXTRA EXPENSE    
        EARTHQUAKE                       RENTAL VALUE    
        WIND                       BLANKET BUILDING    
        FLOOD                       BLANKET PERS PROP    
                                   BLANKET BLDG & PP    
                                        
        INLAND MARINE       TYPE OF POLICY                    
    CAUSES OF LOSS                            
        NAMED PERILS       POLICY NUMBER                    
                                   
A   X   CRIME       596518236   11/06/2015   01/01/2017   X   Aggregate Limit (for   $5,000,000
    TYPE OF POLICY       Crime                    
    Crime - Primary                            
                                 
        BOILER & MACHINERY /                            
        EQUIPMENT BREAKDOWN                            
                                     
                                     
                                     
SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

 

CERTIFICATE HOLDER   CANCELLATION

 

Managing Members of RGIP, LP

c/o Ropes & Gray, LLP

800 Boylston Street

Boston, MA 02199-3600 USA

  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
  LOGO
   

© 1995-2015 ACORD CORPORATION. All rights reserved.

ACORD 24 (2016/03)                                     The ACORD name and logo are registered marks of ACORD

 

 

 

 

    
    
    
LOGO
 


Ropes & Gray, LLP

Schedule of Insurance

November 6, 2015 - January 1, 2017

 

Company

Policy Number

Policy Period

  

Coverage

   Limit      Premium
             

 

Federal Insurance Company

3588-73-92

  

 

COMMERCIAL PACKAGE POLICY

     

 

$430,811

11/6/2015 - 1/1/2017

  

Office Locations:

1) 1211 Avenue of the Americas New York, NY 10036

2) 191 North Wacker Drive Chicago, IL 60606

3) 1900 University Avenue, Suite 600 East Palo Alto, CA 94303

4) 800 Boylston Street, Prudential Tower Boston, MA 02199

5) Three Embarcadero Center San Francisco, CA 94111

6) 260 Locke Drive Marlborough, MA 01752

7) 610 Opperman Drive Eagan, MN 55123

8) 5 New Street Square, 5th FI. London, UK

9) Units 05, 06, 07 and 08 of 36/F, Park Place Office Building, No. 1601 Nan Jing Road (w), Jing an District, Shanghai, PRC

10) 41st Floor, One Exchange Square, 8 Connaught Place, Central, HK

11) 21 F Posco P&S Tower, 735-3 Yenksam Dong, Gangam-GU, Seoul, Skor

12) Marunouchi, 2-7-2 Chiyoda-KU, 30th Floor, JP Tower, Tokyo, Japan

13) 2099 Pennsylvania Ave NW, Washington, DC, 20006

14) 60 Ludgate Hill, London, UK EC4M7AW

15) 41st Ave, Peabody (Essex County), MA 01960

16) 9101 Owens Dr, Manassas Park (Prince William County), VA 20111

17) 4100 W 75th St, Chicago (Cook County), IL 60652

18) 5785 Las Positas Rd, Livermore (Alameda County), CA 94551

     
  

Blanket Property
Loc: 1-5, 13

     $258,894,636      
  

Blanket Business Income
Loc: 1-5, 13

     $100,000,000      
  

Blanket Fine Arts
Loc: 1-5, 13

     $4,812,173      
  

Blanket Business Income (Ingress/Egress)
Loc: 1-5, 13

     $2,500,000      
  

Blanket Accounts Receivables
Loc: 1-5, 13

     $20,000,000      
  

Blanket Property
Loc: 8-12, 14

     $67,609,368      
  

Blanket Business Income
Loc: 9-11, 14

     $7,000,000      
  

Blanket Loss of Utilities
Loc: 1-5, 13

     $10,000,000      
  

Blanket Loss of Utilities
Loc: 9-11, 14

     $1,000,000      
  

Earthquake*
Loc: 1, 2, 4, 6, 7, 13
Loc: 3, 5, 12, 15-18
Loc: 9-10
Loc: 11

  

 

 
 
 
 

 

$25,000,000
$1,000,000
$2,500,000
$5,000,000

 

  
  
  
  

  
  

Flood*
Loc: 1-7, 13
Loc: 8-12, 15-18

  

 

 
 

 

$25,000,000
$1,000,000

 

  
  

  
  

* Deductibles vary by location

     
  

 

Property Blanket Limit of Insurance

(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

Non-Owned Detached Trailers

Outdoor Trees, Shrubs, Plants or Lawns

  

 

 

 

$1,000,000

 

  

  
  

Pair and Set

Personal Property of Employees

Physical Evidence

Public Safety Service Charges

Valuable Papers

     

 

1 of 4


Ropes & Gray, LLP

Schedule of Insurance

November 6, 2015 - January 1, 2017

 

