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AGENCY 19-0159-00
GOSS INSURANCE AGENCY INC5211 HIGHWAY 153 * EHIXSON TN 37343
12-29-2009
Your agency's phone number is (423) 875-0949
THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INC800 CALLAWAY CTCHATTANOOGA TN 37421-0615
poucA 48-173-870-00 13645 (1 0-06)
Thank you for allowing Auto-Owners to handle your insurance needs.
t4uto-Owners InsuraLite Home Car Business
74.Ato.O. BOX 30660, LANSING, MICHIGAN 48909-8160 517-323-1200AUTO-OWNERS INSURANCE COMPANYAUTO-OWNERS LIFE INSURANCE COMPANYHOME-OWNERS INSURANCE COMPANYOWNERS INSURANCE COMPANYPROPERTY-OWNERS INSURANCE COMPANYSOUTHERN-OWNERS INSURANCE COMPANY
Auto-Owners Insurance Group is financially sound with sufficient reserves to be ranked among the leaders in the idustry for financial security. Our A+ + (Superior) rating by the A.M. Best Company signifies that we have the finan-cial strength to provide the insurance protection you need.
Feel free to contact your independent Auto-Owners agent with questions you may have about any of your insuraneeds.Auto-Owners Insurance - The "No Problem" People (-3 * THIS IS NOT A BILL.IF ADDITIONAL PREMIUM IS OWED, A BILL WILL BE MAILED SEPARATELY. PLEASEPAY ANY UNPAID BILLS.
Serving Our Policyholders and Agents for More Than 90 Years
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREEN
LOCATION: CALLAWAY CT CHATTANOOGA TN 37421COVERAGES DEDTERRORISMCERTIFIED ACTS SEE FORM(S) 59350, 54313, 59389
ADDITIONAL FORMS FOR THIS LOCATION:54604 (07-88) 54661 (08-91)LOC 001 BLDG 0001 113 CALLAWAY
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal PropertyCoverageBusiness Personal PropertyOr ExhibitionsBusiness Personal PropertyAcquired PremisesBusiness Personal PropertyBusiness Personal PropertyDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And Memorabilia
- ExpandedAt FairsAt NewlyIn TransitOff Premises
Fire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And Records
Page 2 54643 (01-90) Issued 12-29-200
LOCATION 001
BP0202 (02-87)59350 (01-08)
$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000,0001,0002501,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS
DED LIMITS
54238 (12-01) 54313 (07-08)
$160,00012 MonthsSee Form100,0007,5005,0002,500 PerSee FormUp To 1,000
25,00025,00025,000
10,00015,00015,0001,000,000/90 Days5,00025,00010,0001,000 Per5,00015,00025,00010,0001,00010,00050,000
Term 09-25-2009 to 09-25-2010
ItemFt
25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,00010,000
PREMIUM
5,000 Included500,000/90Days Included
$205.10 $12.13
PREMIUM$154.47IncludedIncluded
102.13IncludedIncludedIncludedIncludedIncluded
IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedItem IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG
CHANGE$9.18
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INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)0)
AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PART/ES: NoneRATING INFORMATION
Page 7
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
54643 (01-90)7sued 12-29-2089
48-173-870-0003-57-TN-0909
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0004 149 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page854643 (01-Issued12-29-2009
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909Term 09-25-2009 to 09-25-2010
DED$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
LIMITS$160,00012 MonthsSee Form
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/900ays Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,00015,00015,000
1,000,000/90 Days5,000
25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncluded
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
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INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87)
54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)
54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)8
AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094ENSURM THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: None
RATING INFORMATION
Page 9
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009OLICY NUMBERCompany Use
CompanyBill
54643 (01-90)Issued 17-29-7009
48-173-870-0003-57-TN-0909
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy nmber and premium tem.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 SLOG 0005 161 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 10
DED$1,000
1,000 2501,0001,000 5,000 Included1,000 500,000/90Days Included1,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS$160,00012 MonthsSee Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included
25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2009
CHANG$9.18
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,rs
54841 (01-07)
BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)
54073 (08-00)
54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748(08-00)SECURED INTERESTED PARTIES: None
RATING INFORMATION
Pane 11
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009
48-173-870-0003-57-TN-0909
POLICY NUMBERCompany Use
CompanyBill
54643 (01-90)Issued 12-79-7009
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-200909-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094ENSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0006 173 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees Coveragenuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 12 54643 (01-90) Issued 12-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
Term 09-25-2009 to 09-25-2010
1,000See Form1,000
DED LIMITS$1,000
1,000
2501,0001,0001,0001,0001,000
1,0002502501,0001,000,0001,0002501,0001,000
1,0001,0001,0001,000
$160,00012 MonthsSee Form
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.1
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INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)
54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)8
AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKTTERR094
1NSURM THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FP MIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750(08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)
SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 13
(423) 875-0949
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
48-173-870-0003-57-TN-0909
POLICY TEW-1
12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0007 179 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 14
$1,000
1,000
2501,0001,000 5,000 Included1,000 500,000/90Days Included1,0001,0001,000See Form1,000
DED LIMITS
1,0002502501,0001,0001,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909$160,00012 MonthsSee Form
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included
25,00025,00025,000
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
IncludedIncludedIncluded25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2009
CHANG$9.18
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o.-0rsPage15
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00)
54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) 8PO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: None
RATING INFORMATION
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
48-173-870-0003-57-TN-0909
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premiu,1 term.
