DS9 Document EFTA01078011

WELLS FARGO INSURANCE July 25, 2013 Mr. Leon Black RE: Flood Insurance Southampton, NY Dear Leon, Wells Fargo [usu.—arm Services USA, Inc. 330 Madison Avenue 7th Floor New York. NY 10017-5001 Enclosed please find Fireman's Fund insurance company policy renewing the captioned insurance for a period of one year from June 25, 2013. Also attached is our invoice in the amount of $60,151.06 representing the annual premium. This policy provides a $15,000,000 blanket limit for any one loss, disaster, or casualty over the following locations: 1) 2) 3) This insurance has nothing to do with a hurricane or windstorm as your homeowners policies provide this coverage. Flood insurance is mainly for rising water from the Atlantic Ocean or an overflow of water from the bay. I trust all will be found in order and remain with kindest regards. Sincerely, Jeffrey A. Haber JAH:ya Encl. M. There is a separate policy for the house at The Black Family Trust. that was purchased in the name of Together we'll go far EFTA01078011 a Fireman's Fund' Insurance Company i4i owing your moue suite MG; PRESTIGE SOLUTIONS® POLICY DECLARATIONS SUMMARY Listed below is basic information about your policy. This Policy begins on 06/25/2013 at 12:01 AM Standard Time at your covered property shown on this policy and expires on 06/25/2014 at 12:01 AM Standard Time. This policy has been Issued by Interstate Flre and Casualty Company Policy Number NON Named Insured LEON BLACK DEBRA BLACK Policy Period 06/25/2013 to 06/25/2014 Your Agent Is WELLS FARGO INS SVCS USA. INC. 330 Madison Ave., 7th floor New York NY 10017 Claims should be reported to your agent or directly at 888-347-3428 (88$-Firebat). Premium Summary Flood Premium $57,949.00 Total Premium $57,949.00 Total Due 557,949.00 Your policy consists of the Declarations Summary, Declaration Page(s), Policy Provisions and any endorsements. Signatures One of the Fireman's Fund Insurance Companies as named in this policy Date of Issue: 06/26/2013 Iniaz gttotA4ty President's Signature Secretary's Signature Authorized Signature 125627 ed. 7-99 EFTA01078012 S Fireman's Fund' Insurance Company 11totecting mut tot:He:art::: tEn14 PRESTIGE SOLUTIONS® FLOOD POLICY DECLARATIONS Named Insured Leon Black Debra Black Policy Number Effective Date Transaction Type 06/25/2013 Renewal Policy Period 06/25/2013 to 06/25/2014 Total Flood Premium: $ 57,949 Schedule of Property Locations: Location 1: Location 2: Location 3: Forms and Endorsements Applicable to Your Policy Title Location Premium Prestige Solutions Flood Policy 1 Included 125724 - Service of Suit 1 Included EFTA01078013 S Fireman's Fund' insurance Company Proteming your iuturesirre1SG3 PRESTIGE SOLUTIONS. FLOOD POLICY DECLARATIONS Your Covered Property Section I - Limits of Liability Locations: 1-3 Required Underlying Insurance Blanket Coverage - Dwelling & $15,000,000 Personal Piwary Deductibles: Location 1: $100,000 Location 2: 5100,000 Location 3: SI00.000 Premium $57,949 Page 2 of 2 EFTA01078014