Company

Policy Number

Policy Period

  

Coverage

   Limit      Premium
  

General Liability

     
  

General Aggregate Limit – per location

     $2,000,000      
  

Each Occurrence Limit

     $1,000,000      
  

Damage to Premises Rented to You – any one premises

     $1,000,000      
  

Medical Expenses Per Person

     $10,000      
  

Personal and Advertising Injury Limit

     $1,000,000      
  

Employee Benefits Liability

     Claims Made Form      
  

Each Employee Limit

     $1,000,000      
  

Aggregate Limit

     $1,000,000      
  

Deductible – Each Claim

     $1,000      
  

Retroactive Date

     November 6th, 2007      
             

Arch Specialty Insurance Company

  

EXCESS EARTHQUAKE - CALIFORNIA

      $89,242

ESP7301734-01

  

Limit of Liability

     $4,000,000      

11/6/15 - 1/1/17

  

Excess of

     $1,000,000      
             

Federal Insurance Company

  

BUSSINESS AUTOMOBILE

      $2,880

7354-97-90

  

Combined Single Limit

     $1,000,000      

11/6/15 - 1/1/17

  

Hired Auto Physical Damage

     
  

Comprehensive Deductible

     $1,000      
  

Collision Deductible

     $1,000      
             

Pacific Indemnity Company

  

WORKERS’ COMPENSATION

      $481,422

7173-32-14

  

Workers’ Compensation

     Statutory      

1/1/16 - 1/1/17

  

Employers Liability

     
  

Bodily Injury by Accident

     $500,000      
  

Bodily injury by Disease

     $500,000      
  

Bodily injury by Disease

     $500,000      
             

Federal Insurance Company

  

LOCAL JAPAN

      $15,142.34

11/6/15 - 1/1/17

        

92841212 - Property

  

Property

     

92825234 - Liability

  

Contents

     $5,546,480      

92858326 - Employers’ Liability

  

EDP

     $2,000,000      
  

Business Interruption

     $3,159,983      
  

Total

     $10,706,463      
  

 

Liability

  

 

 

 

$1,000,000

 

  

  
  

 

Employers’ Liability

  

 

 

 

$1,000,000

 

  

  
             
Chubb Insurance Co. of Europe SE    LOCAL LONDON       $52,295
2832-27-00    Property      
11/6/15 - 1/1/17    Contents      $24,216,450      
   EDP      $3,000,000      
   Business Interruption      $26,209,677      
   Total by Location      $53,426,127      
   Terrorism      $68,909,235      
   Liability      
  

Public Liability

     $1,000,000      
  

Product Liability

     $1,000,000      
  

Employers’ Liability

     
  

Per Occurrence Limit

     GBP $10,000,000      

 

2 of 4


Ropes & Gray, LLP

Schedule of Insurance

November 6, 2015 - January 1, 2017

 

Company

Policy Number

Policy Period

  

Coverage

  

Limit

  

Premium

Chubb Insurance (China) Co.    LOCAL CHINA                $8,265

11/6/15 - 1/1/17

        

93508904 - Property

  

Property

     

93519977 - Liability

  

Contents

   $1,363,700   

93511377 - Employers Liability

  

EDP

   $1,078,751   
  

Business Interruption

   $2,971,831   
  

Total by Location

   $5,414,282   
  

 

Liability

   $1,000,000   
  

 

Employers Liability

  

CNY 1,000,000

  
Federal Insurance Company    LOCAL HONG KONG            $24,793

11/6/15 - 1/1/17

        

92545326 - Property

  

Property

     

92545326 - Liability

  

Contents

   $3,118,650   

92545055 - Employers Liability

  

EDP

   $1,369,598   
  

Business Interruption

   $10,258,090   
  

Total by Location

   $14,746,338   
  

 

Liability

   $1,000,000   
  

 

Employers Liability

  

HKD $100,000,000

  

Federal Insurance Company

  

LOCAL SOUTH KOREA        

   $3,871

11/6/15 - 1/1/17

  

Property

     
  

Contents

   $547,560   

92718369 - Property

  

EDP

   $521,874   

92770956 - Liability

  

Business Interruption

   $216,734   

92742298 - Workers Comp

  

Total by Location

   $1,286,168   
  

 

Liability

   $1,000,000   
  

 

Workers’ Compensation

   $1,000,000   

Federal Insurance Company

  

UMBRELLA LIABILITY        

   $58,227

7986-35-89

  

Aggregate – Per Location

   $50,000,000   

11/6/15 - 1/1/17

  

Each Occurrence Limit

   $50,000,000   

National Surety Corporation

  

EXCESS LIABILITY        

   $17,295

SHX00015192115

  

