40-17G 1 d355622d4017g.htm FORM 40-17G Form 40-17G
LOGO     

ROPES & GRAY LLP

PRUDENTIAL TOWER

800 BOYLSTON STREET

BOSTON, MA 02199-3600

WWW.ROPESGRAY.COM

 

May 5, 2022

   Bruce Willman
   (212) 596-9319
   bruce.willman@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, 2023; (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, 2023. 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) 596-9319.

Please acknowledge receipt and acceptance of the enclosed materials with an email confirmation.

Very truly yours,

/s/ Bruce Willman

Bruce Willman

Enclosures

cc:

Jeffrey R. Katz

Alfred O. Rose

Paul F. Van Houten

Erik G. Johnston


LOGO

CERTIFICATE OF PROPERTY INSURANCE
DATE (MM/DD/YYYY)
12/30/2021
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
One Liberty Plaza
165 Broadway, Suite 3201
New York NY 10006 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:
COVERAGESCERTIFICATE NUMBER:570090956578 REVISION NUMBER:
LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, II 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
EXTRA EXPENSE
SPECIAL
RENTAL VALUE
EARTHQUAKE
BLANKET BUILDING
WIND
BLANKET PERS PROP
FLOOD
BLANKET BLDG & PP
INLAND MARINE
TYPE OF POLICY
CAUSES OF LOSS
NAMED PERILS
POLICY NUMBER
A
X
CRIME
596753106
01/01/2022
01/01/2023
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
Managing Members of RGIP, LP
c/o Ropes & Gray, LLP
800 Boylston Street
Boston, MA 02199-3600 USA
CANCELLATION
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
© 1995-2015 ACORD CORPORATION. All rights reserved.
ACORD 24 (2016/03) The ACORD name and logo are registered marks of ACORD
CERTIFICATE NUMBER: 570090956578
Holder Identifier:


Ropes & Gray, LLP

Schedule of Insurance

January 1, 2022 - January 1, 2023

 

Company

Policy Number

Policy Period

  

Coverage

   Limit     

Premium

 

Federal Insurance Company (Chubb) 3588-73-92

  

 

COMMERCIAL PACKAGE POLICY

     

 

$417,308
(includes $6 in surcharges & taxes)

1/1/2022 - 1/1/2023

  

Office Locations:

1. 1211 AVENUE OF THE AMERICAS, NEW YORK, NY 10036

2. 191 N WACKER DR, CHICAGO, IL 60606

3. 1900 UNIVERSITY AVE STE 600, EAST PALO ALTO, CA 94303

4. 800 BOYLSTON ST, BOSTON, MA 02199

5. 3 EMBARCADERO CTR, SAN FRANCISCO, CA 94111

6. UNITS 02B, 03,05,06,07 AND 08 OF 36F, PARK PLACE OFFICE BUILDING, NO. 1601, NAN JING ROAD (W),JING AN DISTRICT, SHANGHAI, PRC

7. 41ST FLOOR, ONE EXCHANGE SQUARE, 8 CONNAUGHT PLACE, CENTRAL, H K

8. 21 F POSCO P&S TOWER, 735-3 YENKSAM DONG, GANGAM-GU, SEOUL, SKOR

9. MARUNOUCHI, 2-7-2 CHIYODA-KU, 30TH FLOOR,JP TOWER, TOKYO, JAPA

10. 2099 PENNSYLVANIA AVE NW, WASHINGTON, DC 20006

11. 60 LUDGATE HILL, LONDON, U K EC4M7AW

12. 4 1ST AVE, PEABODY, MA 01960

13. 9333 GRAND AVE, FRANKLIN PARK, IL 60131

14. 1 MARKLEY WAY, LOWELL, MA 01852

15. 5 HOME NEWS ROW, NEW BRUNSWICK, NJ 08901

16. 9101 OWENS DR, MANASSAS PARK, VA 20111

17. 5785 LAS POSITAS RD, LIVERMORE, CA 94551

18. NO. 3 KIN TAI STREET, TUEN MUN, H K

     
  