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OWNERS INS. COAGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0008 208 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal PropertyCoverageBusiness Personal PropertyOr ExhibitionsBusiness Personal PropertyAcquired PremisesBusiness Personal PropertyBusiness Personal PropertyDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And Memorabilia
- ExpandedAt FairsAt NewlyIn TransitOff Premises
Fire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 16 54643 (01-90) sued 12-29-7009
$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
CompanyBill
DED LIMITS$160,00012 MonthsSee Form
100,0007,5005,0002,500 PerSee FormUp To 1,000
25,00025,00025,000
POLICY NUMBER 48-173-870-00Company Use 03-57-TN-0909Term 09-25-2009 to 09-25-2010
ItemFt
5,000 Included500,000/90Days Included
25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,00010,00010,00015,00015,000
1,000,000/90 Days5,00025,00010,0001,000 Per5,00015,00025,00010,0001,00010,00050,00015,000
See Form
PREMIUM$154.47IncludedIncluded
IncludedIncludedIncludedIncludedIncludedIncluded
IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedItem IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
8/8/2019 HOA - Insurance Policy
18/260
owrs
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87)
54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)
54067 (08-00) 54708 (01-07) 54062 (0e-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
(423) 875-0949
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
17 54643 (01-90) Issued 12-29-2009USINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-2009POLICY NUMBER
Company Use48-173-870-0003-57-TN-0909
Company POLICYBill 12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0009 224 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or DrainsEquipment Breakdown
Page
1,000See Form1,000
DED LIMITS$1,000
1,000 2501,0001,0001,0001,0001,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909Term 09-25-2009 to 09-25-2010
$160,00012 MonthsSee FormIncluded100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included
5,000 Included500,000/900ays Included
25,00025,00025,000
PREMIUM$154.47IncludedIncluded
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
25,00025,00025,00025,00025,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)
CHANG$9.18
8/8/2019 HOA - Insurance Policy
20/260
Ow , rs
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87)
54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00)
54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159
-00 MKTTERR094
INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070(02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748(08-00)
SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 19
(423) 875-0949 POLICY NUMBERCompany Use
CompanyBill
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy numer and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-200948-173-870-0003-57-TN-0909
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 6LOG 0010 236 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 20
DEO$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS$160,00012 MonthsSee Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,00015,00015,000
1,000,000/90 Days5,000
25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncluded
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2009
CHANG$9.18
8/8/2019 HOA - Insurance Policy
22/260
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999
54841 (01-07)
BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00)
54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00)
54227 (08-00)54228 (08-00)(0
AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR TFIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 21
(423) 875-0949 POLICY NUMBERCompany Use
CompanyBill
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-200948-173-870-0003-57-TN-0909
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0011 252 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquire4 Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 22 54643 (01-90) Issued 12-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
Term 09-25-2009 to 09-25-2010
1,000See Form1,000
DEB LIMITS$1,000
1,000
2501,0001,000 5,000 Included1,000 500,000/900ays Included1,0001,000
1,0002502501,0001,000
1,0001,0002501,0001,000
1,0001,0001,0001,000
$160,00012 MonthsSee FormIncluded100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included
25,00025,00025,000
25,00010,0001,00010,00050,00015,000
See Form
PREMIUM$154.47IncludedIncluded
IncludedIncludedIncluded
25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,000 Included10,000 Included
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
10,000 Included15,000 Included15,000 Included1,000,000/ Included90 Days5,000 Included
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
8/8/2019 HOA - Insurance Policy
24/260
60147-, rsPage23
54841 (01-07)
BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00)
54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00)
54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
(423) 875-0949
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.ADDITIONAL FORMS FOP THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009
48-173-870-0003-57-TN-0909
POLICY TERX12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0012 268 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 24
DED LIMITS$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,000
1,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
$160,00012 MonthsSee Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-200,
CHANG$9.18
8/8/2019 HOA - Insurance Policy
26/260
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87)
54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FCFc THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749(08-00)54341 (01-07) 54748 (08-00)
SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 25
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009
48-173-870-0003-57-TN-0909
POLICY NUMBERCompany Use
CompanyBill
