2022/10/31 Western A/V, Inc.StateFarm STATE FAFTI GENERAL INSUBANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON, ILLINOIS
E?&*i&?li L u,roz-zs,s
Addl lnsured-Sectlon ll Only
M-23-61F8-FB8A F Z
002387 3123CITY OF I{EN I FEE
AI{D ITS OFFICERS, E}IPLOYEES,
AGENTS & AUTHORIZED VOLUNTEERS
29844 HAUi{ RD
]{EN I FEE CA 9?5A6-6539
il [,,ltrtl,l,lil r,,l,lr,rlll[il til, trlr, rt,, trl,ltrt,ll, [, [],
Home Product Sales Policy
!
DECLARATIONS covERAGE SU|\,IMABY FEB 3 2023
Policyilumbor 92-GY-D812-0
Policv Period Etlective Dato Exoiration Dats
12 Mbnrhs ocl 31 2022 ocT 31 2023
The polipv period be0ins and ends at l2:01 am standard
fime at me Premlses I0caoon.
Named lnsured
WESTERI{ A/V INC
&
II..-.irfir't '.ff,fl.
E
Automatic R.nowal - lf the policy period is sh own as 12 months , this policy will be renewed automatically subject to the premiums, rules and
forms in effect for each succeeding policy pertod. lf tris policy is terminaled, we will give you and the Mortgagee/Lienholder written notice in
compliance wi$ dre policy provisions or as required by law.
Entily: Corporation
Policy Premium
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim Record
$ 13,949.00
Prepared
FEB 03 2023
cMP-4000
@ Copyright Stite FErm irutunl Automobil€ lnsur!ncr Company, 2008
lncludes copyright.d materirl of lnsuranco Services oflice, lflc., with its p€rmission
Continued on Reverse Side ol Page020502 290
N
Page 1ol 7
Home Product Sales Pollcv
Policy Numb€r 92-G
DECLARATIONS (CONNNUED)
'or
CITY OF MENIFEE
Y-D812-0
sFcTtoN t - 9PopEFTY Sn].t FDIII F
Location
Number Location ot
D€scrlbed
Prsmlses
Limit ol lnsurance'
Cov€raos A -
Buildings
Limit ol lnsurance'
Coverao€ B -
Business Fersonal
Property
Seasonal
lncrease-
Business
Personal
Property
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92867-3554
1590 N BATAVIA ST STE 4
oRANGE CA 92867-3534
No Coverage
$ 140,900
25%
25o/.
.Aso the dale th spo cy, the Limit of lnsurance as shown inc des any increas- in the imit ue to n at ron overage
sFcTloN r - rNFr ATI6N .:OV BAGF INDFX{FSI
Cov A - lnflation Coverage lndex
Cov B - Consumer Price lndex:
N/A
296.3
SECTION I - DFDI BLES
Basic Deductlble
Spscial Deductlbles;
Money and Securitjes
$2.500
$250 Data Compromise $1,000
Prepared
FEB 03 2023
cMP-4000
020502 Page 2ol 7
No Coverage
$ 141 ,100
O Copyrighl Stat6 Farm Muturl Automobils lnsurincB Compiny,2008
lncludes copyrightsd materirl ol l[!urdncB SBruics$ officE, lnc., with it! D0rmission.
Continued on Next Page
StateFarm !&
Fntfi
iBE
Home P.oduct Sales Policv
Policy Numbei 92-G
DECLARATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812{)
Employee Dishonesty $250 Equipment Breakdown $2,500
Other deductibles may apply - rel6r to policy
SECTION I. EXTENSIONS OF COVEBAGE - LIMIT OF INSURANCE. EACH DESCBIBED PREMISES8
6b'The covorages and correspondlng limits shown bolow apply separalsly to oach dgscribsd promises shown in these
Declaratlons, unless lndlcatad by "See Sch€dule." ll a coverags does not have a correspondlng llmlt shown below,
but has "lncluded" indlcated, ploase relsr to that policy provision lor an explanation ot that coverago.
