HomeMy WebLinkAboutCOI - Roberta Delgado - Expires 2024-06-26State Farm General Insurance Company
A Stock Company With Home Offices in Bloomington, Illinois
PO Box 2356
Bloomington IL 61702-2356
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CITY OF GILROY HCD
7351 ROSANNA ST
GILROY CA 95020-6141
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Condominium Unitowners Policy
Location of Residence Premises
240 FORTUNATA PL
GILROY CA 95020-5279
Construction: Frame
Year Built: 2013
Automatic Renewal
RENEWAL DECLARATIONS
AMOUNT DUE: None
Payment is due by PAID BY SPECIFIED PARTY
Policy Number: 05-B6-V774-0
Policy Period: 12 Months
Effective Dates: JUN 26 2023 to JUN 26 2024
The policy period begins and ends at 12:01 am standard
time atthe residence premises.
Your State Farm Agent
SESSIONS INS AND FIN SVCS INC
3001 WINCHESTER BLVD STE C
CAM PBELL CA 95008-6500
Phone: (408)866-7766 or (408)507-0452
If the POLICY PERIOD is shown as 12 MONTHS, this policywiii-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 $10,310, Referto the Important Notice for
possible terms, limits, conditions, or restrictions.
Annual Premium
Your premium has already been adjusted by the following:
Home Alert Discount Home/Auto Discount
Claim Record Discount
Total Premium $597.00
Prepared MAY012023
HO-2000
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NAMED INSURED MORTGAGEE AND ADDITIONAL INTERESTS
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PO BOX 4112 0240-95020-029 GILROY CA 95020-6141
SAN JOSE CA 95150-4112
I - PROPERTY COVERAGES AND LIMITS
A Building Property
B Personal Property
C Loss of Use
D Loss Assessment
Additional Coverages
Arson Reward
Building Ordinance or Law
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
Coverage
L Personal. Liability (Each Occurrence)
Damage to the Property of Others
M Medical Payments to Others (Each Person)
B IN 9!603
Liability
103,100
46,800
32,760
10,000
$1,000
$5,000
$1,000
Additional 5% available/$1,000 tree debris
$500 per occurrence
$10,000
$1,000
5% of Coverage B amount/$750 per item
100,000
1,000
1,000
INFLATION
Inflation Coverage Index: 301.8
DEDUCTIBLES
Section I Deductible Deductible Amount
All Losses
LOSS SETTLEMENT PROVISIONS
Replacement Cost - Similar Construction - Coverage A
B1 Limited Replacement Cost - Coverage B
500
HO-2000
Page 2 of 3
I
05-e6-v774-0 • � StateFdrm,
FORMS, . rTIONS, AND ENDORSEMENTS
H6-2105 Condominium Unitowners Policy
HO-2420 Form 438bfu NS Lndr Loss Pay
HO-2362 State of Emergency Amendatory
HO-2214 Amendatory Endorsement
HO-2408 Building Ordinance or Law
ADDITIONAL MESSAGES
CALIFORNIA LAW REQUIRES US TO PROVIDE THE FOLLOWING NOTICE: Our records indicate that you have
not purchased earthquake coverage.
Anti -Fraud Disclosure - For your protection California law requires the following to appear on this form: Any person
who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for
the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.
State Farm uses geographic rating that considers wildfire risk associated with your address. The range of
available premium adjustments is currently -40.8% to 159.8%, and your adjustment is-29.2%. If the listed
address is not correct, the premium adjustments may be impacted. To appeal the premium due to an
incorrect address, please contact your State Farm® agent.
Other limits and exclusions may apply - refer to your policy
Your policy consists of these Declarations, the Condominium Unitowners Policy shown above, and anyotherforms and
endorsements that apply, including those shown above as well as those issued subsequentto the issuance of this policy.
This policy is issued bythe 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 policyto be signed by its President and
Secretary at Bloomington, Illinois.
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Secreta President
Prepared MAY012023 Page 3of 3
HO-2000
008207 920
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