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2021/02/04 Craig, Gary DBA Bob & Gary's Declaration Amended Feb 4, 2021
xatetarm A STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED FEB 4 2021 R� 9a0iXdsDR % 75085-3925 Addl Insured -Section II Only M-12-3179-FAC7 F N 001407 3123 CITY OF MENIFEE 29714 HAUN RD SUN CITY CA 92586-6540 "'III'I'�I�II�III�IIIII�IIIII�III'�"I�I'Il"II�I�II�I��I�I�II�� Distributors Policy Policy Number 90-EH-U284-6 Policy Period Effective Date Expiration Date 12 Months FEB 4 2021 FEB 4 2022 The poll y period begins and ends at 12:01 am standard time at a 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 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: Individual Reason for Declarations: Your policy is amended FEB 4 2021 DEDUCTIBLES - SECTION I Endorsement Premium Decrease Discounts Applied: Years in Business $ 128.00 Prepared FEB 18 2021 Cc Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 014202 290 Al Continued on Reverse Side of Page N Page 1 of 6 Fan_sne n v ne"n_ann i..uvvvi..i stateFarm DECLARATIONS (CONTINUED) Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 M SECTI N I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES g 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, �o but has "Included" indicated, please refer to that policy provision for an explanation of that coverage. 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 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared FEB 18 2021 Cc Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 014203 290 Continued on Reverse Side of Page Page 3 of 6 N StateFarm A DECLARATIONS (CONTINUED) Q Distributors Policy for CITY OF MENIFEE Policy Number 90-EN-U284-6 SECTION 11- LIABILITY C. LIMIT OF o 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-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 CMP-4860.1 Al Design Person Org FD-6007 Inland Marine Attach Dec Prepared FEB 18 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc„ with its permission 014204 290 Continued on Reverse Side of Page N Page 5 of 6 mateFai WW STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS RPq 12�+'d�3539?� rc 1sprl, x 75085-3925 Named Insured CRAIG, GARY DBA BOB & GARY'S 39610 MEDINA CT UZI' MURRIETA CA 92562-4514 8 0 0 A ATTACHING INLAND MARINE Policy Number 90-EH-U284-6 Policy Period Effective Date Expiration Date M-12-3179-FAC7 F N 12 Months FEB 4 2021 FEB 4 2022 The pollpy period begins and ends at 12:01 am standard time atme 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 effect for 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 $ 276.00 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 FE-8761 Motor Truck Cargo Form See Reverse for Schedule Page with Limits Prepared FEB 18 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2000 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014205 530-686 a.2 6511-2611 1oI13232c1