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HomeMy WebLinkAboutCOI- Batista & Carrazco Inc. - Expires: 2027-04-13State Farm Insurance ❑ 1'• • o o0 an o PO Box 2915 Bloomington, IL 61702-2915 AT2 002824 1200 01 CITY OF GILROY 7351 ROSANNA ST GILROY CA 95020-6141 1111111111111111r111111n1f rI'lir'I11il111111,Illilllllll"111111 Renewal Declarations StateFarnr Policy number: 97-AP-U630-0 Policy period: 12 months The policy period begins and ends at 12.'01 am standard time at the premises location. State Farm General Insurance Company Effective date: April 13, 2026 Expiration date: April 13, 2027 FOOD SHOP POLICY Automatic renewal - if the State Farm® 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/Lienholder written notice in compliance with the policy provisions or as required by law. NAMED INSURED BATISTA & CARRAZCO INC DBA DEL ENTITY Corporation POLICY PREMIUM This is not a hill. Ilan amount is due, then a separate statement will be sent prior to the due date, The premium(s) shown below is the 12 months premium(s) for the characteristics of the policy as described in this Declarations. Premium: $2,917.00 Temp Supplemental Fee: $7.59 Total Premium: $2,924.59 Discounts applied: Automatic Sprinkler Protection Renewal Discount Years in Business Business Experience Rating Protective Devices Improvements and Betterments IMPORTANT MESSAGE(S) Notice - Information concerning changes in your policy language is included. Please call your agent If you have any questions. Policy number, 97-AP-LJ830-0 Page 1 of 6 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP Dec 3P CA CMP-4000 Prepared: January 23, 2026 1006462 2014 153090 214 05-17-2325 o'h StateFarm. SECTION I - PROPERTY SCHEDULE Location Location of described premises Limit of Insurance* Limit of Insurance* Seasonal Increase - number Coverage A - Coverage B - Business Business Personal Property Buildings Personal Property 001 7901 WESTWOOD DR STE K GILROY CA 95020-4745 No Coverage $193,100 25% * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I — INFLATION COVERAGE INDEX(ES) Cov A - Inflation Coverage Index: NIA Cov B - Consumer Price Index: 324.5 SECTION I — DEDUCTIBLES BASIC DEDUCTIBLE $1,000 SPECIAL DEDUCTIBLES: Employee Dishonesty: $250 Equipment Breakdown: $1,000 Money and Securities: $250 Other deductibles may apply - refer to policy. SECTION I — EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by 'See schedule If a coverage does not have a corresponding limit shown below, but has 'Included" indicated, refer to that policy provision for an explanation of that coverage. Coverage Limit of Insurance Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Back-up of Sewer or Drain $15,000 Collapse included Damage to Non -owned Buildings from Theft, Burglary or Robbery Coverage 8 Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $5,000 Fire Extinguisher Systems Recharge Expense $5,000 Food Contamination - Loss of Income Additional Advertising Expenses $3,000 Per Occurrence $10,000 Policy number, 97-AP-UB30-0 Page 2 of 6 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 S� H N M (non StateFarm. Coverage Limit of Insurance Forgery or Alteration $10,000 Glass Expenses Included Increased Cost of Construction and Demolition Costs (applies only when buildings are insured on a 10% replacement cost basis) Money Orders and Counterfeit Money $1,000 Money and Securities On Premises $10,000 Off Premises $5,000 Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business $100,000 Personal Property) Newly Acquired or Constructed Buildings (applies only if this policy provides Coverage A - Buildings) $250,000 Ordinance or Law - Equipment Coverage included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) $2,500 Personal Property Off Premises $15,000 Pollutant Glean Up and Removal $10,000 Preservation of Property 30 days Property of Others (applies only to those premises provided Coverage B - Business Personal $2,500 Property) Signs $10,000 Spoilage (applies only to those premises provided Coverage B - Business Personal Property) On Premises $15,000 Off Premises $5,000 Expediting Expense $1,000 Valuable Papers and Records On Premises $10,000 Off Premises $5,000 SECTION I — EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. Coverage Limit of Insurance Dependent Property - Loss of Income $5,000 Employee Dishonesty $10,000 Policy number 97-AP-U630-0 Page 3 of 6 © Copyright, State Farm Mutual Automobile Insurance Company, 200E CMP.4000 ;ter= :°'J. �:i t f Coverage Limit of Insurance Loss of income and Extra Expense 12 Months Actual Loss Sustained Utility Interruption - Loss of Income $10,000 SECTION 11 - LOCATION SCHEDULE Location number Location of