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2021/02/04 Craig, Gary DBA Bob & Gary's (5)SfateFFarm • STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS RQ Pa dS'0VP5 75085-3925 Named Insured CRAIG, GARY DBA BOB & GARY'S 39610 MEDINA CT MURRIETA CA 92562-4514 0 0 0 0 �o ATTACHING INLAND MARINE Policy Number 90-EH-U284-6 Policy Period Effective Date Expiration Date M-12-39C9-FAC7 F N 12 Months FEB 4 2021 FEB 4 2022 The poli y period begins and ends at 12:01 am standard time at a 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 $ 276.00 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 APR 01 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 009503 530-000 0 05-31-2011 (01(32320 90-E H-U284-6 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER COVERAGE LIMIT OF INSURANCE FE-8745 Inland Marine Computer Prop $ 25,000 Loss of Income and Extra Expense $ 25,000 FE-8761 Motor Truck Cargo Form See Below DESCRIPTION OF CARGO: FRUIT CARGO LIMIT FOR VEHICLE: $15,000 RADIUS OF OPERATION: 50 MILES V N NVEHICLE YEAR B J�-MAKEI MO�HDEL: �17 HINO 195 HYBRID BOX Prepared APR 01 2021 FD-6007 009503 DEDUCTIBLE ANNUAL AMOUNT PREMIUM $ 500 Included Included $ 1,000 $ 276.00 OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY 0 Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 530-606 a.2 05-31-2011 1oIf3233eI .-4hhAL INSURANCE COMPANY ✓MPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED FEB 4 2021 nardsan TX 75085 3925 Addl Insured -Section II Only M-12-39C9-FAC7 F N 001097 3123 CITY OF MENIFEE 29714 HAUN RD SUN CITY CA 92586-6540 "III'Il""IIIIIIIIIIIIIIIIII'I'III'I'Illll�lllllllllllllll'Illl Distributors Policy Policy Number 90-EH-U284-6 Policy Period Eff active 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, Yules and forms in effectfof 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 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4860.1 ADDED Endorsement Premium Discounts Applied: Years in Business None Prepared APR 01 2021 C0 Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 009500 290 Al Continued on Reverse Side of Page N Page 1 of 6 530 685 a.2 05-31-2011 1ol13231c1 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 the effective date of this policy, the Limit of Insurance as shown includes any increase in the limit due to Inflation Coverage. SECTION I-1NFLATION_COVERAGE INDEXES) _ Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: SECTION I - DEDUCTIBLES N/A 260.4 Basic Deductible $1,000 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000 Other deductibles may apply - refer to policy. Prepared APR 01 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission, 009500 Continued on Next Page Page 2 of 6 DECLARATIONS (CONTINUED) 6.,mcors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 HN SECTION I - EXTENSI NS OF COVERAGE - LIMIT OF ICI-RANCE - EACH DESCRIBED PREMISES o 0 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. (n3N 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 Coverage B - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared APR 01 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc„ with its permission. 009501 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Distributors Policy for CITY OF MENIFEE Policy Number 90-EH-11284-6 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Valuable Papers And Records On Premises Off Premises Included $5,000 $2,500 $15,000 $10,000 30 Days $2,500 $2,500 $10,000 $5,000 SECTION 1- EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY 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 APR 01 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 009501 Continued on Next Page Page 4 of 6 DECLARATIONS (CONTINUED) I R19 ..-.Mors Policy for CITY OF MENIFEE Policy Number 90-EH-U284-6 SECTION II - LIABILITY g 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-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 APR 01 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 009502 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. *,,, ),Yt � , 64 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.insurance,ca.aovl01-consumers Prepared APR 01 2021 O Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 009502 290 Page 6 of 6 N