54643 (01-90)Issued 12-29-2009
POLICY TERV!12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0013 284 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 26
DED$1,000
1,000 2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,0001,0001,0002501,0001,0001,0001,0001,0001,000
54643 (01-90)Issued 12-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS$160,00012 MonthsSee Form
25,00025,00025,000
25,00010,0001,00010,00050,00015,000
See Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days IncludedIncludedIncludedIncluded
25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,000 Included10,000 Included
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
10,000 Included15,000 Included15,000 Included1,000,000/ Included90 Days5,000 Included
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
8/8/2019 HOA - Insurance Policy
28/260
8/8/2019 HOA - Insurance Policy
29/260
OWNERS INS. Co.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0014 305 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 28 54643 -90) Issued 19-79-2009
DED$1,000
1,0002501,000
1,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909LIMITS$160,00012 MonthsSee Form
25,00010,0001,00010,00050,00015,000
See Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/900ays Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
8/8/2019 HOA - Insurance Policy
30/260
irsINSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)
SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 29
(423) 875-0949
54841 (01-07)BPO405 (01-87)54073 (08-00)54067 (08-00)54745 (08-00)54068 (08-00)54228 (08-00)
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
54643 (01-90)Issued 12-29-2009
48-173-870-0003-57-TN-0909
POLICY TERM12:01 a.m. 12:01 a.m.09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
BP1701 (01-87) 54658 (07-91)54069 (08-00) 54340(01-07)54226 (08-00) 54752 (08-00)54708 (01-07) 54062 (08-00)54066 (08-00) 54065 (08-00)54063 (08-00) 54227 (08-00)
8/8/2019 HOA - Insurance Policy
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OWNERS INS, CO.A5ENcy GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0015 307 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
DED LIMITS
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
$160,00012 MonthsSee Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,000 Included10,000 Included1,000 Included10,000 Included50,000 Included15,000 Included
See Form Included
54643 (01-90)Issued 12-29-2009
CHANG$9.18
8/8/2019 HOA - Insurance Policy
32/260
Ow
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87)
54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)
54068 (08-00)
54063 (08-00) 54227 (08-00)54228 (08-00)
0rsINSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159
-00 MKTTERR094
INSURM THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615his policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premiu
,1 term.DDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748(08-00)SECURED INTERESTED PARTIES: None
RATING INFORMATION
Page 31
(423) 875-0949 POLICY NUMBERCompany Use
CompanyBill
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-2009
48-173-870-0003-57-TN-0909OLICY 'TERM12:01 a.m. 12:01 a.m.
to09-25-2009 09-25-2010
8/8/2019 HOA - Insurance Policy
33/260
cWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKTTERR094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0016 313 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees Coverage
Building Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 32
DED$1,000
1,0002501,000
1,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,0001,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS$160,00012 MonthsSee Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,00025,00025,000
IncludedIncludedIncluded25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,000 Included10,000 Included
25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
10,000 Included15,000 Included15,000 Included1,000,000/ Included90 Days5,000 Included
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2009
CHANG$9.18
8/8/2019 HOA - Insurance Policy
34/260
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615his policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
e.DDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749(08-00)54341 (01-07) 54748 (08-00)
SECURED INTERESTED PARTIES: NoneRATING INFORMATION
(423) 875-0949
POLICY NUMBERCompany Use
CompanyBill
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-200948-173-870-0003-57-TN-0909OLICY TERM12:01 a.m. 12:01 a.m.
to09-25-2009 09-25-2010
8/8/2019 HOA - Insurance Policy
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OWNERS INS, CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00M
KTTERR094
INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0017 319 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 34 54643 (01-90) Issued 12-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
Term 09-25-2009 to 09-25-2010
DED$1,000
1,000 2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,0001,0001,0002501,0001,0001,0001,0001,0001,000
LIMITS$160,00012 MonthsSee Form
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,00025,00025,000
IncludedIncludedIncluded
PREMIUM$154.47IncludedIncluded
25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,000 Included10,000 Included
25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
10,000 Included15,000 Included15,000 Included1,000,000/ Included90 Days5,000 Included
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 IncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.1
8/8/2019 HOA - Insurance Policy
36/260
Ow,rs
54841 (01-07)
BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00)
54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159
-00 MKTTERR094
INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDI7IONAL FORMS FOR THIS BUILDING:54659 (02-05)8PO403(01-87)
54743 (08-00) 54750(08-00)
54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 35
(423) 875-0949
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
48-173-870-0003-57-TN-0909ULICY TERN12:01 a.m. 12:01 a.m.
