EFTA00621247.pdf
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WELLS
FAT? (10 INSURANCE
July 25, 2013
S
mile
r. Leon Black
RE:
Homeowners Dwelling Insurance
Dear Leon:
Wollaargo Insurance Silvio/tiro/I, Inc.
330 Madison Avenue
7th Floor
New York NY 10017.5001
Tel:212 682 7500
Pax: 212 632 1043
Enclosed please find Fireman's Fund Insurance Company poll
providing the captioned
insurance for a period of one year from July 18, 2013. Also attac
is our invoice in the amount of
$17,058 representing the annual premium.
The policy covers the dwellings located at
for an amount of
$5,478,000. Personal property consisting o contents are insu
or „
.
The insurance is written on a replacement cost basis with all losses subject to a S25,000 deductible.
There is 5% windstorm/hurricane deductible, therefore, losses by this peril will have a deductible of
$273,900. However, we were able to reduce it to $50,000 and are awaiting the formal endorsement.
Personal liability protection for this house is afforded under the New York City homeowners co-op
policy.
I trust all will be found in order, and remain
Sincerely,
Jeffrey A. Haber
JAH:ya
End.
Together we'll go far
G %fiat Am alibi , Wei Drbralossownest13.Nr*POtorpnampme...V.
EFTA00621247
coma
Fireman's
Fund'
prcooingyourfurtureforlsorait
Personal Homeowner Policy Declarations Summary
Listed below is basic information about your policy.
THANK YOU FOR RENEWING YOUR POLICY WITH FIREMAN'S FUND STARTING AT 12:01 AM ON
=CI
07/18/13. WE INCREASED YOUR COVERAGES TO PROTECT AGAINST INFLATION. ENDORSEMENT
COVERAGE HAS BEEN CHANGED ON YOUR POLICY.
AMM.
COINSURANCE DOES NOT APPLY
SECONDARY RESIDENCE
avis
This Policy Has Been Issued by FIREMAN'S FUND INSURANCE COMPANY
(One of the Fireman's Fund Insurance Companies)
=Er
Policy Number
Policy Period
07-18-13
to 07-18-14
Named Insured
Your Agent Is
WELLS FARGO INS SVCS USA, INC
LEON D BLACK
330 MADISON AVENUE, 7TH FLOOR
NEW YORK NY 10017
(800) 982-2125
Homeowner Policy
Covering Premises and Contents at
Premium
REFER TO PAGE 2 OF THE DECLARATIONS FOR A
DESCRIPTION OF THE COVERED PROPERTY
S
18,032.00
ADDITIONAL
974.00-
TOTAL PREMIUM
5
17,058.00
NY FIRE FEE
.00
HIP
14
EFHG.O152B04F001
TOTAL PREMIUM INCLUDES THESE CUSTOMER CREDITS AND SURCHARGES:
NEWER HOME DISCOUNT
5
5,689
HIGHER OPTIONAL DEDUCTIBLE 5
8,500
ALARM OR SPRINKLER SYSTEM
$
13,654
PORTFOLIO CREDIT
5
2,845
Your Bill Is Not Enclosed — Your Bill Will Be Mailed SEPARATELY
Approximately 20 Days Before Your Next Scheduled Due Date
33S526 2416
Page 1 of 3
Insured Copy
EFTA00621248
eja
Fireman's
Fund°
LL
C
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I
2
LL
!
I
Personal Homeowner Policy Declarations
Protecting your future for 150 years.
Effective Date
Company
07-18-13
FIREMAN'S FUND INSURANCE COMPANY
Named Insured
Your Agent is
WELLS FARGO INS SVCS USA, INC
330 MADISON AVENUE, 7TN FLOOR
NEW YORK
NY
10017
(800) 982-2125
Policy Period
Your Policy begins on 07-18-13
at 12:01 AM Standard Time and expires on 07-18-14
at 12:01 AM
Standard Time.
Your Covered Property
Deductible: In case of loss under Coverage For Damage To Your Property, this policy covers only that part
of the loss over the deductible stated.
