Case File
efta-efta01221714DOJ Data Set 9OtherPRIVATE CLIENT SELECT')
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Unknown
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DOJ Data Set 9
Reference
efta-efta01221714
Pages
8
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0
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PRIVATE CLIENT SELECT') a division of Risk Specialists Companies Insurance Agency, Inc.
dn:da RSCIA in NH. UT & VT
300 South Riverside Plaza
Chicago. Il 00606
Lexington Insurance Company
Issuing Company
Renewal Declarations Page
THE INSURER IS NOT LICENSED IN THE STATE OF NEW YORK AND IS NOT SUBJECT TO ITS SUPERVISION.
Your Declarations Page shows at a glance the coverage you have and your premium. Your Declarations Page is part of your
policy. Please read your policy carefully, Including your Declarations Page and any attached Endorsements, for a description
of your coverage.
Policy Number 005427401
Renewal Of: 004437478
Name of Insured and Mailing Address:
LS.J, LLC & Jeffrey E.:Epstein cro HBRK Associates Inc
PO Box 400
New York, NY 10150
United States Of America
Period: 05/16/2011 to 05f15/2012
At 12:01 A,P4 standard time at your mailing address shown below
Agency Name, Address, Phone Number & Code:
Marshall & Sterling Insurance
5021 Anchor Way
Gallows Bay Marketplace
Christian sted,VI 0 20.467I
The kind of losses that are covered and any special limits or deductibl
that apply, are explained in detail in your Policy.
Summary of Coverage by Location: Little St. James Island No. 6B,
in Hous/St. Thomas, USV oo8ca
COVERAGE
House
Other Permanent Structures
Contents
Additional Living Expense
Liability
Medical Payments
Deductible: See Schedule of Insurance
PAYMENT BASIS
COVFRAGE LIMIT
See Schedule Of Insurance Endorsement
See Schedule Of Insurance Endorsement
Replacement Cost
Summary of Coverage by Location: Little St. James Island No. 6
$2,815,000
37.032,000
$1,135,260
$844,500
$0
SO
()cation Premium: $182,093.00 , Mechanical Build g, St. Thomas, USV 00801
rOVERAGF
House
Other Permanent Structures
Contents
Additional Living Expense
Liability
Medical Payments
Deductible: See Schedule of Insurance
PAYMENT BASIC
Replacement Cost
[repeated 3 times]
Summary of Coverage by Location: Little St. James Island No.6
COVFRAGELJMIT
$3,234,000
50
SO
$0
50
30
Location Premium: $46,893.00 , Office Pavilion, St camas, USV 00801
PCHO-DEG- A (21091
EFTA01221714
SCHEDULE OF INSURANCE
With respect to coverage provided by this endorsement all provisions and conditions of the policy apply unless
they are changed by this endorsement_
The Declarations Page is amended to further define location one as follows:
Location: Little St. James Island, No. 68, St Thomas USVI 00801
COVERAGE
PAYMENT BASIS
COVERAGE
LIMIT
AOP
DEDUCTIBLE
WINDSTORM
DEDUCTIBLE
House — consists of the main house, kitchen, great room, theatre, office.
