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2019/05/16 Western A/V, Inc. Insurance DeclarationsStateFarm STATE FARM GENERAL INSURANCE COMPANY 04 A STOCK GOMPANY WITH HOME OFFICES 1N BLOOMINGTON, ILLINOIS DECLARATIONS COVERAGE SUMMARY DEC 20 2019 1 PO ax 8�39 Richardson, TX 75085-3925 Addl Insured -Section II Only 001723 3123 M-23-3535-F88A F Z CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS & AUTHORIZED VOLUNTEERS I 29844 HAUN RD MENIFEE CA 92586-6539 8 II���IIII�I��I�II���I�III�IIII�III��'Il�ll�lll���ll��l�ll���ll��l Policy Number 92-EX-5166-6 Policy Period Effective Date Expiration Date 12 Months MAY 16 2019 MAY 16 2020 The poll y period begins and ends at 12:01 am standard time ate 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/Lien holder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Policy Premium $ 13,325.00 Discounts Applied: Protective Devices CiTy rtr AIENNEE FINANCE Prepared DEC 20 2019 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission, 014617 290 Al Continued on Reverse Side of Page N Page 1 of 7 San-HRn.2 ne-m-gnn wf•��ai�i StateFar- WW 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. S n Q �o $2,500 - •.z....� _ ��► r, u�LrsltitL] PFtEMISES 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. COVERAGE Accounts Receivable On Premises Off Premises Arson Reward Back -Up Of Sewer Or Drain Collapse Damage To Non -Owned Buildings From Theft, Burglary Or Robbery Debris Removal 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 DEC 20 2019 CMP-4000 014618 290 N © Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission, Continued on Reverse Side of Page LIMIT OF INSURANCE See Schedule See Schedule $5,000 See Schedule Included Coverage B Limit 25% of covered loss Included $2,500 $5,000 $10,000 Included 10% See Schedule See Schedule $1,000 Page 3 of 7 StateFarm a DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 Accounts RecQivahle m JV(s Off ra is-, V} Back -Up Of Sewer Or Drain $5,000 MoneY And Securities (Off Premises) Money And Securities (On Premises) $15,000 $5,000 Outdoor Property $10,000 o Property Of Others (applies only to those premises provided Coverage B -Business Personal Property) 5000 $2,500 �o Signs Valuable Papers and Records (On Premises) $5,000 Valuable Papers and Records (Off Premises) $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 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 $1,000 Other deductibles may apply - refer to policy. Prepared DEC 20 2019 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014619 290 N Continued on Reverse Side of Page Page 5 of 7 StateFarm A DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-EX-5166-6 CMP-4839 Loss Payable " CMP-4786.1 1 4S nn c 1 Addl !n$f! own s Le E; ^c L c ed CMP-4787 Waiver of Trans Rgt of Recov CMP-4610 Genera! Agg Limit Per Proj FD-6007 Inland Marine Attach Dec S 0 0 �a �o 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. Secretary `�� ` y President IMPORTANT NOTICE: Californto law requires us to provide you with information for filing car►rfrfaiitls 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 11119 document. Another option is to reach Out by mail or phone directly to: State Farmo Executive Customer Service PO Box 2320 Bloomington !L 61702 Phone# 1-800-STATEFARM V-800-782-g332) 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. Califotnia Department of Insurance Consumer Services 0Ivision 300 South Spiing Street Los Angeles, CA 90013 Phone # t�04-927-HELP (4357) or visit www.in ttran a. uJ0 - aIners Prepared DEC 20 2019 CMP-4000 014620 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 ❑■ S#atmarm STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WIThI HOME OFFICES IN BLOOMINGTON, ILLIN015 Po PDX 853925 Ric iardsolj, TX 75085-3925 Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE 2 �e ORANGE CA 92867--MrA 0 0 0 0 ATTACHING INLAND MARINE INLAND MARINE ATTACHING DECLARATIONS Policy Number 92-EX-5166-6 M-23-3535-FB8A F Z Ll olicy Period Effective Date Expiration Date 2 Months MAY 16 2019 MAY 16 2020 e policpy period beggins and ends at 12:01 am standard e attire premisesTocatlon. Automatic Renewal - If the Policy y 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 endorsement apply, including those shown below as well as those issued subsequentto the issuance of this policy. s that 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 DEC 20 2019 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 014621 530-fi0fiu.2 05-31-2011 (o1f3232c1 StateFarn 92-EX-5166-6 014622 CM P-4786.1 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY Page 1 of 2 CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) 2 This endorsement modifies insurance provided under the following BUSINESSOWNERS COVERAGE FORM v SCHEDULE Policy Number: 92-EX-5166-6 h 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 ITS OFFICERS EMPLOYEES AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN R❑ MENIFEE CA 92586 I. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury', "propertydamage", or "personal and advertis- ing injury" caused, in whole or in part, by; a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products — Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1. above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insured under this endorsement un- 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 StateFa 92-EX-5166-6 014623 CMP-4787 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. Page 1 of 1 CMP-4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US This endorsement modifies insi.irance proviwcd under the foitovving J-"_.__-- BUSINESSOWNERS COVERAGE FORM $ SCHEDULE Policy Number: 92-EX-5166-6 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 & AUTHORIZED VOLUNTEERS 29844 HAUN RE) 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.