$25,000 ALL PERILS
EXCEPT
HURRICANE DEDUCTIBLE:
5X, i
273900,(NININUM 3800)
Policy Form
5250
08-09 Prestige Home Premier - NY
Dwelling
Coverages
Limits of Liability
Coverage For Damage To Your Property
Dwelling
5,478,000
Other Structures
1,095,600
Personal Property
1,369,600
Coverage For Liability And Medical Payments To Others
See Primary Policy for Personal Liability
and Medical Payments Coverage
Total Policy
Premium
$
17,058.00
335524 4.02
Page 2 of 3
Insured Copy
EFTA00621249
Personal Homeowner Policy Declarations
Policy Number
Named Insured
LEON D BLACK
Effective Date
07-18-13
Company
FIREMAN'S FUND INSURANCE COMPANY
Your Agent Is
WELLS FARGO INS SVCS USA, INC
330 MADISON AVENUE, 7TH FLOOR
NEW YORK NY 10017
(800) 982-2125
Forms and Endorsements Applicable to this Policy
Endt. No
Edition Date
Title
Premium
5250
08-09
Prestige Hone Premier - NY
Included
125825
04-02
No Cover For Liab/Med - Day Care
Included
125885
01-09
Policy Conditions Amendatory - NY
Included
5311
04-02
Policy Conditions
Included
125872
04-02
Premises Alarm Or Fire Protection
Included
125965
03-08
Equipment Breakdown Coverage
383.00
125891
11-02
Increased Fungi Limit
350.00
125507
10-02
5% Hurricane Ded - NY Building Form
4,551.00-
180005-3 08-67
Manuscript Endorsement - Credit
1,707.00-
125549
10-02
Off Premises Theft Exclusion
Included
180005-1 08-67
Special Terms Endorsement - Credit
1,766.00-
125900
10-02
WC - Certain Residence Employees
Included
Signatures
One of the Fireman's Fund Insurance Companies,
as named in the policy
Date of Issue 05-20-13
Countersignature of
Authorized Agent or Broker
Secretary's Signature
Signature
335522 4-99
Page 3 of 3
Insured Copy
EFTA00621250
Gasta
Fireman's
Fund'
A Message for Our Customers .. .
Your Portfolio Credit
Protecting your future for150 years.
We've applied a 5% Portfolio Credit to your homeowners premium. This credit applies because your portfolio of
insurance with us includes homeowners, personal excess liability and a qualifying schedule of your valuables.
What's a qualifying schedule? It's a separate schedule of $10,000 or more in jewelry or 575,000 in total valuables
that provides specialized coverage for the items you treasure.
And the credit goes on. You'll receive this credit for as long as you continue these coverages with Fireman's
Fund®. Of course, you'll also continue to receive the superior service and products from one of the nation's most
respected insurers. If you have any additional questions regarding this credit, please contact your Fireman's Fund
insurance representative.
333688 2-04 NY
3
;
3
EFTA00621251
Flood/Mudslide Exclusion
Advisory Notice to Policyholders - New York
No coverage is provided by this notice nor can it be construed to replace any provision of your policy. You
should read your policy and review your Declarations Page for complete information on the coverages you
are provided. If there is any conflict between the policy and this Advisory Notice to Policyholders, THE
PROVISIONS OF THE POLICY SHALL PREVAIL.
Your homeowners policy does not insure for loss caused directly or indirectly by:
•
Flood; or
•
Mudslide;
Caused by or resulting from human or animal forces or any act of nature.
Such loss is excluded:
•
Regardless of any other cause or event contributing concurrently or in any sequence to the loss; and
•
Whether or not the loss event results in widespread damage or affects a substantial area.
However, the exclusion of flood does not apply to direct loss by fire or explosion resulting from flood, and the
exclusion of mudslide does not apply to direct loss by fire or explosion that ensues but we will pay only for
the ensuing loss.
Insurance for flood damage and damage caused by mudslide may be available through a separate flood in-
surance policy issued in accordance with the National Flood Insurance Program (NAP). Flood insurance un-
der the NFIP can provide both structure and contents coverage.
If you have any questions or would like more information about your coverage for Flood from the National
Flood Insurance Program or Fireman's Fund, please contact your insurance representative named on the
Declarations Page of your policy. You may also contact the NAP directly by phone at 1-888-379-9531, or visit
the website shown below for more information:
http://www.fema.gov/businessinfip/
If you have already purchased coverage for Flood, then you may disregard this notice. We at Fireman's Fund
appreciate the opportunity to assist you with your Personal Insurance needs.
e-Aoszi 9-08 NY
Copyright. Firemen's Fund Insurance Companies, 2008, Novato. CA.
Includes copyrighted material of Insurance Services Office. Inc. 2008. With Its permission
EFTA00621252
" 1 0102 1 000000 1 0 02F'
I
masa
Fireman's
Fund°
A Message to our Customers - Hurricane Deductible forWaling
ur
uture for 750 years.
We are required by State Law to advise you of the following:
Your policy contains a hurricane deductible equal to 5% of the Dwelling limit of liability (Coverage A). Your
deductible is displayed on the policy declarations page. The deductible percentage and dollar amount shown rep-
resent the costs that are your responsibility if you suffer an insured hurricane loss. There is a $500 minimum
deductible. The deductible applies to the total loss for Coverages A, B and C, not to each coverage separately. (see
below examples):
Example 1
Property
Dwelling (Coverage A)
Other Structures (Coverage B)
Personal Property (Coverage C)
$100,000 limit Coverage A ®5%=
Your Policy pays
Example 2
Property
Dwelling (Coverage A)
Other Structures (Coverage B)
Personal Property (Coverage C)
Limit of Liability
$100,000
75,000
50,000
Limit of Liability
$100,000
75,000
50,000
Damage caused by hurricane
$5,000 dwelling
1,000 detached garage
1 000 personal property
$7,000 total hurricane loss
-5,000 deductible
$2,000
Damage caused by hurricane
$ 1,000 Dwelling
0 no damage
500 personal property
$ 1,500 total hurricane loss
This amount is less than your $5,000
deductible.
