EFTA01118775.pdf

PRIVATE CLIENT GROUP CHARTISC American Home Assurance Co. Renewal Effective: 07/15/2011 (Name of issuing company) Homeowners Declarations Page 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: Policy Period: 07/15/2011 - 07/15/2012 PCG 0002406962 Al 12 01 A M. 0ar4md Irmo ed you. random; addocm clgwn ImIow Name of Insured and Mailing Address: Agency Name. Address, Phone # & Code: Jeffrey E. Epstein Insurance Office Central Ohio 301 East 66th Street P.O. Box 780 Suite 10F New Albany, OH 43054 New York• NY 10065 (614) 939.5471 0050519 YOU WILL BE BILLED BY YOUR BROKER FOR ANY PREMIUM DUE. The kind of losses that are covered and any special limits or deductibles that apply, are explained in detail in your Policy. Summary of Coverage by Location: 358 El Brillo Way Palm Beach, FL 33480 COVERAGE PAYMENT BASIS COVERAGE LIMIT House Extended Rebuilding Cost $4,909,785 Other Permanent Structures Extended Rebuilding Cost $981,957 Contents Replacement Cost $2,454,893 Loss of Use S1,472,936 Liability 8300,000 Medical Payments $10,000 Rebuilding to Code (Law and Ordinance - 30%) $1,472,936 Citizens Property Insurance Corporation Emergency Assessment: $349.24 Florida Hurricane Catastrophe Fund Emergency Assessment: 5349.00 Emergency Management. Preparedness, and Assistance Trust Fund: 52.00 Location Premium: 835,815.24 Deductible applied to this location: Standard (All Other Perils): 525,000 Hurricane Deductible: S98,196 (2% of House coverage) THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR HURRICANE OR WIND LOSSES, WHICH MAY RESULT IN HIGH OUT-OF-POCKET EXPENSES TO YOU. Total Citizens Emergency Assessment: $349.24 Total Florida Hurricane Catastrophe Fund Emergency Assessment: $349.00 Location Extension Schedule Premium: Total Premium: 835,815.24 PCHO.DEC•FLHUR (10/09) 011500(12149-000/012 EFTA01118775  INSURANCE ANALYSIS JEFFREY EPSTEIN Other Annual Insured Dwelling Structures Contents Total Deductible Liability Premium Little St James Island 2,815,000 7,032,000 1,135,260 10,982,260 2,500 500,000 182,093 No. 6B St Thomas, USVI 00801 Per Insurance Company Per LSJ Difference Main House 2,815,000 2,815,000 Contents 1,135,260 1,135,260 Schedule of Other Permanent Structures better description Master Suite 1,127,000 1,127,000 Bedroom Cottage # 1 - Children's playroo includes laundry 537,000 500,000 37,000 Bedroom Cottage # 2 - Guest Suite includes laudry 318,000 500,000 (182,000) Bedroom Cottage # 3 - Guest Suite 318,000 450,000 (132,000) Bedroom Cottage # 4 - Guest Suite 450,000 (450,000) Caretakers House 455,000 300,000 155,000 Gym 677,000 479,000 198,000 Large Workshop 600,000 350,000 250,000 Cottage Pool 165,000 200,000 (35,000) Hardscape Throughout 1,500,000 1,250,000 250,000 Flag Pole 12,000 12,000 Courtyard Fountain 45,000 45,000 Salt Pond Cabin 24,000 24,000 Look-out House Cabin 15,000 15,000 Blue St Johns Flagpole House Kite House 80,000 150,000 (70,000) Small Beach Cabin 30,000 30,000 Tiki House 61,000 100,000 (39,000) Flagpole # 2 with generator house 61,000 61,000 Flagpole pool 200,000 (200,000) Flagpole cabana 650,000 (650,000) St Johns Massage Cabana 15,000 15,000 Light Blue Beach Cabana 58,000 58,000 Helicopter Pad Shelter add new parking area 48,000 100,000 (052,0 0001) Dive Beach Cabana 245,000 245,000 Dock 608,000 608,000 Captains Office 33,000 33,000 Five Palms 400,000 0 0. Total Other Permanent Structure 7,032,000 8,032,000 (1,000,000) Mechanical Building 3,234,000 2,500,000 734,000 46,893 Office Pavilion 2,732,006. 3,466,000 (734,000) 39,614 Generator Building 3,760,000 3,760,000 56,400 TOTAL COVERAGES 20,708,260 21,708,260 (1,000,000) 325,000 EFTA01118776