described premises 001 7901 WESTWOOD DR STE K GILROY CA 950204745 SECTION II - LIABILITY Coverage Limit of Insurance Coverage L - Business Liability Per Occurrence Coverage M - Medical Expenses Damage to Premises Rented to You S,1,000,000 $5,000 Any One Person $300,000 Aggregate Limits Limit of Insurance General Aggregate $2,000,000 Products/Completed Operations Aggregate $2,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual Liability in the Coverage Form and any attached endorsements Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4101 CMP-4260.2 GMP-4471 CMP-4587 CMP-4697 CMP-4698 CMP-4703.1 GMP-4704.1 CRAP-4705.2 CMP-4709 CMP•4710 GMP-4788.1 ° CMP-4795.2 CMP-4857 FD-6007 FE-6999.3 Businessowners Coverage Form Amendatory Endorsement (California) Spoilage Coverage Exclusion - Silica or Silica -Related Dust Food Contamination • Loss of Income Back-up of Sewer or Drain Utility Interruption - Loss of Income Dependent Property - Loss of Income Loss of Income and Extra Expense Money and Securities Employee Dishonesty Additional Insured - Managers or Lessors of Premises Additional Insured - Designated Premises Actual Cash Value - Business Personal Property Inland Marine Attaching Declarations Policyholder Disclosure Notice of Terrorism Insurance Coverage *New Form Attached period. Please refer to Section II — other forms and endorsements that Policy number. 97-AP-U830-0 Page 4 or 6 0 Copyright, Slate Farm Mutual Automobile Insurance Company, 2008 GMP-4000 0 o ▪ gi ▪ o� CSC) StateFarm. SCHEDULE OF ADDITIONAL INTEREST(S) Interest type: Designated Premises Endorsement number: GMP-4795.2 Loan number: NIA CITY OF GILROY 7351 Rosanna St Gilroy CA 95020-6141 FULL NAMED INSURED Named Insured: BATISTA& CARRAZCO INC DBA DEL SOL BAKERY 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. Ca:2414C IfACIAft.4- A/L(4,144,1k kl/tIpteA114 President Secretary OTHERzs G (s Companies admitted to write property and casualty insurance in California are required to participate in the California FAR Han Association, which makes basic property insurance available to California consumers who would otherwise be unable to obtain such insurance through the normal insurance market. In the event that catastrophic losses render the FAIR Plan unable to pay operating expenses and policyholder claims because it does not have sufficient retained earnings, reinsurance, a line of credit, if available, and/or proceeds from catastrophe bonds, if sold, the FAIR Plan may request the Insurance Commissioner's approval to assess each member insurance company its fair share if necessary to pay the Plan's operating expenses and policyholder claims. To assure stability in the California property insurance market and to assure the continued availability of property insurance in California, the FAIR Plan's member insurance companies may collect a temporary supplemental fee to recover a portion of these assessments. If this happens, 'Temp Supplemental Fee' with an amount will be displayed on a notice, bill, or your policy declarations. Policy number: 97-AP-UB30-0 Page 5 of 6 O Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP.4000 StateFarr OTHER MESSAGE(S) NOTICE TO POLICYHOLDER: For a comprehensive description of coverage and forms, please refer to your policy. Policy changes requested before the "Date Prepared", which appear on this notice, are effective on the Renewal Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective on the Renewal Date of this policy, Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have any questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy. Your coverage amount.... It is up to you to choose the coverage and limits that meet your needs. We recommend that you purchase a coverage limit equal to the estimated replacement cost of your structure, Replacement cost estimates are available from building contractors and replacement cost appraisers, or, your agent can provide an estimate from Xactware, Inc. using information you provide about your structure. State Farm does not guarantee that any estimate will be the actual future cost to rebuild your structure. Higher limits are available at higher premiums. Lower limits are also available, as long as the amount of coverage meets our underwriting requirements. We encourage you to periodically review your coverages and limits with your agent and to notify us of any changes or additions to your structure. Policy number: 97-AP-U630-0 Page 6 of 6 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-aaoo State Farm insurance 0 PO Box 2915 Bloomington, 1L 61702-2915 CITY OF GILROY 7351 ROSANNA ST GILROY CA 95020-6141 State Farm. State Farm General Insurance Company Inland Marine