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2020/05/16 Western A/V, Inc. Additional Insured Declarationsstataarm A. STATE FARM GENERAL INSURANCE COMPANY ❑ A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED APR 282020 W s 0 �o R, !?ard8on?TX 75085 3925 Addl Insured -Section II Only M-23-3535-1`138A F Z 001980 3123 CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS 8 AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586-6539 Policy Number 92-EX-5166-6 Policy Period Effective Date Expiration Date 12 Months MAY 16 2020 MAY 16 2021 The poll y period begins and ends at 12:01 am standard time at a premises location. Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 Home Product Sales Policy 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. Entity: Corporation Reason for Declarations: Your policy is amended APR 28 2020 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786.1 ADDED Endorsement Premium Increase Other items shown are effective with the policy's 2020 renewal $ 88.00 Prepared MAY 14 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 20DO CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014846 290 Al Continued on Reverse Side of Page N Page 1 of 7 530-6BB a.2 05-31 2011 (o113231c) DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 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 003 6353 CORTE DEL ABETO STE 106 No Coverage $ 23,800 25% CARLSBAD CA 92011-1437 004 1592 N BATAVIA ST STE 2 No Coverage $ 224,600 25% ORANGE CA 92867-3554 * As of the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES Basic Deductible Special Deductibles: Money and Securities Prepared MAY 14 2020 CMP-4000 014846 N/A 257.3 $2,500 $250 Data Compromise © Copyright, State Form Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. Continued on Next Page $1,000 Page 2 of 7 3rarerarm DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 Employee Dishonesty $250 Equipment Breakdown Other deductibles may apply - refer to policy. $2,500 0 s ECTION I - EXTENSION OF COVERAGE - LIM T F INSURANCE - EACH DESCRIBED PREMISES " N �a 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, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises See Schedule Off Premises See Schedule Arson Reward $5,000 Back -Up Of Sewer Or Drain See Schedule Collapse Included Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Coverage B Limit Debris Removal 25% of covered loss Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense Forgery Or Alteration Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Money And Securities (Off Premises) Money And Securities (On Premises) Money Orders And Counterfeit Money Prepared MAY 14 2020 M Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014847 290 Continued on Reverse Side of Page N Included $2,500 $5,000 $10,000 Included 10% See Schedule See Schedule $1,000 Page 3 of 7 DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 Newly Acquired Business Personal Property (applies only if this policy provides $100,000 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Ordinance Or Law - Equipment Coverage Included Outdoor Property See Schedule Personal Effects (applies only to those premises provided Coverage B - Business $2,500 Personal Property) Personal Property Off Premises $25,000 Pollutant Clean Up And Removal $10,000 Preservation Of Property 30 Days Property Of Others (applies only to those premises provided Coverage B - Business See Schedule Personal Property) Signs See Schedule Valuable Papers And Records On Premises See Schedule Off Premises See Schedule E TI N - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - SCHEDULE The coverages and corresponding limits shown below apply only to the described premises as shown. LOCATION COVERAGE 0003 Accounts Receivable (On Premises) Accounts Receivable (Off Premises) Back -Up Of Sewer Or Drain Money And Securities (Off Premises) Money And Securities (On Premises) Outdoor Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Valuable Papers and Records (On Premises) Valuable Papers and Records (Off Premises) 0004 Accounts Receivable (On Premises) Prepared MAY 14 2020 (0 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. 014847 Continued on Next Page LIMIT OF INSURANCE $10,000 $5,000 $15,000 $5,000 $10,000 $5,000 $2, 500 $5,000 $10,000 $5,000 $10,000 Page 4 of 7 u DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 Accounts Receivable (Off Premises) Back -Up Of Sewer Or Drain Money And Securities (Off Premises) Money And Securities (On Premises) Outdoor Property $ Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) �o Signs Valuable Papers and Records (On Premises) Valuable Papers and Records (Off Premises) SECTION I - EXTENSIONS F OVERAGE - LIMIT OF INSURANCE - PER POLICY $5,000 $15,000 $5,000 $10,000 $5,000 $2,500 $5,000 $10,000 $5,000 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 Data Compromise Legal And Forensic Information Technology Review Per Occurrence Dependent Property - Loss Of Income Employee Dishonesty Identity Restoration Other Expenses Case Management Services Per Occurrence Lost Wages And Supervision Expenses Utility Interruption - Loss Of Income Loss Of Income And Extra Expense SECTION II - DEDUCTIBLES LIMIT OF INSURANCE $5,000 $50,000 $5,000 $10,000 $1,000 12 months $35,000 $5,000 $10,000 Actual Loss Sustained - 12 Months Business Liability - Property Damage $1,000 Other deductibles may apply - refer to policy. Prepared MAY 14 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014848 290 Continued on Reverse Side of Page Page 5 of 7 N DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 SECTIQN Il - LIABILITY LIMIT OF COVERAGE INSURANCE 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-4786.1 "Addl Insd Owners Lessee Sched FE-6999.2 Terrorism Insurance Cov Notice CMP-4788.1 Addl Insd Mgrs Lessor of Prem CMP-4787 Waiver of Trans Rgt of Recov CMP-4746.1 Hired Auto Liability CMP-4698 Back -Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4703.1 Utility Interruption Loss Incm CMP-4705.2 Loss of Income & Extra Expense CMP-4610 General Agg Limit Per Proj Prepared MAY 14 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014848 Continued on Next Page Page 6 of 7 �rararann r DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 8 0 0 6 CMP-4260.1 =" CMP-4990.1 CMP-4994 CMP-4261 FD-6007 Amendatory Endorsement -CA Identity Restoration Coverage Data Compromise Amendatory Endorsement Inland Marine Attach Dec * 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. *W11X_ ) 4044t cm/# 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 failed 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.i1lsurance.ca.stovlOt-consumers Prepared MAY 14 2020 CMP-4000 014849 290 N @ Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc„ with its permission Page 7 of 7 92-EX-5166-6 014849 Racial A a I A I r- rAr1M Ur-ll GPIAL INOUPIAIVIiC IiVMrAri Y A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS 8 RPp1cla�dFII 8so5;3n9 f� 75065-3925 , Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE ORANGE CA 92867-3554 ATTACHING INLAND MARINE Policy Number 92-EX-5166-6 Policy Period Effective Date Expiration Date M-23-3535-FI38A F Z 12 Months MAY 16 2020 MAY 16 2021 The pollGy period begins and ends at 12:01 am standard 2 time aM premises location. 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 Included The above Premium Amountis 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 See Reverse for Schedule Page with Limits Prepared MAY 14 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014850 536-665 u2 05-31.2011 (032320 `JL-WL-01 nq-O ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER COVERAGE FE-8745 Inland Marine Computer Prop Loss of Income and Extra Expense Prepared MAY 14 2020 FD-6007 014850 LIMIT OF INSURANCE 25,000 25,000 DEDUCTIBLE AMOUNT $ 500 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ANNUAL PREMIUM Included Included 530-5008.2 05-31-2011 101