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HomeMy WebLinkAboutCOI - Federico & Crampton Saldana - Expires 2022-09-18State Farm General Insurance Company A Stock Company With Home Offices in Bloomington, Illinois 0 0 0 M Ws PO Box 853907 Richardson, TX 75085-3907 AT1 H 2-280B-FBFF F H W 000534 320 CITY OF GILROY HCD 7351 ROSANNA ST GILROY CA 95020-6196 111111'11111'll1'lll ll l ll'I11111'1111111111111111.1111.1111111111 Location of Residence Premises 1075 FILLIPPELLI DR GILROY CA 95020-3939 IMPORTANT MESSAGES c 3 State ar BALANCE DUE NOTICE AMOUNT DUE: $795.38 Payment is dins by SEP 18 2622 Policy Number: 05-BD-U464-6 Policy Period: 12 Months Effective Dates: SEP 18 2022 to SEP 18 2023 Your State Farm Agent GINA LOPEZ INS FIN SVCS INC 8401 CHURCH ST STE B GILROY CA 95020-4269 Phone: (408) 846-9077 Full payment by Date Due continues this policy to SEP 18 2023 @IMOVICED AUG 0 2 2022 GILROY CITY CLERK'S OFFICE Thanks for letting us serve you! We appreciate our long term customers. When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your checkto make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. Prepared: JUL 22 2022 ,LPlease fold and tear here l Page 1 of 1 04-U5 21110 1o1F1082E1 V0000y To Pe,, oar Way r Kay coda: 17 3574 7424 Online statefarm.com/pay Mobile Use the State Farm mobile app Insured Name: SALDANA, FEDERICO & CRAM PTON, Policy Number: 05-BD-U464-6 AMOUNT DUE: $795.38 Please pay by SEP 18 2022 Make payment to State Farm Call Automated Line: 800-440-0998 Your agent: (408)846-9077 Frj Mail Send us a check HO - HOMEOWNERS Loan # Loan # Saldana 0209210187 For Office Use Only FIRE BAL DUE $795.38 Visit your State Farm agent 1018 004345 220 N 400229100079538 905154754464612502> State Farm General Insurance Company A Stock Company With Home Offices in Bloomington, Illinois 0 0 0 0 PO Box 853907 Richardson, TX 75085-3907 H-02-280B-FBFF F H W 3200 CITY OF GILROY HCD 7351 ROSANNA ST GILROY CA 95020-6196 Homeowners Policy Location of Residence Premises 1075 FILLIPPELLI DR GILROY CA 95020-3939 Construction: Frame Year Built: 1974 Automatic Renewal saw RENEWAL DECLARATIONS AMOUNT DUE: E- 1V1V1e nt i rit10 hli SEP M:6! Policy Number: 05-BD-U464-6 $795.38 Policy Period: 12 Months Effective Dates: SEP 18 2022 to SEP 18 2023 The policy period begins and ends at 12:01 am standard time at the residence premises. Your State Farm Agent GINA LOPEZ INS FIN SVCS INC 8401 CHURCH ST STE B GILROY CA 95020-4269 Phone: (408) 846-9077 Roof Material: Composition Shingle Roof Installation Year: Default to Year Built 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. IMPORTANT MESSAGES This policy includes building code upgrade coverage of $36,260. Refer to the Important Notice for possible terms, limits, conditions, or restrictions. Please help us update the data used to determine your premium. Contact your agent with the year each of your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated. PREMIUM Annual Premium Intervenor Fees Your premium has already been adjusted by the following: Home Alert Discount Home/Auto Discount Claim Record Discount $795.00 .38 Total Premium $795.38 Prepared JUL 222022 H0-2000 004346 220 N ritaitthap as' sr- et, e r a. 206c ever to _ �ort� ,r Catanei`s. Page 1 of 3 01F100061 04-04-2016 0 0 0 05-BD-U464-6 State Farm® FORMS, OPTIONS, AND ENDORSEMENTS HW-2105 Option ID Option OL Option JF HO-2622.1 HO-2420 HO-2779 HO-2362 HO-2213 ! DDITIOIMALMESSA'LE Homeowners Policy Increase Dwlg up to $72,520 Ordinance/Law 10%/ $36,260 Jewelry and Furs $1,500 Each Article/$2,500 Aggregate Back -Up Of Sewer Or Drain - 5% of Coverage A/$ 18,130 Form 438bfu NS Lndr Loss Pay Wildfire Response End State of Emergency Amendatory Amendatory Endorsement The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. 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 Homeowners 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. Secretary President Prepared JUL 222D22 H 0-20DD 004347 220 N Page 3 of 3