HomeMy WebLinkAboutCOI - Federico & Crampton Saldana - Expires 2022-09-18State Farm General Insurance Company
A Stock Company With Home Offices in Bloomington, Illinois
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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
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Location of Residence Premises
1075 FILLIPPELLI DR
GILROY CA 95020-3939
IMPORTANT MESSAGES
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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from your checkto make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day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.
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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
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400229100079538 905154754464612502>
State Farm General Insurance Company
A Stock Company With Home Offices in Bloomington, Illinois
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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
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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
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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
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