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Alternate Version - Insurance - 13806 Coit Rd, Cleveland, OH 44110 - 5.pdf

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Financial Institution Services Division 301 E. 4th Street South 25th Floor Cincinnati, Ohio 45202 877-429-3826 Fax 800-838-4013 November 27, 2023 Lofty Holding 13806 Coit Rd DAO LLC Attn: Kathie Nguyenen 66 W Flagler St, #900 Miami, FL 33130 RE: Claim Number: Insured: Additional Insured: Policy Number: Loss Location: Date of Discovery: Amount of Insurance: Sewer Back-up Limit: Damage: RCV: ACV: Deductible: Payment: **via e-mail only** **pm@lofty.ai** 836-763224 Lofty Holding 13806 Coit Rd DAO LL

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Financial Institution Services Division 301 E. 4th Street South 25th Floor Cincinnati, Ohio 45202 877-429-3826 Fax 800-838-4013 November 27, 2023 Lofty Holding 13806 Coit Rd DAO LLC Attn: Kathie Nguyenen 66 W Flagler St, #900 Miami, FL 33130 RE: Claim Number: Insured: Additional Insured: Policy Number: Loss Location: Date of Discovery: Amount of Insurance: Sewer Back-up Limit: Damage: RCV: ACV: Deductible: Payment: **via e-mail only** **pm@lofty.ai** 836-763224 Lofty Holding 13806 Coit Rd DAO LLC N/A E927023 13806 Coit Rd, Cleveland, OH 44110 September 25, 2023 $271,700.00 $5,000.00 $11,063.78 $9,452.76 $2,500.00 $5,000.00 Dear Ms. Nguyenen: Great American E&S Insurance Company (“Great American”) insures Lofty Holding 13806 Coit Rd DAO LLC, under Policy E927023. A Notice of Insurance was issued effective May 1, 2023, until January 24, 2024. Our office received notice of the above referenced claim from you on October 31, 2023. The loss report noted: “There was a sewer backup and this caused mold to grow in the basement. This also lead to the furnace going out so there's no heat at the property.” Michael Binion with Cross Country Adjusting completed an inspection on November 6, 2023.