CONTRACTUAL INSURANCE REQUIREMENTS

The information contained herein is to describe the contractual requirements that HILLS Properties has indicated to myCOI. These contractual requirements should NOT be used to provide inaccurate information regarding current insurance policies. Questions regarding interpretation of this document can be directed to our support team at 317-759-9426.

INSURED

Matrix5, LLC 123 No Address No City, OH 99999

CARRIER REQUIREMENTS

A- or higher, VII




POLICY LINE POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000
X OCCUR MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY X PROJECT LOCATION $
AUTO LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000
X ANY AUTO BODILY INJURY (Per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $
HIRED AUTOS
NON-OWNED AUTOS
UMBRELLA /EXCESS LIABILITY X OCCUR EACH OCCURRENCE $ 1,000,000
Claims Made AGGREGATE $ 2,000,000
WORKERS COMP /EMPLOYEE LIABILITY WC STATUTORY LIMITS OTHER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
Property Property Causes of Loss Deductibles Building $
Basic Building Personal Property $
Broad Contents Business Income $
Special Extra Expense $
Earthquake Rental Value $
Wind Blanket Building $
Flood Blanket Pers Prop $
Blanket BLDG & PP $
$
$
Boiler and Machine Boiler & Machinery /Equipment Break Down $
$
Pollution / Environmental Pollution/Environmental coverage should be on an occurrence basis. Each Occurrence: $1,000,000 Aggregate: $2,000,000

Certificate Holder


HP Acquisitions, LLC; HILLS Property Management, Inc.; HILLS Developers Inc. C/O: myCOI P.O. Box# 501970, 8710 Bash Street Indianapolis, IN 46256

ADDITIONAL REQUIREMENTS


Division Name: THE RESIDENCES AT CLOCKTOWER, LLC, Division Location: 9360 Clocktower Square West Chester, OH 45069.
- Contract ID: 4230rct - v0004126.
- 30 Days Notice of Cancellation Required.

General Liability


- Please confirm on certificate or by uploading the schedule of forms, endorsements, and/or exclusions that the policy does not exclude residential/habitational.
- Please confirm on certificate or by uploading the schedule of forms, endorsements, and/or exclusions that the policy does not exclude explosion, collapse, underground (XCU) coverage.
- Please confirm on certificate or by uploading the schedule of forms, endorsements, and/or exclusions that the policy does not exclude Independent Contractors.
- Please provide copies of the Additional Insured forms for both ongoing and completed operations (CG 20 10 07/04 and CG 2037 or their equivalents) in addition to the certificate of insurance.
- Please confirm on certificate or by uploading the schedule of forms or endorsement that a Project Aggregate applies
- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: HP Acquisitions, LLC; HILLS Property Management, Inc.; HILLS Developers Inc.; 49 HUNDRED, LLC; HMA ALLURE, LLC; BRINLEY PLACE, LLC; EMERALD LAKES APARTMENTS, LLC; ELEMENT OF OAKWOOD, LLC; FOX CHASE NORTH, LLC; FOX CHASE SOUTH, LLC; GREYSON ON 27, LLC; ISLAND CLUB APARTMENTS, LLC; KENDAL ON TAYLORSVILLE, LLC; THE LANDINGS AT BECKETT RIDGE, LLC; MALLARD LANDING APARTMENTS, LLC; MERIDIAN ON SHELBYVILLE, LLC; HILLS PROPERTIES, LTD.; MILLER FARM APARTMENTS, LLC; TA AT SOW, LLC; STERLING LAKES APARTMENTS, LLC; SHADOW RIDGE APARTMENTS, LLC; WATERFORD PLACE OF SYMMES TOWNSHIP, LLC; WELLINGTON PLACE APARTMENTS, LLC; VILLAGES AT THE STREETS OF WEST CHESTER HOMEOWNERS ASSOCIATION; RIALTO ON HURSTBOURNE, LLC; THE RESIDENCES AT CLOCKTOWER, LLC; GRAPHITE OAKLEY, LLC; VANTAGE ANDERSON, LLC; HILLS COMMERCE PARK OF BLUE ASH, LLC; HILLS ROUTE 28, LLC; SYMMES RETAIL CENTER, LLC; HILLS CORPORATE CENTRE, LLC; KENWOOD CORPORATE CENTRE, LLC; KENWOOD PROFESSIONAL BUILDING, LLC; GUTTMAN ENTERPRISES LIMITED PARTNERSHIP; REED HARTMAN BUSINESS PARK, LLC; MURRAY GUTTMAN, DBA M. G. MANAGEMENT; CENTRAL & MAIN, LLC; FLIGHT ON UNION CENTRE, LLC; RELAY 129, LLC; ALTAIR, LLC; HAMILTON TOWNSHIP APARTMENTS, LLC; INDIGO APARTMENTS, LLC,
- Additional Insured applies to General Liability.
- Please confirm on the certificate or by uploading endorsement(s) that Primary & Non-Contributory applies to this policy.