COVEFAGE
Accounts Receivable
On Premises
Olf Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Bobbery
Debris Bemoval
Equrpment Breakdown
Fire Department Servico Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Of Construction And Demolition Costs (applies only when buildings are
insured on a replacemont cost basis)
Money And Securities (Ofl Pr€mises)
Money And Securities (On Premises)
Money Orders And Countertsit Money
LIMIT OF
INSURANCE
See Schedule
Sse Scheduls
$s'000
See Schedule
lncluded
Coverage B Limit
25% ol covered loss
lncludad
$2,500
$5'000
910,000
lncluded
10%
See Schedule
See Schedule
$1,000
Prepared
FEB 03 2023
cMP4000
020503 290
N
o copyright Stlts Flrm lvlutual Automobih lnrurlncs Comptny,2008
lncludos cowriohtsd mltgrirl of lnsur!ncB SBryicss offica, lno., wih iti psrmission
Continued on Reverse Sid6 o, Page Page 3 ol 7
Home Product Sales Policv
Pollcy Number 92-G
DECLARATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
Newly Acquired Business Personal Property (applies only i, this policy provides
Coverage B - Business Personal Propery)
Newly Accpired Or Construct€d Buildings (applies only if this policy provides
Coverage A - Buildings)
Ordinance Or Law - Equipmenl Coverage
Outdoor Property
Porsonal Etfects (applies only to those premises provided Covarage B - Business
Personal Property)
Personal Proparty Off Premis€s
Pollutant Clean Up And Removal
Preservalion Ol Property
Property Of Others (applies only lo those premises provided Coverage B - Business
P€rsonal Property)
Signs
Valuabls Papers And Records
On Promises
Orl Premises
$100.000
$2s0,000
lncluded
See Schedule
$2,soo
$25,000
$10,000
30 Oays
See Schedule
See Schedule
See Schedule
See Schedule
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSU FANCE. SCHEDULE
The covereg€s and corresponding llmlts shown bolow apply only to the described premlses as shown
LOCATION
Prepared
FeB $ 2023
cMP-4000
020503
COVEHAGE
LIMIT OF
INSURANCE
0001 Signs
Back-Up Of Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Olf Premises)
Property Of Others (applies only to those
Personal Prop€rty)
Accounts Receivable (On Premises)
Accounts Receivable (Off Pr€mises)
Outdoor Property
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
0002 Accounts Heceivable (On Prsmises)
$5,000
$15,000
$10,000
$s,000
premises provided Coverage B - Business $2,500
@ Copyri0hl St.ts Flrm Muturl Automobih lnsurlnce Complny, 2m
lncludos coFyri[htsd mrtsri!lof lniur!ncs Srrvicrs offioe, hc..widl it! psrmis.ion
Continued on Next Page Page 4 of 7
$10,000
$5,ooo
$5,000
$10,000
$5,000
$10,000
StateFarm !(D@
Home Product Salos Poll
Policy Number 92
DECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-D812-0
cI-t:
ffi*II'iII
I
6
;8
Accounts Rec6ivable (Otf Premises)
Back-Up Of Sewer Or Drain
Money And Securities (OIl Premises)
Money And Securities (On Premises)
Outdoor Property
Property Of Others (applies only to those premises provided Coverage B ' Businsss
Personal Property)
Signs
Valuable Papers and Becords (On Premises)
Valuable Papers and Records (Off Premises)
$s,000
$15,000
$5,000
$10,000
$5,000
$2,500
$5,000
$10,000
$5,000
SFCTION I. EXTENSIONS OF COVFRAGF . 1 IMIT OF INSTIFANCE. PER POLICY
The coverages and corresponding limits shown below are the most we will pay regardless ot the number of
described premlses shown in theso Declaratlons.
