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2021/02/04 Craig, Gary DBA Bob & Gary's (7)StateFarm to m STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED FEB 4 2021 - MA 0 0 �s RJCh.= +clsnir. TX 75085-3925 Addl Insured -Section II Only M-12-3179-FAC7 F N 001048 3123 CITY OF MENIFEE 29714 HAUN RD SUN CITY CA 92586-6540 Iliiiiiiiiiii'I'lljillilllllilll' Distributors Policy Policy Number 90-EH-U284-6 Policy Period Effective Date Expiration Date 12 Months FEB 4 2021 FEB 4 2022 The pall y period begins and ends at 12:01 am standard time att�ie premises location. Named Insured CRAIG, GARY DBA BOB & GARY'S 39610 MEDINA CT MURRIETA CA 92562-4514 Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and fords in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Individual Reason for Declarations: Endorsement Premium Discounts Applied: Years in Business Your policy is amended FEB 4 2021 ADDITIONAL INSURED ADDED FORM CMP-4860.1 ADDED None Prepared FEB 05 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008742 290 Al Continued on Reverse Side of Page N Page 1 of 6 can-sHm.v ne_vi_9nn i DECLARATIONS (CONTINUED) Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 SECTION I - PROPERTY SCHEDULE Location Location of Limit of Insurance* Limit of Insurance* Seasonal Number Described Increase - Premises Coverage A - Coverage B - Business Buildings Business Personal Personal Property Property 001 39610 MEDINA CT No Coverage $ 5,300 25% MURRIETA CA 92562-4514 * As of (lie effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I - INFLATION COVERAGE INDEX ES Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES N/A 260.4 Basic Deductible $500 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $500 Other deductibles may apply - refer to policy. Prepared FEB 05 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008742 Continued on Next Page Page 2 of 6 StateFarm Al DECLARATIONS (CONTINUED) Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES s The coverages and corresponding limits shown below apply separately to each described premises shown In these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, �N but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. �o LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Brands And Labels $25,000 Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Included Fire Department Service Charge $2,500 Fire Extinguisher Systems Recharge Expense $5,000 Forgery Or Alteration $10,000 Glass Expenses Included Increased Cost Of Construction And Demolition Costs (applies only when buildings are 10% insured on a replacement cost basis) Money And Securities (Off Premises) $5,000 Money And Securities (On Premises) $10,000 Money Orders And Counterfeit Money $1,000 Newly ACquired Business Personal Property (applies only if this policy provides $100,000 Covc:iage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared FEB 05 2021 Q Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008743 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premises $15,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Signs $2,500 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURAN E - PER P LI Y The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations. COVERAGE Dependent Property - Loss Of Income Employee Dishonesty Utility Interruption - Loss Of Income Loss Of Income And Extra Expense LIMIT OF INSURANCE $10,000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepared FEB 05 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 20D8 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008743 Continued on Next Page Page 4 of 6 DECLARATIONS (CONTINUED) SO Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 SECTION II - LIABILITY g LIMIT OF COVERAGE co INSURANCE 0 Coverage L - Business Liability $2,000,000 Coverage M - Medical Expenses (Any One Person) $5,000 Damage To Premises Rented To You $300,000 LIMIT OF AGGREGATE LIMITS INSURANCE Products/Completed Operations Aggregate $4,000,000 General Aggregate $4,000,000 Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDORSEMENTS CMP-4101 Businessowners Coverage Form CMP-4860.1 *AI Design Person Org CMP-4825 Brands and Labels FE-6999.3 Terrorism Insurance Cov Notice CMP-4260.1 Amendatory Endorsement -CA CMP-4705.2 Loss of Income & Extra Expense CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4261 Amendatory Endorsement CMP-4786.1 Addl Insd Owners Lessee Sched FD-6007 Inland Marine Attach Dec Prepared FEB 05 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 200E CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008744 290 Continued on Reverse Side of Page N Page 5 of 6 DECLARATIONS (CONTINUED) Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 " New Form Attached 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. �.rn. 40001L C /# Secretary President IMPORTANT NOTICE: California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Your agent's name and contact Information are provided on the front of this document. Another option is to reach out by mail or phone directly to: State Farm' Executive Customer Service PO Box 2320 Bloomington IL 61702 Phone # 1-800-STATEFARM (1-800-782.8332) Department of Insurance complaints should be filed only after you and State Farm or your agent or other company representative have tailed to reach a satisfactory agreement on a problem. California Department of Insurance Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Phone # 1-800-927-HELP (4357) or visit www.Jnvuran2t&n-gpv/01-cormuners Prepared FEB 05 2021 a Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008744 290 Page 6 of 6 N STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS StateFarn A Rj 9ardson 9TX 75085-3925 Named Insured M-12-3179-FAC7 F N CRAIG, GARY DBA BOB & GARY'S 39610 MEDINA CT MURRIETA CA 92562-4514 0 0 0 0 A ATTACHING INLAND MARINE Policy Number 90-EH-U284-6 Policy Period Effective Data Ex iration Date 12 Months FEB 4 2021 F�B 4 2022 The policy period beg9ins and ends at 12:01 am standard time atthe premises Tocatlon. Automatic Renewal - If the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and forms in effectfor each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law. Annual Policy Premium $ 383.00 The above Premium Amount is included in the Policy Premium shown on the Declarations. Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequentto the issuance of this policy. Forms, Options, and Endorsements FE-8739 Inland Marine Conditions FE-6271 Amendatory Endorsement FE-8745 Inland Marine Computer Prop FE-8761 Motor Truck Cargo Form See Reverse for Schedule Page with Limits Prepared FEB 05 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008745 530-666e.2 05-31-2611 (03232c) 90-E H-U 284-6 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8745 Inland Marine Computer Prop $ 25,000 $ 500 Included Loss of Income and Extra Expense $ 25,000 Included FE-8761 Motor Truck Cargo Form See Below $ 100 $ 383.00 DESCRIPTION OF CARGO: FRUIT CARGO LIMIT FOR VEHICLE: $15,000 RADIUS OF OPERATION: 50 MILES MAKEMODEL: 2417 HINO 195 HYBRID BOX VVEHICLE IN NUMBER:YEAR, � OTHER LIMITS AND EXCLUSIONS MAY APPLY -REFER TO YOUR POLICY Prepared © FEB 05 2021 Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 008745 530-666 e.2 65-31-2611 WN233cl