Automobile Liability


- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: HP Acquisitions, LLC; HILLS Property Management, Inc.; HILLS Developers Inc.; 49 HUNDRED, LLC; HMA ALLURE, LLC; BRINLEY PLACE, LLC; EMERALD LAKES APARTMENTS, LLC; ELEMENT OF OAKWOOD, LLC; FOX CHASE NORTH, LLC; FOX CHASE SOUTH, LLC; GREYSON ON 27, LLC; ISLAND CLUB APARTMENTS, LLC; KENDAL ON TAYLORSVILLE, LLC; THE LANDINGS AT BECKETT RIDGE, LLC; MALLARD LANDING APARTMENTS, LLC; MERIDIAN ON SHELBYVILLE, LLC; HILLS PROPERTIES, LTD.; MILLER FARM APARTMENTS, LLC; TA AT SOW, LLC; STERLING LAKES APARTMENTS, LLC; SHADOW RIDGE APARTMENTS, LLC; WATERFORD PLACE OF SYMMES TOWNSHIP, LLC; WELLINGTON PLACE APARTMENTS, LLC; VILLAGES AT THE STREETS OF WEST CHESTER HOMEOWNERS ASSOCIATION; RIALTO ON HURSTBOURNE, LLC; THE RESIDENCES AT CLOCKTOWER, LLC; GRAPHITE OAKLEY, LLC; VANTAGE ANDERSON, LLC; HILLS COMMERCE PARK OF BLUE ASH, LLC; HILLS ROUTE 28, LLC; SYMMES RETAIL CENTER, LLC; HILLS CORPORATE CENTRE, LLC; KENWOOD CORPORATE CENTRE, LLC; KENWOOD PROFESSIONAL BUILDING, LLC; GUTTMAN ENTERPRISES LIMITED PARTNERSHIP; REED HARTMAN BUSINESS PARK, LLC; MURRAY GUTTMAN, DBA M. G. MANAGEMENT; CENTRAL & MAIN, LLC; FLIGHT ON UNION CENTRE, LLC; RELAY 129, LLC; ALTAIR, LLC; HAMILTON TOWNSHIP APARTMENTS, LLC; INDIGO APARTMENTS, LLC,
- Additional Insured applies to Automobile.

Umbrella Excess Liability


- Please confirm on the certificate or by uploading endorsement(s) that Additional Insured applies to this policy.
- Additional Insured Names: HP Acquisitions, LLC; HILLS Property Management, Inc.; HILLS Developers Inc.; 49 HUNDRED, LLC; HMA ALLURE, LLC; BRINLEY PLACE, LLC; EMERALD LAKES APARTMENTS, LLC; ELEMENT OF OAKWOOD, LLC; FOX CHASE NORTH, LLC; FOX CHASE SOUTH, LLC; GREYSON ON 27, LLC; ISLAND CLUB APARTMENTS, LLC; KENDAL ON TAYLORSVILLE, LLC; THE LANDINGS AT BECKETT RIDGE, LLC; MALLARD LANDING APARTMENTS, LLC; MERIDIAN ON SHELBYVILLE, LLC; HILLS PROPERTIES, LTD.; MILLER FARM APARTMENTS, LLC; TA AT SOW, LLC; STERLING LAKES APARTMENTS, LLC; SHADOW RIDGE APARTMENTS, LLC; WATERFORD PLACE OF SYMMES TOWNSHIP, LLC; WELLINGTON PLACE APARTMENTS, LLC; VILLAGES AT THE STREETS OF WEST CHESTER HOMEOWNERS ASSOCIATION; RIALTO ON HURSTBOURNE, LLC; THE RESIDENCES AT CLOCKTOWER, LLC; GRAPHITE OAKLEY, LLC; VANTAGE ANDERSON, LLC; HILLS COMMERCE PARK OF BLUE ASH, LLC; HILLS ROUTE 28, LLC; SYMMES RETAIL CENTER, LLC; HILLS CORPORATE CENTRE, LLC; KENWOOD CORPORATE CENTRE, LLC; KENWOOD PROFESSIONAL BUILDING, LLC; GUTTMAN ENTERPRISES LIMITED PARTNERSHIP; REED HARTMAN BUSINESS PARK, LLC; MURRAY GUTTMAN, DBA M. G. MANAGEMENT; CENTRAL & MAIN, LLC; FLIGHT ON UNION CENTRE, LLC; RELAY 129, LLC; ALTAIR, LLC; HAMILTON TOWNSHIP APARTMENTS, LLC; INDIGO APARTMENTS, LLC,
- Additional Insured applies to Umbrella.
-*