and laundry room
Replacement Cost
$2,815,000
$2.500
$281.500
Contents
Replacement Cost
$1,135,260
$2,500
$113.526
OTHER PERMANENT
STRUCTURES
Master Suite
Replacement Cost
$1,127,000
$2,500
112 700
$
,
Bedroom Cottage 01
Children's Bedroom
Extended Rebuilding Cost
$637,000
$2,500
$53,700
Bedroom Cottage #2
Extended Rebuilding Cost
$318,000
$2,500
$31,800
Bedroom Cottage #3
Extended Rebuilding Cost
$318,000
$2,500
$31,800
Caretaker's House with
Office
Extended Rebuilding Cost
$455,000
$2,500
$45,500
Gym
Extended Rebuilding Cost
$677,000
$2,500
$67,700
Large Workshop
Extended Rebuilding Cost
$600,000
$2,500
$80,000
Cottage Pool
Replacement Cost
$165,000
$2,500
$16,500
Hardscape throughout
Extended Rebuilding Cost
$1,500,000
$2,500
$150,000
Salt Pond Cabin
Extended Rebuilding Cost
$24,000
$2,500
$2,400
Blue St. John's Flagpole
House
Extended Rebuilding Cost
$80,000
$2,500
$8,000
St. John's Light Blue
Large Beach Cabana
Extended Rebuilding Cost
$58,000
$2,500
$5,800
Small Beach Cabin
Extended Rebuilding Cost
$30,000
$2,500
$3,000 lid House
Extended Rebuilding Cost
$61,000
$2,500
$6,100
Massage Cabana near lid House
Extended Rebuilding Cost
$15,000
$2,500
$1,500
Helicopter Pad Shelter
Extended Rebuilding Cost
$48,000
$2,500
$4,800
Dock
Extended Rebuilding Cost
$608,000
$2,500
$60,800
Flagpole 02 with
Generator House
Extended Rebuilding Cost
$61,000
$2,500
$6,100
Courtyard Fountain
Extended Rebuilding Cost
$45,000
$2,500
$4,500
Flag Pole
Extended Rebuilding Cost
$12,000
$2,500
$1,200
Dive Bead) Cabana
Extended Rebuilding Cost
$245,000
$2,500
$24,500
Si Johns Massage
Cabana
Extended Rebuilding Cost
$15,000
$2,500
$1,500
Captain's Office
Extended Rebuilding Cost _
$33000
$2,500
$3,300 g Arks
PCH- MAN (04/2011)
EFTA01221715
COYERAGE
BAYME
I
House
Replacement Cost
52,732,000
Other Permanent Structures
Replacement Cost
SO
Contents
Replacement Cost
SO
Additional Living Expense
SO
Liability
SO
Medical Payments
SO
Deductible: See Schedule of Insurance
Location Premium: $39,614.00
Summary of Coverage by Location: Little St. James Island No. 68, Generator Building, St. Thomas, USV 00801
COVERAGE
PAYMENT BASIS
House
Replacement Cost
Other Permanent Structures
Replacement Cost
Contents
Replacement Cost
Additional Living Expense
Liability
Medical Payments
Deductible: See Schedule of Insurance
Forms and Endorsements Attached for Location:
SO
[repeated 4 times]
Location Premium: 556.400.00
PCHO-CARIBB (02/08). PCHO - ECE (8)00). PCHO - WPD (WOO); PCHO-ADIN (6/00). PCHO-ERCC (09/06). PCHO-WINDCOV (02/08).
PCHO-ESOS (8/00). PCG-S-LE (12/10) 78052 (01/11)
Premium Figures E:cclude Surplus Lines Taxes and Fees.
Total Premium: $325,000.00
PC91O-DEC- A (2109)
EFTA01221716
For the purposes of the above location only. PART II — PROPERTY, Payment of loss, Item 3. Deductible is
deleted in its entirety and replaced by the following:
3. Deductible
We will pay only that part of the covered loss that exceeds the windstorm percentage deductible stated in this
endorsement. This deductible applies to loss caused directly or indirectly by windstorm regardless of any other
cause or event contributing concurrently or in any sequence to the loss. No other deductible provision in the
policy applies to loss caused by windstorm.
Your windstorm deductible applies in the following manner.
If windstorm damages the House, Other Permanent Structures, and Contents the windstarn deductible
for the House applies.
If windstorm damages Contents anywhere on the property, the House windstorm deductible ksted in this
endorsement applies.
If windstorm damages Other Permanent Structures, but there is no damage to the House or the damage
to the House is below the House windstorm deductible, the deductible for each affected Other Permanent
Structure listed in this endorsement applies separately.
PART l— DEFINITIONS, Other Permanent Structures is deleted and replaced by the following:
Other Permanent Structures means outdoor structures you own that are situated on the grounds of your
residence. This includes hardscape such as driveways, fountains, underground irrigation systems, decorative
pools, terrace-s, patios, retaining walls, walkways, fencing, gates. and unattached decks.
