COI - BSI Financial Services - Expires 2023-09-23State Farm General Insurance Company
A Stock Company With Home Offices in Bloomington, Illinois
PO Box 853907
Richardson, TX 75085-3907
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AT1 H 2-0339-FBFF F H 6
003503 320
CITY OF GILROY HCD
7351 ROSANNA ST
GILROY CA 95020-6141
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AUG 0 9 2022
GILROY CITY CLERK'S OFFICE
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Location of Residence Premises
7654 GENNARO WAY # 23
GILROY CA 95020-5278
RENEWAL DECLARATIONS
AMOUNT DUE: None
Payment is dare by PAW BY SPECIFIED PARTY
Policy Number: 05-B8-G928-4
Policy Period: 12 Months
Effective Dates: SEP 23 2022 to SEP 23 2023
The policy period begins and ends at 12:01 am standard
time at the residence premises.
Your State Farm Agent
DAVID W MATZINGER CLU
651 1ST ST
GILROY CA
95020-5033
Phone: (408) 842-9354
Construction: Frame
Year Built: 2013
Automatic Renewal
If the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically subject to the premiums, rules,
and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lien-
holder written notice in compliance with the policy provisions or as required by law.
EE EPORTAiIT MESSAGES
This policy includes building code upgrade coverage of $9,580. Refer to the Important Notice for
possible terms, limits, conditions, or restrictions.
PREMIUM
Annual Premium
Intervenor Fees
Your premium has already been adjusted by the following:
Home Alert Discount Home/Auto Discount
Claim Record Discount
$607.00
.38
Total Premium
$607.38
Prepared JUL 27 2022
H 0-2000
024521 920
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(o1F1000B) 04-04-2U16
Statefarmr
NAMED INSURED MORTGAGEE AND ADDITIONAL INTERESTS
BERNAL, JESUS
3rd Mortgagee
SOUTH COUNTY HOUSING
CORPORATION
PO BOX 4112
SAN JOSE CA 95150-4112
Loan Number:
7654-95020-23
SECTION I - PROPERTY COVERAGES AND LIMITS
BSI�F1NANCIAL SERVICES
I SAOA/AT I MA
PO BOX 691690
SAN ANTONIO TX 78269-1690
2nd Mortgqaggee
CITY OF GIGROY HCD
7351 'ROSSANNA ST
GILROY A 95020-6141
Loan Number:
1401710167
Loan Number:
BEGIN 2013-011
Coverage Limit of Liability
A Building Property $ 95.800
B Personal Property $ 127,800
C Loss of Use $ 89,460
D Loss Assessment $ 10,000
Additional Coverages
Arson Reward $1.000
Credit Card, Bank Fund Transfer Card, Forgery, and Counterfeit Money $1,000
7. Debris Removal Additional 5% available/$1,000 tree debris
Fire Department Service Charge $500 per occurrence
Fuel Oil Release $10,000
Locks and Remote Devices $1,000
Trees, Shrubs, and Landscaping 5% of Coverage B amount/$750 per Item
SECTION II - LIABILITY COVERAGES AND LIMITS
Coverage Limit of Liability
L Personal Liability (Each Occurrence) $ 1,000,000
Damage to the Property of Others $ 1,000
M Medical Payments to Others (Each Person) $ 1,000
INF ATI(BiI
Inflation Coverage Index: 296.3
DEDUCTIBLES
Section I Deductible Deductible Amount
All Losses
LOSS SETTLEMEi T PRO IS O S
$ 1,000
Replacement Cost - Similar Construction - Coverage A
B1 Limited Replacement Cost - Coverage B
H O-2000
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05-B8-G928-4
StateFarmr
FORMS, OPTIONS, AND ENDORSEMENTS
H6-2105 Condominium Unitowners Policy
HO-2420 Form 438bfu NS Lndr Loss Pay
HO-2408 Building Ordinance or Law
HO-2362 State of Emergency Amendatory
HO-2214 Amendatory Endorsement
ADDITIONAL MESSAGES
CALIFORNIA LAW REQUIRES US TO PROVIDE THE FOLLOWING NOTICE: Our records indicate that you have
not purchased earthquake coverage.
Other limits and exclusions may apply - refer to your policy
Your policy consists of these Declarations, the Condominium Unitowners Policy shown above, and any other forms and
endorsements that apply, including those shown above as well as those issued subsequent to the issuance of this policy.
This policy is issued by the State Farm General Insurance Company.
Participating Policy
You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in
accordance with the Company's Articles of Incorporation, as amended.
In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and
Secretary at Bloomington, Illinois.
Sec reta ry
4#0101C C424
President
Prepared JUL 27 2022
HO-2000
024522 920
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