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2020/10/31 Western A/V, Inc.5 1 A i E FARM GENERAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS DECLARATIONS COVERAGESUMMARY MAY2020,11 Policy Number 92-GY-D812-0 I �Q No RrcMardso1i9K 75085-3925 Addl Insured -Section II Only 002965 3123 M-23-3535-FI38A F Z CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586-6539 III'Illll"Illlllllllllllllllllll"I'Il'Illll'I'Illlllfll��l'Illl Home Product Sales Policy Policy Period Effective Date Expiration Date 12 Months OCT 31 2020 OCT 31 2021 The policy period begins and ends at 12:01 am standard time atthe premises location. 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 Policy Premium $ 10,787.00 Discounts Applied: Protective Devices Sprinkler Claim Record Prepared MAY 20 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023559 290 Al Continued on Reverse Side of Page N Page i of 7 536-666 a.2 65-31-2611 (oIf3231c) srarerarm A DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 Employee Dishonesty $250 Equipment Breakdown ROther deductibles may apply - refer to policy. $2,500 0 SECTION-1 - EXTENSIM OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES ti � 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 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 MAY 20 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023560 290 Continued on Reverse Side of Page N 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 DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-13812-0 E TI N I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY s The coverages and corresponding limits shown below are the most we will pay regardless of the number of $ described premises shown in these Declarations. 0 �o 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 11-LIABILITY 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 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 Prepared MAY 20 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 200E CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023561 290 Continued on Reverse Side of Page Page 5 of 7 N StateFarm DECLARATIONS (CONTINUED) Home Product Sales Policy for CITY OF MENIFEE Policy Number 92-GY-D812-0 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. *�rn. 4wwc 6041# Secretary President IMPORTANT NOTICE: Callforriin law regnlres us to provide you with Information for filing complaints with the State Insurance Department regarding the coverage and service provided finder this policy. Your agent's name and contact information are provided on the fronl 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 10 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 Ww%vJnatapce.ca.sLgy!QI-constrrnera Prepared MAY 20 2021 CMP-4000 © Copyright, State Farm Mutual Automobile Insurance Company, 2000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. 023562 290 Page 7 of 7 N 5tateFarm A STATE FARM GENERAL INSURANCE COMPANY ASTOCK COMPANY WITH HOME OFFICES INBLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS R'i'cha d98on,9TC 75085 3925 Policy Number 92-GY-D812-0 Named Insured Policy Period Effective Date Expiration Date M-23-3535-FB8A F Z 12 Months OCT 31 2020 OCT 31 2021 The poll y period begins and ends at 12:01 am standard WESTERN A/V INC time at a premises location. 1592 N BATAVIA ST STE 2 ORANGE CA 92867-3554 — — ATTACHING INLAND MARINE 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 MAY 20 2021 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 FD-6007 Includes copyrighted material of Insurance Services Office, Inc., with its permission 023563 538-686 a.2 85-31-2011 (o1132320 92-GY-D812-0 023564 CMP-4786.1 Li 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-GY-D812-0 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 ITS OFFICERS EMPLOYEES AGENTS & AUTHORIZED VOLUNTEERS 29844 HAUN RD MENIFEE CA 92586 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 onIX with respect to liability for "bodily injury', "property damage", 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 92-GY-D812-0 023565 CMP-4787 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY CMP4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 92-GY-D812-0 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 AGENTS & I ZVOLUNTEERS THOED LUCERS N AGETEERS 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