EFTA02693295

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Insurance Policy FINE ART PERSONAL COLLECTION COVERAGE FORM LEON BLACK AND DEBRA BLACK, ETAL 760 Park Avenue New York, New York 10021 Policy Number: UM00013309SP13A Policy Period: May 8, 2013 to May 8, 2014 As presented by: WELLS FARGO INSURANCE SERVICES USA, INC. XL SPECIALTY INSURANCE COMPANY, fWC. A member of the XL Capital group 505 Eagleview Boulevard PO Box 636 Exton, PA 19341-0636 USA >14k INSURANCE EFTA_R1_02036709 EFTA02693295

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