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2020/05/16 Western A/V, Inc. Insurance Declarations (4)STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS COVERAGE SUMMARY APR 17 2020 S 0 0 �o �o Richardso i, 75085-3925 Addl Insured -Section II Only M-23-3535-FB8A F Z 001996 3123 CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586-6539 II1111�11111�1111111�111�1111111��111111111�1111�1111111��11�1111 Home Product Sales Policy Policy Number 92-EX-5166-6 Policy Period Effective Date Expirati n Date 12 Months MAY 16 2020 MAY 16 2021 The poli y period begins and ends at12:01 am standard time ate premises Tocattion. Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 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/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Policy Premium Discounts Applied: Protective Devices Claim Record $ 9,575.00 Prepared APR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 016055 290 Al Continued on Reverse Side of Page N Page 1 of 7 536-666 a.2 65-31-2611 MOM) StateFarm a W DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 Employee Dishonesty $250 Equipment Breakdown a Other deductibles may apply - refer to policy. $2,500 a SECTION i - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES � N 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 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) See Schedule Money And Securities (On Premises) See Schedule Money Orders And Counterfeit Money $1,000 Prepared APR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016056 290 Continued on Reverse Side of Page Page 3 of 7 N 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 s Property Of Others (applies only to those premises provided Coverage B - Business o Personal Property) �o Signs Valuable Papers and Records (On Premises) Valuable Papers and Records (Off Premises) SE I- EXTENSIONS OF COVERAG- LIMIT OF I NSU RA E- PER EQLICY $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 APR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission, 016057 290 Continued on Reverse Side of Page Page 5 of 7 N StateFarm A DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 CMP-4786.1 CMP-4787 CMP-4788.1 CMP-4610 FD-6007 Addl Insd Owners Lessee Sched Waiver of Trans Rgt of Recov Addl Insd Mgr6 Leeeor of Prom General Agg Limit Per Proj Inland Marine Attach Dec 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. Oa- k1-k1L�►SecrePresident IMPORTANT NOTICE: Califomia 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) Depai tmew of Insurance complaints should be filed only after you and State Farm or your agent or other company repregenwtive have failed to reach a satiafactory 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) orvish w w i surance.c vl01-consumers Prepared APR 17 2020 CMP-4000 016058 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 STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS PP1 Pa di1'1'1, k5 75085-3925 Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 8 0 0 �o ATTACHING INLAND MARINE Policy Number 92-EX-5166-6 Policy Period Effective Date Expiration Date M-23-3535-FB8A F Z 12 Months MAY 16 2020 MAY 16 2021 The poll y period begins and ends at12:01 am standard time at le 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 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-8745 Inland Marine Computer Prop FE-6271 Amendatory Endorsement FE-8739 Inland Marine Conditions See Reverse for Schedule Page with Limits Prepared APR 17 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 016059 530-666 e.2 05 31-2011 W132320 StateFarm 92-EX-5166-6 016060 CMP-4786.1 & Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE s Policy Number: 92-EX-5166-6 0 �o Named Insured: WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 Name And Address Of Additional Insured Person Or Organization: CITY OF MENIFEE AND OFFICERS EMPLOYEES AGENTS &A THQZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586 1. SECTION II — WHO IS AN INSURED of b. If coverage provided to the additional in - SECTION II — LIABILITY is amended to in- sured is required by a contract or agree- clude, as an additional insured, any person or ment, the insurance provided to the organization shown in the Schedule, but only with respect to liability for "bodily injury', additional insured will not be broader than " property damage", or "personal and advertis- that which you are required by the contract ing injury" caused, In whole or in part, by: or agreement to provide for such addition- al insured; and a. Ongoing Operations c. If the contract or agreement between you (1) Your acts or omissions; or and the additional insured is governed by (2) The acts or omissions of those acting California Civil Code Section 2782 or on your behalf; 2782.05, the insurance provided to the in the performance of your ongoing opera- additional insured is the lesser of that which: tions for that additional insured; or b. Products —Completed O Operations p (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali - "Your work" performed for that additional fornia Civil Code Section 2782 or insured and included in the "products- 2782.05 for your sole liability; or completed operations hazard". (2) You are required by contract or However, Paragraph 1. above is subject to the agreement to provide for such addi- following: tional insured. a. The insurance afforded to the additional We have no duty to defend or indemnify the insured only applies to the extent permit- additional insured under this endorsement un- ted by law; til a claim or "suit" is tendered to us. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CONTINUED StateFarm 92-EX-5166-6 016061 CMP-4787 s Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: E311SINFSS(JWNERS COVFRAC.E FARM i SCHEDULE qPolicy Number: 92-EX-5166-6 4o Named Insured: WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 Name And Address Of Person Or Organization: CITY OF MENIFEE AND ITS OFFICERS EMPLOYEES AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" done under contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CMP-4787 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission.