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2022/03/26 Bancroft Woods, LLC dba Energage LLC
INSR ADDLSUBRLTRINSRWVD DATE (MM/DD/YYYY) PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLYHIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Twin City Fire Insurance Co Hartford Insurance Co. of Illinois Hartford Fire Insurance Co. 3/28/2022 CBIZ Insurance Services, Inc. 401 Plymouth Road, Suite 200 P O Box 1000 Plymouth Meeting, PA 19462 Kathryn R. Twigg, AAI, AIS, SM 888 408-7500 855 288-6103 cbizselect@cbiz.com Bancroft Woods, LLC dba Energage LLC 397 Eagleview Blvd Exton, PA 19341 29459 38288 19682 A X X X 30SBAVK3748 03/26/2022 03/26/2023 2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000 A X X 30SBAVK3748 03/26/2022 03/26/2023 2,000,000 A X X X $10,000 30SBAVK3748 03/26/2022 03/26/2023 2,000,000 2,000,000 B N 30WECAC8H51 03/26/2022 03/26/2023 X 1,000,000 1,000,000 1,000,000 C Professional Tech E&O with Cyber Liability 30TE033574422 03/26/2022 03/26/2023 $2,000,000 Ea Claim $2,000,000 Aggregate $5,000 Retention Those usual to the Named Insured's business operations. Certificate holder is additional insured per the Business Liability Coverage Form SS00080408 attached to policy #30SBAVK3748 for General Liability. Waiver of Subrogation applies in favor of the certificate holder per the Business Liability Coverage Form SS00080408 for General Liability. Coverage is primary and non contributory per the Business Liability Coverage Form SS00080408 attached to policy #30SBAVK3748. Umbrella policy follows form for general liability and employer's liability. Energage, LLC 397 Eagleview Blvd, Ste 200 Exton, PA 19341 1 of 1 #S3080184/M3076510 BANCWOOClient#: 165460 0RAZ3 DocuSign Envelope ID: 1CBAA516-DCB2-4279-9845-2C73C997A0BF