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2020/10/31 Western A/V, Inc. Certificate of Liability InsuranceStateFarm A STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED DEC 1 2020 8 0 0 nb Ppc �ardsAor aar),539f Ri75085-3925 Addl Insured -Section II Only 002282 3123 M-23-3535-FB8A F Z CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586-6539 Home Product Sales Policy Policy Number 92-GY-D812-0 Policy Period Effective Date Expiration Date 12 Months OCT 31 2020 OCT 31 2021 The poll y period begins and ends at 12:01 am standard time at a premises locabon. Named Insured WESTERN A/V INC 1592 N HATAVIA 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/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Your policy is amended DEC 1 2020 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786.1 ADDED Endorsement Premium Increase Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Prepared DEC 01 2020 CMP-4000 018166 290 Al N $ 44.00 © 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 Page 1 of 6 5MARn A n n5-m-9nn (mingi�i DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-13812-0 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 1592 N BATAVIA ST STE 2 No Coverage $ 248,400 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. SECTION I- INFLATION V E I E Cov A - Inflation Coverage Index: N/A Cov B - Consumer Price Index: - 260.3 SECTIQN I - DEDUCTIBLES Basic Deductible $2,500 Special Deductibles: Money and Securities $250 Employee Dishonesty $250 Other deductibles may apply - refer to policy. Data Compromise Equipment Breakdown Prepared DEC 01 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc„ with its permission, $1,000 $2,500 018166 Continued on Next Page Page 2 of 6 StateFarm DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 W SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES s 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, "Included" but has indicated, please refer to that policy provision for an explanation of that coverage. Cn LIMIT OF COVERAGE INSURANCE Accounts Receivable On Premises $10,000 Off Premises $5,000 Arson Reward $5,000 Back -Up Of Sewer Or Drain $15,000 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 DEC 01 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018167 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Home Product Sales Policyy for CITY OF MENIFEE Policy Number 92-GY-D812-0 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 SECTION I - EXTEN IONS OF CQVERAGE - LIMIT QF INSURANCE - PER POLICY Included $5,000 $2,500 $25,000 $10,000 30 Days $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. LIMIT OF COVERAGE INSURANCE Data Compromise Legal And Forensic Information Technology Review $5,000 Per Occurrence $50,000 Dependent Property - Loss Of Income $5,000 Employee Dishonesty $10,000 Identity Restoration 01her Expenses $1,000 Case Management Services 12 months Per Occurrence . $35,000 Lost Wages And Supervision Expenses $5,000 Utility Interruption - Loss Of Income $10,000 Prepared DEC re 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018167 Continued on Next Page Page 4 of 6 StateFarm a DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 Loss Of Income And Extra Expense Actual Loss Sustained - 12 Months s N II - DEDUCTIBLES 0 0 Business Liability - Property Damage $1,000 Other deductibles may apply - refer to policy. SECTION II - 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-4260.1 Amendatory Endorsement -CA Prepared DEC 01 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018168 290 Continued on Reverse Side of Page N Page 5 of 6 DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 CMP-4261 Amendatory Endorsement CMP-4705.2 Loss of Income & Extra Expense CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4698 Back -Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4610 General Agg Limit Per Proj CMP-4746.1 Hired Auto Liability CMP-4990.1 Identity Restoration Coverage CMP-4994 Data Compromise CMP-4787 Waiver of Trans Rgt of Recov CMP-4875 Loss Payable FD-6007 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. �rnY.� � 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 � os Angeles, CA 90913 Prepare hone # f-800-927-HELP (4357) orvish ww.irtsuranoe.ca.Aav101-con%�, gfI DEC 01 2020 ©opyr et, rate arrn etas t+temo ig a ,,,seprance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018168 290 Page 6 of 6 N Statet-arty, W s STATE FARM GENERAL INSURANCE COMPANY ❑ A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS 75085-3925 Poc larrlsc�n- X Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 S 0 0 A ATTACHING INLAND MARINE Policy Number 92-GY-D812-0 Policy Period Effective Date Expiration Date M-23-3535-FB8A F Z 12 Months OCT 31 2020 OCT 31 2021 The poll�ppy period begins and ends at 12:01 am standard time attne 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 hotice 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-8739 Inland Marine Conditions FE-6271 Amendatory Endorsement FE-8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared DEC 01 2020 Cc Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018169 530-686 a.2 05-31-2011 (oI13232c) 92-GY-D812-0 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT LIMIT OF DEDUCTIBLE ANNUAL NUMBER COVERAGE INSURANCE AMOUNT PREMIUM FE-8745 Inland Marine Computer Prop S 25,000 $ 500 Included Loss of Income and Extra Expense $ 25,000 Included Prepared DEC 01 2020 FD-6007 OTHER LIMITS AND EXCLUSIONS MAY APPLY -REFER TO YOUR POLICY @ Copyright, State Farm Mutual Automobile Insurance Company, 2000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 018169 530.666 el 05-31-2611 1 o 1 WHO StateFarm a STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS AMENDED NOV 15 2020 0 0 0 0 �o R c ardsao5n,9TX 75085-3925 Addl Insured -Section II Only 002586 3123 M-23-3535-FB8A F Z CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586-6539 1�11��1�1�1�11�1111��11�1�1�1��11��11�1111�1�1���11�111111��111�� Home Product Sales Policy Policy Number 92-GY-D812-0 Policy Period Effective Date Expiration Date 12 Months OCT 31 2020 MT 31 2021 The poli y period beggins and ends at 12:01 am standard time attie premisesTocation. 