to09-25-200909-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
8/8/2019 HOA - Insurance Policy
37/260
OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0018 321 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 36 54643 (01- 0 Issued 12-29-2009ompany POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909Term 09-25-2009 to 09-25-2010
1,000See Form1,000
DED LIMITS
1,0002501,000
1,0001,0001,0001,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
$160,00012 MonthsSee Form
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
8/8/2019 HOA - Insurance Policy
38/260
Ow
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
rsINSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159
-00 MKTTERR094
INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (G2-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 37
(423) 875-0949 POLICY NUMBERCompany Use
CompanyBill
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-200948-173-870-0003-57-TN-0909
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premiur term.
8/8/2019 HOA - Insurance Policy
39/260
OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0019 329 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 38 54643 (01-90) Issued 12-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
Term 09-25-2009 to 09-25-2010
1,000See Form1,000
DED LIMITS
1,000
2501,0001,0001,0001,0001,000
1,0002502501,0001,000,0001,0002501,0001,0001,0001,0001,000
1,000
$160,00012 MonthsSee Form
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
8/8/2019 HOA - Insurance Policy
40/260
60147 r s Page 39
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094ENSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615his policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
ADDITIONAL FORMS FOP THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009
48-173-870-0003-57-TN-0909
POLICY NUMBERCompany Use
CompanyBill
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009
?OLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
8/8/2019 HOA - Insurance Policy
41/260
OWNERS INS, CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0020 331 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 40
DED$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS$160,00012 MonthsSee Form
Term 09-25-2009 to 09-25-2010PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/900ays Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2009
CHANG$9.1
8/8/2019 HOA - Insurance Policy
42/260
rs
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS F-DR THIS BUILD3NO:
54659 (02-05) BPO403 (01-Z7)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 41
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
54643 (01-90)Issued 12-29-2009
48-173-870-0003-57-TN-0909
POLICY 7ERd12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0021 337 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 42 54643 (01-90) Issued 12-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
Term 09-25-2009 to 09-25-2010
DED$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
LIMITS$160,00012 MonthsSee Form
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
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54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)
SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 43
(423) 875-0949
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-200948-173-870-0003-57-TN-0909
POLICY NUMBERCompany Use
CompanyBill POLICY TERM12:01 a.m. 12:01 a.m.to09-25-200909-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the sera policy number and premivri
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INsuRED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0022 343 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees Coverage
Building Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or Law
Coverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of OthersPollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 44
1,000See Form1,000
DED LIMITS$1,0001,000 2501,0001,000 5,000 Included1,000 500,000/90Days Included1,0001,000
1,0002502501,0001,000
1,0001,0002501,0001,0001,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
$160,00012 MonthsSee FormIncluded100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included
25,00025,00025,000
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
IncludedIncludedIncluded25,00025,00025,00025,00025,000100,00010,000/2,500 Per Item5,000 Included10,000 Included
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
10,000 Included15,000 Included15,000 Included1,000,000/ Included90 Days5,000 Included
25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2009
CHANG$9.18
8/8/2019 HOA - Insurance Policy
46/260
_-rs
54841 (01-07) BP1701 (01-87) 54658 (07-91)BPO405 (01-87)
54069 (08-00) 54340 (01-07)54073 (08-00) 54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00) 54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS F1R THIS BUILDING:54659 (02-05) LPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 45
(423) 875-0949
BUSINESSOWNERS POLICY DECLARATIONSEndorsement Effective 09-25-2009POLICY NUMBER
Company Use 03-57-TN-0909ompanyBill
54643 (01-90)Issued 12-29-2009
48-173-870-00
POLICY TERM12:01 a.m. 12:01 a.m.to09-25-2009 09-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same policy number and premium term.
