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Home My WebLink About258 S Courtland St State Farm General Insurance Company A Stock Company With Home Offices in Bloomington, Illinois PO Box 2356 Bloomington IL 61702-2356 £State Farm AT1003435 32002-2EEA-FBEF F HW CITY OF ARROYO GRANDE RENEWAL DECLARATIONS 300 E BRANCH ST _ • ARROYO GRANDE CA 93420-2706 AMOUNT DUE: None 111111IIIll'II'�'"�'ILII'I�II�'�IIIIii�I�'�'�III�'��II�I1�1��il Payment is dui by PAID BY SPECIFIED PARTY Policy Number: 87-GF-3100-5 O Policy Period: 12 Months CO c, Effective Dates: MAY 23 2025 to MAY 23 2026 The policy period begins and ends at 12:01 am standard time at the residence premises. Homeowners Policy Your State Farm Agent RAILSBACK INS AND FIN SVCS INC Location of Residence Premises 300 JAMES WAY STE 250 258 S COURTLAND ST PISMO BEACH CA 93449-2874 ARROYO GRANDE CA 93420-6023 Phone:(805)773-7470 Construction: Frame Roof Material: Composition Shingle Year Built: 2005 Roof Installation Year: Default to Year Built 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 $33,510. 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. See page 3 for additional discounts. PREMIUM Annual Premium $957.00 Intervenor Fees 3.50 Your premium has already been adjusted by the following: Claim Record Discount Wildfire Mit Disc-P Total Premium $960.50 Prepared MAR 262026 awls' / pp_ ��''"""" ';�/� Page l of 3 HO-2000 J� d(t,�'t('eve l 1. 20.5 feec +Gid '' yh'cartaKees. 017418 920 Al v l Io1F188081 0484.2818 N £fi State Farm NAMED INSURED Mn$flr i r ND ADDITIONAL INTERESTS BEZERRA, DAVID P, ESTATE OF Mortgagee US BANK NA ISAOA Loan Number. C/O US BANK HOME MORTGAGE 2300266427 PO BOX 961045 FORT WORTH TX 76161-0045 2nd Mortgagee CITY OF ARROYO GRANDE Loan Number: 300 E BRANCH ST JASMINE PLACE ARROYO GRANDE CA 93420-2706 SECTION I- PROPERTY COVERAGES AND LIMITS Coverage Limit of Liability A Dwelling $ 335,100 Other Structures $ 33,510 B Personal Property $ 251,325 C Loss of Use $ 100,530 Additional Coverages Arson Reward $1,000 Credit Card, Bank Fund Transfer Card, Forgery, and Counterfeit Money $1,000 Debris Removal Additional 5%available/$1,000 tree debris Fire Department Service Charge $500 per occurrence Fuel Oil Release $10,000 Locks and Remote Devices $1,000 Trees, Shrubs, and Landscaping 5%of Coverage A amount/$750 per item SECTION II-LIABILITY COVERAGES AND LIMITS Coverage Limit of Liability L Personal Liability (Each Occurrence) $ 300,000 Damage to the Property of Others $ 1,000 M Medical Payments to Others (Each Person) $ 5,000 INFLATION Inflation Coverage Index:387.6 DEDUCTIBLES Section I Deductible Deductible Amount All Losses $ 2,000 LOSS SETTLEMENT PROVISIONS Al Replacement Cost- Similar Construction 81 Limited Replacement Cost- Coverage B Ho-2000 Page 2 of 3 87-GF-3100.5 £State Farm r FORMS,OPTIONS,AND ENDORSEMENTS HW-2105 Homeowners Policy Option ID Increase Dwlg up to$67,020 Option OL Ordinance/Law 10%/ $33,510 Ors Option JF Jewelry and Furs $1,500 Each Article/$2,500 Aggregate HO-2447.1 Personal Injury Endorsement HO-2420 Form 438bfu NS Lndr Loss Pay HO-2362 State of Emergency Amendatory HO-2213 Amendatory Endorsement ADDITIONAL MESSAI w 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. 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. California regulation affords policyholders with the ability to appeal an assigned wildfire risk score or classification. State Farm®uses geographic rating that considers wildfire risk associated with the GPS coordinates of your address. The range of available premium adjustments is currently -47.0%to 682.8%, and your adjustment is -34.0%. To file an appeal, please contact your State Farm agent. wuOITIONAL DISCOUNTS Class A Rated Roof 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. 14444(4,14.. wium4 r,... Secretary President Prepared MAR 262025 Page 3 of 3 H 0-2000 017419 920 N