Premises Coverages - Blanket Limits

Personal Property, EDP, Valuable Papers

Fine Arts

Business Income with Extra Expense

    

$360,152,831
$5,139,469
$100,000,000
 
 
 
  
  

Various Blanket Limits Apply

Deductible: $25,000

 

     
  

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     
   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     
  

Global Aggregate Limit

     5,000,000     
             
Federal Insurance Company    BUSINESS AUTOMOBILE       $2,282
7354-97-90    Combined Single Limit      $1,000,000     
1/1/2022 - 1/1/2023    Hired Auto Physical Damage      
   Comprehensive Deductible      $1,000     
   Collision Deductible      $1,000     
             
Chubb National Insurance Compay    WORKERS’ COMPENSATION       $505,285
7173-32-14    Workers’ Compensation      Statutory     

(includes $29,390

1/1/2022 - 1/1/2023    Employers Liability       in taxes & surcharges)
   Bodily Injury by Accident      $500,000     
   Bodily Injury by Disease      $500,000     
   Bodily Injury by Disease      $500,000     
             
Chubb Indemnity Insurance Co.    WORKERS’ COMPENSATION (South Carolina)       $1,224
7177-69-58    Workers’ Compensation      Statutory     
1/1/2022 - 1/1/2023    Employers Liability      
   Bodily Injury by Accident      $500,000     
   Bodily Injury by Disease      $500,000     
   Bodily Injury by Disease      $500,000     
             
Chubb Insurance (China) Co.    LOCAL CHINA      
1/1/2022 - 1/1/2023    Property/BI      
   General Liability      
   Employers Liability      
Federal Insurance Company    LOCAL HONG KONG      
1/1/2022 - 1/1/2023    Package: Property, GL      
   Employers Liability      
Federal Insurance Company    LOCAL JAPAN      
1/1/2022 - 1/1/2023    General Liability      
   Property      
   Workers Compensation/EL      

 

Page 1 of 2


Ropes & Gray, LLP

Schedule of Insurance

January 1, 2022 - January 1, 2023

 

Company

Policy Number

Policy Period

  

Coverage

   Limit      Premium  

Chubb Insurance Co. of Europe SE

   LOCAL UK      

1/1/2022 - 1/1/2023

   Package: Property, GL      
   Employers Liability      
   Property Terrorism      

Federal Insurance Company

   LOCAL SOUTH KOREA      

1/1/2022 - 1/1/2023

   Property      
   General Liability      
   Workers’ Comp & EL      

Fedral Insurance Company

   UMBRELLA LIABILITY         $57,750  

79863589

   Aggregate - Per Location      $50,000,000     

1/1/2022 - 1/1/2023

   Each Occurrence Limit      $50,000,000     

Fireman’s Fund Insurance Company

   EXCESS LIABILITY         $15,300  

USL004241222

   Limit of Liability      $15,000,000     

1/1/2022 - 1/1/2023

   Excess of      $50,000,000     

Chubb Custom Insurance Co.

   GROUP EXCESS LIABILITY         $196,649  

7995-30-10

   Limit of Liability      Varies     

1/1/2022 - 1/1/2023

        

Chubb Custom Insurance Co.

   BUSINESS TRAVEL ACCIDENT         $54,737  

ADD N14294053

        

1/1/2022 - 1/1/2023

        

Chubb Custom Insurance Co.