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 7L0G 0023 353 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees Coverage
Building Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney 8 Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 46 54643 (01-90) Issued 17-29-2009Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
Term 09-25-2009 to 09-25-2010
1,000See Form1,000
DED LIMITS$1,000
1,000
2501,0001,000 5,000 Included1,000 500,000/900ays Included1,0001,000
1,0002502501,0001,0001,0001,0002501,0001,0001,0001,0001,0001,000
$160,00012 MonthsSee Form
PREMIUM$154.47IncludedIncluded
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included
25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
CHANG$9.18
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OWNERS INS. CO.AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENLOC 001 BLDG 0024 355 CALLAWAY CT
COVERAGESBuilding - GUARANTEED REPLACEMENT COSTBusiness Income And Extra ExpenseLimitation of Coverage for Fungi, Mold,Dry Rot, Wet Rot and BacteriaCOVERAGE PACKAGE: Property PlusAccounts ReceivableArson RewardBailees CoverageBuilding Glass CoverageBusiness Personal Property - ExpandedCoverageBusiness Personal Property At FairsOr ExhibitionsBusiness Personal Property At NewlyAcquired PremisesBusiness Personal Property In TransitBusiness Personal Property Off PremisesDebris RemovalElectronic EquipmentEquipment - UnscheduledElectrical DisturbanceMechanical BreakdownMediaTransportationBusiness Income And Extra ExpenseFine Arts, Collectibles, And MemorabiliaFire Department Service ChargeFire Extinguisher And Fire SuppressionSystem RechargeForgery And AlterationMoney & Securities Inside PremisesMoney & Securities Outside PremisesNewly Acquired Or Constructed PropertyOff-Premises Utility Service FailureOrdinance Or LawCoverage A, B And C CombinedOutdoor PropertyTrees, Shrubs Or PlantsOutdoor SignsPersonal Effects And Property Of Others
Pollutant Clean Up And RemovalRefrigerated ProductsRekeying Of LocksSalesperson's SamplesValuable Papers And RecordsWater Back-Up From Sewers Or Drains
Equipment Breakdown
Page 48
DED$1,000
1,000
2501,0001,0001,0001,0001,0001,000See Form1,000
1,0002502501,0001,000
1,0001,0002501,0001,000
1,0001,0001,0001,000
Company POLICY NUMBER 48-173-870-00Bill Company Use 03-57-TN-0909
LIMITS$160,00012 MonthsSee Form
Included100,000 Included7,500 Included5,000 Included2,500 Per ItemSee Form IncludedUp To 1,000 Ft Included5,000 Included
500,000/90Days Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included25,000 Included100,000 Included10,000/ Included2,500 Per Item5,000 Included10,000 Included10,000 Included15,000 Included15,000 Included
1,000,000/ Included90 Days5,000 Included25,000 Included10,000 Included1,000 Per Item Included5,000 Included15,000 Included25,00010,0001,00010,00050,00015,000
See Form
Term 09-25-2009 to 09-25-2010
PREMIUM$154.47IncludedIncluded
IncludedIncludedIncludedIncludedIncludedIncludedIncluded
54643 (01-90)Issued 12-29-2
CHANG$9.18
8/8/2019 HOA - Insurance Policy
50/260
Ow , rs
54841 (01-07)
BP1701 (01-87) 54658 (07-91)BPO405 (01-87) 54069 (08-00) 54340 (01-07)54073 (08-00)
54226 (08-00) 54752 (08-00)54067 (08-00) 54708 (01-07) 54062 (08-00)54745 (08-00) 54066 (08-00) 54065 (08-00)54068 (08-00) 54063 (08-00)
54227 (08-00)54228 (08-00)
INSURANCE COMPANY6101 ANACAPRI BLVD., LANSING, MI 48917-3999AGENCY GOSS INSURANCE AGENCY INC19-0159-00 MKT TERR 094INSURED THE GARDENS AT HERITAGE GREENCONDOMINIUM ASSOCIATION INCADDRESS 800 CALLAWAY CT
CHATTANOOGA TN 37421-0615
ADDITIONAL FORMS FOR THIS BUILDING:54659 (02-05) BPO403 (01-87)54743 (08-00) 54750 (08-00)54064 (08-00) 54072 (08-00)54071 (08-00) 54070 (02-05)54658 (04-07) 54749 (08-00)54341 (01-07) 54748 (08-00)SECURED INTERESTED PARTIES: NoneRATING INFORMATION
Page 49
(423) 875-0949
Occupancy: 1 Unit CondominiumClass Code: 65143 Const: Frame, Non-SprinkleredProgram: Premier Condominium Protection Class: 02Liability Rate Number: 00 Territory: 023 Hamilton CountyBurglary Rate Group: 00 Inside City LimitsDispersion Credit Plan: 12%Construction Year: 2005 10% Building Age Credit applies
54643 (01-90)Issued 12-29-2009BUSINESSOWNERS POLICY DECLARATIONS
Endorsement Effective 09-25-2009POLICY NUMBER
Company UseCompanyBill
48-173-870-0003-57-TN-0909
POLICY TER12:01 a.m. 12:01 a.m.to09-25
-200909-25-2010
This policy is amended in consideration of the additional or return premium shown below. This Declarationsvoids and replaces all previously issued Declarations bearing the same p