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/Lienholder written notice in compliance with the policy provisions or as required by law. Entity: Corporation Reason for Declarations: Endorsement Premium Increase Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record Your policy is amended NOV 15 2020 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786.1 ADDED $ 44.00 Prepared NOV 30 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission- 023481 290 Al Continued on Reverse Side of Page N Page 1 of 6 536-666 e.2 65-31-2011 (01132310 DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-13812-0 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 1592 N BATAVIA ST STE 2 No Coverage $ 248,400 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. SECTION I - INFLATION COVERAGE INDEX(ES) „ Cov A - Inflation Coverage Index: Cov B - Consumer Price Index: -SECTJON I - DEDUCTIBLES N/A 260.3 Basic Deductible $2,500 Special Deductibles: Money and Securities $250 Data Compromise $1,000 Employee Dishonesty $250 Equipment Breakdown $2,500 Other deductibles may apply - refer to policy. Prepared NOV 30 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023481 Continued on Next Page Page 2 of 6 DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH D SC IBED PREMISES g The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, �$ 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 Back -Up Of Sewer Or Drain $15,000 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 8 - Business Personal Property) Newly Acquired Or Constructed Buildings (applies only if this policy provides $250,000 Coverage A - Buildings) Prepared NOV 30 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023482 290 Continued on Reverse Side of Page Page 3 of 6 N DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 Ordinance Or Law - Equipment Coverage Included Outdoor Property $5,000 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 $2,500 Personal Property) Signs $5,000 Valuable Papers And Records On Premises $10,000 Off Premises $5,000 r2ECTION I - 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 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 Prepared NOV 30 2020 O Copyright, State Farm Mutual Automobile Insurance Company, 2000 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission 023482 Continued on Next Page LIMIT OF INSURANCE $5,000 $50,000 $5,000 $10,000 $1,000 12 months $35,000 $5,000 $10,000 Page 4 of 6 StateFarm s �, DECLARATIONS (CONTINUED) 01 0 a 0 No Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 Loss Of Income And Extra Expense SECTION 11 - DEDUCTIBLES Business Liability - Property Damage $1,000 Other deductibles may apply - refer to policy. SECTION II - LIABILITY Actual Loss Sustained - 12 Months 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-4260.1 Amendatory Endorsement -CA Prepared NOV 30 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023483 290 Continued on Reverse Side of Page N Page 5 of 6 DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 CMP-4261 Amendatory Endorsement CMP-4705.2 Loss of Income & Extra Expense CMP-4710 Employee Dishonesty CMP-4709 Money and Securities CMP-4698 Back -Up of Sewer or Drain CMP-4704.1 Dependent Prop Loss of Income CMP-4703.1 Utility Interruption Loss Incm CMP-4610 General Agg Limit Per Proj CMP-4746.1 Hired Auto Liability CMP-4990.1 Identity Restoration Coverage CMP-4994 Data Compromise CMP-4787 Waiver of Trans Rgt of Recov CMP-4875 Loss Payable FD-6007 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. *Wla_ 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 os Andes, CA W013 Prepare f hone # 1-800-927-HELP (4357) or visit vr�y�w,inarrrarroe.ciY1�1—c nsurr�era NOV 30 2020 ©wig ,t, fete arm utua atom❑ eTsurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023483 290 Page 6 of 6 N z)iaterarm s jl� STATE FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS Ula S 0 0 RrcP°d$n 9R 75085-3925 Named Insured WESTERN A/V INC 1592 N BATAVIA ST STE ORANGE CA 92867-3554 ATTACHING INLAND MARINE Policy Number 92-GY-D812-0 Policy Period Effective Date Expiration Date M-23-3535-FB8A F Z 12 Months OCT 31 2020 OCT 31 2021 The policy period begins and ends at 12:01 am standard 2 time atthe 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-8739 Inland Marine Conditions FE-6271 Amendatory Endorsement FE-8745 Inland Marine Computer Prop See Reverse for Schedule Page with Limits Prepared NOV 30 2020 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023484 530-696 a.2 05-31-2011 (002320 92-GY-D812-0 ATTACHING INLAND MARINE SCHEDULE PAGE ATTACHING INLAND MARINE ENDORSEMENT NUMBER FE-8745 Prepared NOV 30 2020 FD-6007 COVERAGE Inland Marine Computer Prop Loss of Income and Extra Expense LIMIT OF INSURANCE 25,000 25,000 DEDUCTIBLE AMOUNT 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. 500 ANNUAL PREMIUM Included Included 023484 530-606 a,2 05-31-2011 1o1r32330 StateFatM State Farm General Insurance Company � , PO Box $53925 Richardson, TX 75085-3925 ACKNOWLEDGMENT OF CANCELLATION REQUEST AT1 M-23-3535-FBSA Z F 004994 0005 CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586-6539 Home Product Sales POLICY NUMBER:92-EX-5166-6 DATE CANCELED: OCT 31 2020 RETURN PREMIUM: None To: ❑ INSURED ❑ MORTGAGEE ❑ OTHER Dear Policyholder, As requested, this policy has been canceled effective 12:01 a.m. (or the time which is required by state law) as of the Date Canceled shown above. We thank you for giving us the opportunity to provide this insurance. "This policy is being replaced by policy #92-GY-D812-0. Any return premium will be handled through the State Farm Payment Plan. Insured: WESTERN A/V INC 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 Agent: DENISE K HUDSON INS AGCY INC Telephone: (714) 633-6118 01 4994 AIN 537-147.12 09-11-2013 (olf3122g) 001 Location: MULTIPLE LOCATIONS SFPP No: 1031434923 DATE PROCESSED NOV 12 2020