   MAIL INSURANCE         $1,000  

96375

        

1/1/2022 - 1/1/2023

        

Federal Insurance Company

   COMMERCIAL WRAP         $11,577  

8207-94-28

   Kidnap, Ransom, & Extortion      $5,000,000     

1/1/2022 - 1/1/2023

   Workplace Violence      $2,000,000     

Continental Insurance Company

   PRIMARY CRIME         $62,500  

596753106

   Partner or Employee Theft      $10,000,000     

1/1/2022 - 1/1/2023

   Theft Disappearance & Destruction      $10,000,000     
   Forgery or Alteration      $10,000,000     
   Robbery or Safe Burglary - Property Other Than Money      $10,000,000     
   Computer Systems Fraud      $10,000,000     
   Destruction of Data or Programs      $10,000,000     
   Money Order & Counterfeit Currency - worldwide      $10,000,000     
   Wire Transfer with Voice Plus      $10,000,000     
   Social Engineering      $2,500,000     
   Claims Expense      $100,000     
   Retention      $200,000     
   Social Engineering Retention      $300,000     

AXIS Insurance Company

   EXCESS CRIME         $40,180  

P-001-000246632-02

   Limit of Liability      $10,000,000     

1/1/2022 - 1/1/2023

  

Excess of

 

    

 

$10,000,000

 

 

 

  
   Social Engineering      $2,500,000     
   Excess of      $2,500,000     

ACE American Insurance Company

   EXCESS CRIME         $45,061  

G71772226-003

   Limit of Liability      $15,000,000     

1/1/2022 - 1/1/2023

  

Excess of

 

    

 

$20,000,000

 

 

 

  
   Social Engineering      $2,000,000     
   Excess of      $5,000,000     

US Specialty Insurance Company

   EXCESS CRIME      

(Tokio Marine HCC)

           $15,158  

64-MGU-22-A53500

   Limit of Liability      $5,000,000     

1/1/2022 - 1/1/2023

  

Excess of

 

    

 

$35,000,000

 

 

 

  
   Social Engineering      $5,000,000     
   Excess of      $7,000,000     

Federal Insurance Company

   PRIMARY FIDUCIARY      

8241-7342

        

1/1/2022 - 1/1/2023

           $40,254  
   Limit of Liability      $5,000,000     

RLI Insurance Company

   EXCESS FIDUCIARY      

EPG0029871

        

1/1/2022 - 1/1/2023

           $33,000  
   Limit of Liability      $5,000,000     
   Excess of      $5,000,000     

AXIS Insurance Company

   EXCESS FIDUCIARY      

P-001-000491469-01

        

1/1/2022 - 1/1/2023

           $29,720  
   Limit of Liability      $5,000,000     
   Excess of      $10,000,000     
* This insurance document is furnished 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).         

 

Page 2 of 2


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 January 1, 2022 in the amounts listed on Annex A for an annual premium of $107,561 (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 Bruce Willman, 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/ Christopher Comeau

Christopher Comeau

/s/ Jeffrey R. Katz

Jeffrey R. Katz

/s/ Debra Lussier

Debra Lussier

/s/ Alfred O. Rose

Alfred O. Rose

/s/ Paul F. Van Houten

Paul F. Van Houten

Dated: As of May 5, 2022


Annex A

 

Partner or Employee Theft Coverage

   $ 10,000,000  

Theft Disappearance & Destruction

   $ 10,000,000  

Forgery or Alteration Coverage

   $ 10,000,000  

Robbery or Safe Burglary – Property Other Than Money Coverage

   $ 10,000,000  

Computer Systems Fraud Coverage

   $ 10,000,000  

Destruction of Data or Programs Coverage

   $ 10,000,000  

Money Order & Counterfeit Currency – Worldwide Coverage

   $ 10,000,000  

Wire Transfer with Voice Plus Coverage

   $ 10,000,000  

Social Engineering

   $ 2,500,000  

Claims Expense

   $ 100,000  

Retention

   $ 200,000  

Social Engineering Retention

   $ 300,000  


AGREEMENT AMONG JOINT INSUREDS

THIS AGREEMENT made as of January 1, 2022 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, its general partner
By:  

/s/ Paul F. Van Houten

  Managing Member
ROPES & GRAY LLP
By:  

/s/ Paul F. Van Houten

  Partner
ROPES & GRAY INTERNATIONAL LLP
By:  

/s/ Julie H. Jones

  Partner


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:                                 ,         

 

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