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HomeMy WebLinkAboutCOI - Agustin Lara Chavez - Expires 2023-10-15State Farm General Insurance Company A Stock Company With Home Offices in Bloomington, Illinois 0 iL WO PO Box 853907 Richardson, TX 75085-3907 AT1 002554 32-02-34A4-FAD9 F H 6 CITY OF GILROY HCD 7351 ROSANNA ST GILROY CA 95020-6141 IIIIiIIIiiiiiIIIIIuIi1Iil''iiliilillllillllllllillilllliiiiililii R E CSC O jE [ AUG 2 3 2022 GILROY CITY CLERKS OFFICE ond omktii mi I raiiii yf ers I .)05 y Location of Residence Premises 7610 GENNARO WAY GILROY CA 95020-5278 ( ;� )( ifir" 1-]iif.�ll"!>>,, RENEWAL DECLARATIONS AMOUNT DUE: None Payment k (Iwo by PAID BY SPECIFIED PARTY Policy Number: 05-B8-N714-8 Policy Period: 12 Months Effective Dates: OCT 15 2022 to OCT 15 2023 The policy period begins and ends at 12:01 am standard time atthe residence premises. Your State Farm Agent A ANDERSON INS AND FIN SVC IN 980 EL CAMINO REAL STE 350 SANTA CLARA CA 95050-4290 Phone: (408) 244-4400 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. IMPORTANT MESSAGES This policy includes building code upgrade coverage of $8,300. Refer to the Important Notice for possible terms, limits, conditions, or restrictions. PRE ,:UUM Annual Premium Intervenor Fees Your premium has already been adjusted by the following: Home Alert Discount Sprinkler Discount Home/Auto Discount Claim Record Discount $437.00 .38 Total Premium $437.38 Prepared AUG 18 2022 HO-2000 017388 920 N rkiries 1 - k 'semft?. rpecie ow kviarfir curtravre,''. Page 1 of 3 (o 1 F 1000 B 1 04-04-2016 StateFarm° NAMED INSURED MORTGAGEE AND ADDITIONAL INTERESTS LARA CHAVEZ, AGUSTIN 3rd Mortgagee SOUTH COUNTY HOUSING Loan Number: PO BOX 4112 N/A SAN JOSE CA 95150-4112 SECTION I - PROPERTY COVERAGES AND LIMI d'S GUILgag MORTGAGE COMPANY LLC I SAOA/ATI MA PO BOX 818009 CLEVELAND OH 44181-8009 e CITY OF GaIEROY HCD 7351 ROSANNA ST GILROY A 95020-6141 Loan Number: 826-1017206 Loan BEGIN Number : Coverage A Building Property B Personal Property C Loss of Use D Loss Assessment Additional Coverages Arson Reward Credit Card, Bank Fund Transfer Card, Forgery, and Counterfeit Money Debris Removal Fire Department Service Charge Fuel Oil Release Locks and Remote Devices Trees, Shrubs, and Landscaping SECTION II - LIABILITY COVERAGES AND LIMITS Limit of Liability $ 83,000 $ 54,400 $ 38,080 $ 10,000 $1,000 $1,000 Additional 5% available/$1,000 tree debris $500 per occurrence $10,000 $1,000 5% of Coverage B amount/$750 per item Coverage L Personal Liability (Each Occurrence) Damage to the Property of Others M Medical Payments to Others (Each Person) INFLATION Limit of Liability $ 100,000 $ 1,000 $ 1,000 Inflation Coverage Index: 296.3 DEDUCTIBLES Section I Deductible All Losses LOSS SETTLEMENT PROVISIONS Deductible Amount $ 1,000 Replacement Cost - Similar Construction - Coverage A B1 Limited Replacement Cost - Coverage B HD-2000 Page 2 of 3 .?4 05-B8-N714-8 StateFarm. Eniall s, o NI (3, E 0, Jla'ENITS H6-2105 Condominium Unitowners Policy HO-2408 Building Ordinance or Law HO-2832 Back -Up Of Sewer Or Drain - 15% of Coverage B/$ 8,160 HO-2420 Form 438bfu NS Lndr Loss Pay 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. *mm4)11 . 414,0*. 624 Secretary President Prepared AUG 18 2022 H 0-2000 017389 920 N Page 3 of 3