Limit of Liability

   $15,000,000   

11/6/15 - 1/1/17

  

Excess of

   $50,000,000   

Federal Insurance Company

  

COMMERCIAL WRAP        

   $11,787

8207-94-28

  

Kidnap, Ransom, & Extortion

     

11/6/15 - 1/1/17

  

Special Coverage

   $5,000,000   
  

Custody

   $5,000,000   
  

Expense

   $5,000,000   
  

 

Workplace Violence

   $2,000,000   

 

3 of 4


Ropes & Gray, LLP

Schedule of Insurance

November 6, 2015 - January 1, 2017

 

Company

Policy Number

Policy Period

  

Coverage

  

Limit

  

Premium

Continental Insurance Company

  

PRIMARY CRIME

      $46,816

596518236

   Partner or Employee Theft    $15,000,000   

11/6/15 - 1/1/17

   Theft Disappearance & Destruction    $15,000,000   
   Forgery or Alteration    $15,000,000   
  

Robbery or Safe Burglary - Property Other

Than Money

   $15,000,000   
   Computer Systems Fraud    $15,000,000   
   Destruction of Data or Programs    $15,000,000   
   Money Order & Counterfeit Currency - worldwide    $15,000,000   
   Wire Transfer with Voice Plus    $15,000,000   
   Claims Expense    $100,000   

Axis Insurance Company

   EXCESS CRIME (2ND LAYER)       $28,892

MNN790535/01/2015

        

11/6/15 - 1/1/17

  

Limit of Liability

   $10,000,000   
  

Excess of

   $15,000,000   

Federal Insurance Company

   EXCESS CRIME (3RD LAYER)       $14,989

8246-1029

        

11/6/15 - 11/6/17

  

Limit of Liability

   $10,000,000   
  

Excess of

   $25,000,000   
“This insurance document is furnished to you as a matter of information for your convenience. It only summarizes the listed
policy(ies) and is not intended to reflect all the terms and conditions or exclusions of such policy(ies). Moreover, the information contained in this document reflects coverage as of the date of this summary as shown below and does not include any subsequent changes. This document is not an insurance policy and does not amend, alter or extend the coverage afforded by the listed policy(ies). The insurance afforded by the listed policy(ies) is subject to all the terms, exclusions and conditions of such policy(ies).
        

 

4 of 4


RGIP, LP

Action by Written Consent of Managing Members

The undersigned being all of the managing members of RGIP GP, LLC the sole general partner of RGIP, LP, a Delaware limited partnership (the “Partnership”), hereby consent to the following actions and adopt the following votes:

 

VOTED:    That after considering all relevant factors, the naming of the Partnership as a named insured under the crime insurance
policy issued by the Continental Insurance Company to Ropes & Gray LLP and the other insureds named thereunder for
the one year period commencing on November 6, 2015 in the amounts listed on Annex A for an annual premium of
$91,597 (the “Policy”), the Partnership’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 Partnership in the Policy is in the best interests of the Partnership.

VOTED:

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

VOTED:

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

VOTED:

   That Akhil Sethi, in his capacity as a vice president of the Partnership, is designated as the officer of the Partnership 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 September 30, 2016


Annex A

 

Partner or Employee Theft Coverage

   $ 15,000,000   

Theft Disappearance & Destruction

   $ 15,000,000   

Forgery or Alteration Coverage

   $ 15,000,000   

Robbery or Safe Burglary - Property Other Than Money Coverage

   $ 15,000,000   

Computer Systems Fraud Coverage

   $ 15,000,000   

Destruction of Data or Programs Coverage

   $ 15,000,000   

Money Order & Counterfeit Currency – worldwide Coverage

   $ 15,000,000   

Wire Transfer with Voice Plus Coverage

   $ 15,000,000   

Claims Expense

   $ 100,000   


AGREEMENT AMONG JOINT INSUREDS

THIS AGREEMENT made as of November 6, 2015 by and among RGIP, LP, a Delaware limited partnership (the “Partnership”), the entities listed as signatories below and each person or entity that becomes a party hereto pursuant to Section 2 (collectively with the Partnership the “Insureds”).

WHEREAS, the Insureds are named insureds under a crime insurance policy issued by Continental 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 Partnership 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, LP
By RGIP GP, LLC
By:   /s/ R. Bradford Malt
  Managing Member - R. BRADFORD MALT

 

ROPES & GRAY LLP
By:   /s/ R. Bradford Malt
  Partner - R. BRADFORD MALT

 

ROPES & GRAY INTERNATIONAL LLP
By:   /s/ R. Bradford Malt
  Partner - R. BRADFORD MALT


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, LP 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:                                  ,         

 

-2-