P01- MAN (04/2011)
EFTA01221717
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EFTA01221718
567
567
Lower lever
Main Level
Total
1134
512
Main Level
Total
512
605.82
1
2
200.83
Total
806.65
500.5
Basement
Main Level
3277.5
Total
3778
819
Main Level
Pool Equipment Room
144
Pool Including Deck
3828
Total
4791
9200
Mech & Desal
Total
9200
32307
Kitchen, Laundry, Main H
Total
32307
3200
3200
Slab Only
55728.65
EFTA01221719
LOT COVERAGE CALCULATION
NACU A- VOGL AlltIMISCRES tkAfOrApyjr.15:SASS
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IROSOSIDSSUCIVIAS
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TOTAL norosansnunais
RAW unno %airmails
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4.0MCCLTANCYCOVERAGE
OPIOSISMI. MCA &ft XCINIMA.
w+rwonausl
2:Lasso:ram%
PPACILC TOM MLA CASSIUS slatilOSSIIsuCRSSA
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CA UWE SHELLS
!CO 1.
CA WORKSROCAOSAI A MOM& SO/ AMOS
1.208 IS
CA SWF HCCIA
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Cl. Itkill MSS
LSaPSLOti
HAW. ISITIVO STRUCTSISS
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WS. VSVSKCONSMCIP3t4 WIN NXSTHOCZNI MONIS
CI >4204ANICALSUILD244
CA HAN I.OLTSSISCLUISSIO SSAASIMADO(fCNS
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EFTA01221720
LOT COVERAGE CALCULATION
PARCEL A - TOTAL AREA 34.7 ACRES
PROPOSED STRLIC:LRES
A- I rOGL
AltatNA
A-2 CNJS OVUM
A-3 Mt: SIC ['At-J.110N
11O11At. PIZi,,POSO
F2OSIING SIE4.UC I O&M;
6,500 te
7,600 EP
3,5001P
7.6m) IY
.A4 MI ;;UT
1,400 W
.A-1 WINES,. ( iYM
1,890 EP
A4 DIVE BEACH PAVILLION
6501'
A. NAT IJ Kt 013SE KVA I ION CARA.% A
250 93
TOW.
STRUCTLRIS
4,1908'
TOTAL PROPOSED & INISITNCi STRUCWIDIS
21790 fr (0.50 ACRES)
LIYI'OtX:U1'ANCS•t:UVE.RAGI
()PIN SPACE AREA & PERCENTAGE
36.2 ACRES 108.6%)
PARCII
-
AREA 21.0 ACRES
PROPOSED STRIXTURES
IL I GI f Br CI ITTACI:
TOT
PRO pri5ppi si-pucy-0.75
E7CISTNG STRUCTURES
5,000 ft'
5.000 (V
E3-2 SCREEN C ADANA
226 0'
B-3 BEACH CABANA
2250
9-4 (WPM CA IONA
225W
0-5 LOOKOUT PAV:LLION
920
1O 1A EXISTINCt SIM: I —1 I: RES
1,595 IP
IOTA:. PROPOSED 4ec EXISTING STRUCTURES
-LOT OCCUPANCY COVERAGE
6,35 IP (0.15 ACRES)
OPEN SPACI- \REA& PERCITNTAGE
12.ES ACRES (99%)
PARCEL C TOTAL AREA I .14 ACRES
Plt()IN NED S URI IC CURLS
C-I AIV GARAGE
'TOTAL PROPOSED STRUCTLRES
EXISTING SCRUCtURES
1.320 fP
1,370 W
C-7 WORKSHOP
C-3 STONE SHEL.r.t.R
C4 WORKSHOP, LOCKER ROOM & RO metal*
0-5 STAFF HOUSE
C4 MAIN HOUSE
TOTAL EXISTING STRUCTURES
11.300
300 IP
3,308 ft'
1,300 IP
(SEE BELOW)
13,2013
NEW & UNDER CONSTRUCTION WWI EXISTING CZM PERMITS
C-i MECHANICAL BUILDINGS
t
CR MAIN HOUSE INCLUDING PERMITTEDADDITIONS
C-9 OFFICE Mr ILION
TOTAL PERMITTED&
LIhU6RCONSTRIV
9,200 IV
32,307 fp
1,100 I?
4607 IP
TOEAI pROpOshu, EXISTING & PhitiVI:11.11D
-LOT OCCUPANCY COVERAGE
63,135 its (LA5 ACRES)
WA
OPEC SPACE AREA &
1)35 ACRES (87.7%)
EFTA01221721
Technical Artifacts (5)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Flight #
LA5Phone
307
3200Phone
4437478Phone
5427401Phone
791
9200Forum Discussions
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