•
The National Hurricane Center or the National Weather Service determines when a storm is claccified as a
hurricane and confirms when and where the hurricane has made landfall. Category One hurricanes have winds
from 74 to 95 miles per hour or have a storm surge where water is four to five feet above normal.
•
Your hurricane deductible applies to losses which are caused by, increased by or in any way result from:
•
a Category One or higher hurricane making landfall anywhere in the State of New York, or,
•
any hurricane making landfall outside the State of New York, provided there are Category One or higher
hurricane force winds within New York State in the area where the losses occur.
Loss settlement and inflation factor
Your dwelling limit (Coverage A) has an automatic inflation factor of 3% for the annual policy term. The 5%
hurricane deductible is applied to the dwelling limit at the time of the loss. If the hurricane occurs exactly six
months into your policy term, your dwelling limit will be increased 1.5%. Other Structures (Coverage B) and
Personal Property (Coverage C) will also be increased by 1.5%. If the initial dwelling limit (Coverage A) is $100,000
and the inflation adjustment is 1.5%, your dwelling limit at the time of the loss is $101,500 and your 5% hurricane
deductible is $5,075.
Your actual insurance policy, the declarations page and any attached endorsements are your legal insurance contract.
Your policy contains details not included in the above summary.
If you have any questions, please contact your Fireman's Fund insurance representative.
335500 6-99 NY
Par 1 of 2
EFTA00621253
Tips to help reduce windstorm damage to your home.
1.
Install storm shutters or windstorm protective glazing material for all exterior openings such as windows,
skylights and glass doors to prevent breakage. Shutters and glazing materials should be capable of withstanding
hurricane force winds and wind-blown debris.
2.
Have a professional reevaluate and strengthen entry and garage doors to withstand wind and flood loads.
3.
Have composition roof shingles checked and if necessary, reinforced with additional nails or screws to more
firmly secure them to the roof sheathing. Also, when you replace your shingles, replace or install a water-
resistant membrane (tar-paper or hot-mopped underlayment) under new shingles.
335800 699 NY
Pap 2 of 2
EFTA00621254
caia
Fireman's
Fund•
Protecting your future for 1 SOyears.
EFHG.O152.B02F301
0
O
-
A Message for Our Customers in New York .. .
Premium Credit for Windstorm Protective Devices
You may qualify for a Windstorm Protective Device Premium Credit if you have windstorm protective devices in-
stalled, such as storm shutters or Hurricane Resistant Laminated Glass.
Which devices qualify?
To qualify, your windstorm protective device must be:
•
Demonstrated to reduce certain types of windstorm losses;
•
Installed according to manufacturer's specifications; and
•
Able to withstand external pressure and wind-borne debris from a storm with sustained wind
110 mph or a storm surge of 8 feet above normal.
How long does this credit apply?
We will continue this credit as long as you:
•
Keep your protective devices in working order,
•
Close and secure protective devices when necrisaty;
•
Tell us about any changes that could alter performance of protective devices; and
•
Inform us of additions, alterations, or construction of new buildings on your property.
The amount of the credit depends on the protective device you have. If you think you qualify for this premium
credit or would like to know more, please contact your Fireman's Fund insurance representative.
335858 7-00 NY
New York Policyholder Message
Special Notice For Senior Citizens
If you are age 65 or over, you may designate a third
party to receive any notice of cancellation, non-renewal
or conditional renewal of this insurance policy. To
appoint a third party designee, Section 3111 of the New
York Insurance Law requires that you notify us by
certified mail, return receipt requested at the address
385632 6-91 NY
of at least
shown below. The notice must contain, in writing,
acceptance by the third party designee. Your request
will be effective no later than ten (10) business days
from the date of receipt. The third party designee may
terminate his or her status by providing written notice
to you and us. Mailing Address: Fireman's Fund,
P.O. Box 25252, Lehigh Valley, PA 18002-5252.
EFTA00621255
•
I 0194 I OCAOCO I 002F •
0003678R
HIP
HI
EFFIG 0152 602F30I
This Endorsement Changes the Policy. Please Read It Carefully.
increased Property Damage Limit for Loss from Fungi
Fireman's
Fund'
Protecting your future for 150 years.
In consideration of the premium charged for this coverage, you and we agree:
That the limit applying to fungi that is the result of a cause of loss otherwise covered for property damage in
this policy is revised to
5,478,000 .
All other policy provisions apply.
125891 11.02
Copyright. Rreman's Fund Insurance Companies, 2001. Novato. CA
EFTA00621256
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| Filename | EFTA00621247.pdf |
| File Size | 874.1 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 14,513 characters |
| Indexed | 2026-02-11T23:07:01.760579 |