Attaching Declarations Policy number: 97-AP-U830-0 Effective date: April 13, 2026 Policy period: 12 months The policy period begins and ends at 12:01 am standard time at the premises location Expiration date: April 13, 2027 ATTACHING INLAND MARINE Automatic renewal - If the State Farm° 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/Lienholder written notice in compliance with the policy provisions or as required by law. Annual policy premium: Included The above premium amount is included in the Policy Premium shown on the Declarations. FULL NAMED INSURED Named Insured: BATISTA & CARRAZCO INC DBA DEL SOL BAKERY Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, Including those shown below as well as those issued subsequent to the issuance of this policy. FORMS, OPTIONS AND ENDORSEMENTS FE-6271 Amendatory Endorsement (California) FE-8739 Inland Marine Conditions FE-8745 Inland Marine Computer Property Form See below for schedule page with limits ATTACHING INLAND MARINE SCHEDULE PAGE Endorsement Coverage Limit of insurance Deductible amount Annual premium number FE-8745 Inland Marine Computer Property Form $25,000 $500 Included Loss of Income and Extra Expense $25,000 Included Other limits and exclusions may apply - refer to your policy Policynumber. 97-AP-U830-0 Page 1 of 1 © Copyright, State Farm Mutual Aukomob}le Insurance Company, 2008 CIM Att Dec 3P CA PO-6007 1009481 2002 153089 202 03-0e-2021 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. = ADDITIONAL INSURED — DESIGNATED PREMISES CM P-4795.2 Page 1 of 2 This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97-AP-U830-0 Named Insured: BATISTA & CARRAZCO INC DBA DEL SOL BAKERY Name And Address Of Additional Insured Person Or Organization: CITY OF GILROY 7351 Rosanna St Gilroy CA 95020-6141 Interest Of Additional Insured: Location Of Premises: 7901 WESTW00D DR STE K GILROY CA 95020-4745 This endorsement provides only those coverages indicated by an "X" below: SECTION I Coverage A - Buildings When a Limit Of Insurance is shown in the Declarations for Coverage A - Buildings for the premises described above, any person or organization shown in the Schedule is included as an additional insured, as interests may appear, but only with respect to coverage provided under Coverage A - Buildings for that premises described above. Coverage B - Business Personal Property When a Limit Of Insurance is shown in the Declarations for Coverage B - Business Personal Property for the premises described above, any person or organization shown in the Schedule is included as an additional insured, as interests may appear, but only with respect to coverage provided under Coverage B - Business Personal Property for that property described below. Description of Property: Loss Of Income And Extra Expense When Loss of Income and Extra Expense is shown In the Declarations any person or organization shown in the Schedule is included as an additional insured, as interests may appear, but only with respect to coverage provided under Loss Of Income And Extra Expense SECTION II = Coverage L - Business Liability 1. SECTION II — WHO IS AN INSURED of SECTION I! — LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the ownership, maintenance, or use of the premises designated above, by you. CMP-4795 2 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2022 Includes copyrighted material of Insurance Services Office, Inc , with its permission. CMP-4795.2 Page 2 of 2 2. With respect to the insurance afforded the additional insured, this insurance does not apply to: a. Structural alterations, new construction, or demolition operations performed by or for that additional insured; b. "Personal and advertising injury" caused by that additional insured; c. Liability for which that additional insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement This exclusion does not apply to liability for damages that the additional insured would have in the absence of the contract or agreement; or d. 'Bodily injury" or "property damage" included within the "products -completed operations hazard", arising out of: (1) Goods or inventory which are not sold or distributed by the Named Insured; or (2) The manufacturing or packaging of such goods or inventory. 3. Any insurance provided to the additional insured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. 4. Primary Insurance. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that the additional Insured is a named insured under such other insurance, All other policy provisions apply. CMP-4795 2 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2022 includes copyrighted material of Insurance Services Office, Inc., with its permission.