COVERAGE
Data Compromise
Legal And Forensic lnformation Technology Review
Per Occurrence
Dependent Property - Loss Ol lncome
Employee Dishonesty
ldentity Restoration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruplion - Loss Of lncome
Loss OI lncome And Extra Expense
@ copy.i0ht Strts tlrm Mutual Automobilo In3urrncs Comprny,2008
lncludes copyrightsd mlterial of lnsuranco Servic€3 offico, lnc., with its p8rmission
Continued on Reverse Side of Pago
LIMIT OF
INSU RANCE
$5,000
$50,000
$5,ooo
$10,000
$1,000
12 months
$3s,000
$5,000
$10,000
Actual Loss Sustained - 12 l\ilonths
Page 5 of 7
Prepared
FEB 03 2023
cMP-4000
020504 290
N
Home Product Sales Pollcv
Policy Numb€r gz-G
DECLABATIONS (CONTINUEO)
Ior CITY OF MENIFEE
Y-D812-O
sEcTtoN - r IABILITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Exponses (Any One Person)
Damage To Promises Rented To You
AGGREGATE LIMITS
Products/Completod Operations Aggregate
General Aggregale
Each paid claim lor Liability Coverage Ieduces the amount of insurance we provide durino the aDolicable
annual period. Please rofer to Section ll - Liability in the Coverage Form and any attached endoidements
LIMIT OF
INSURANCE
$2,000,000
$s,000
$500,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
FOBMS AND NDORSEMENTS
cl\4P-4101
FE-6999.3
cMP-4705.2
cMP-4990.1
cMP-4994
cMP-4260.1
cMP-4746.1
cMP-4261
cMP-4710
cMP-4698
cMP-4704.1
cMP-4709
cMP-4703.1
Businessowners Coverage Form
Tgrrorism lnsurance Cov Notice
Loss ol lncome & Extra Expense
ldentity Restoration Coverage
Data Compromise
Amendatory Endorsement-CA
Hired Auto Liability
Amendatory Endorsement
Employee Dishonesty
Back-Up of Sewer or Drain
Dependent Prop Loss of lncome
Money and Securities
Utility lnterruption Loss lncm
Prepared
FEB 03 2023
cMP-4000
020504
O Copyrioh! St!13 trrm MuturlAutomobib hsurlncB Comprny,200g
lncludsi copyriohtod nrtsrirl of lnsur!ncs ServicB3 oflics, lnc., with i$ oormission
Continued on Next Page Page 6 ol 7
Your policy consisls of these Declarations,.the BUSINESSOWNERS COVEBAGE FORM shown below, and any otherforms and endorsements that apply, including those shown below as well as those issued subsequent t6 theissuance of this policy.
StateFam&
ffi
DECLAHATTONS (CONTINUEO)
'or
CITY OF MENIFEE
Y-D812-O
Home Product Sales Policv
Policy Number 92-G
cMP-4786.1
cMP-4787
CMP461O
crvlP-4875
cMP-4793.1
cMP-4788.1
FD-6007
Addl lnsd Owners Lessee Sched
Waiver of Trans Rgt of Flecov
General Agg Limit Per Proj
Loss Payable
Al State Polltical Perm Prem
Addl ln6d Mgrs Lessor of Prem
lnland Marino Attach Dec8
{
E
This policy is issued by tre State Farm General lnsurance Company
Participating Policy
You are entitled to participate ln a distibution of th€ earnings ot the company as determined by our Board of Diroctors in
accordance with the Company's Artlcles of lncorporation, as amended.
ln Witness Whereof, the Stat6 Farm General lnsuranoe Company has caused lhis polioy to bo signed by its Presid€nt and
Socretary at Bloomington, lllinois.
Y,r"^-Yn)1"',ttt-")() usecr€Iary
-il*& C",h
IMPOFTANT NOTIGE:
Callomla hw requlEg ua to provldo you wth lntoma on ror llllne complrlnls wth th6 :ltite lneirance llepanmem re0ardlng tlE
coverago and service provldsd undor this Policy.
youl rger 'c name snd conllc-t lnlormatbn arc plovided on tb lrofl ol lhig docrmor . AnotiEr opllon ls to reach out by
mailor phons diroctlY lol
stdo Farm6 Erect tlva qltlomcr scrYice
PO Box 2320
Bloomlngton lL 617m
Phone f 1€oo-STATEF RI (t '80+782-8332)
O,eDsttmel ol lnrulrnoo comphlttr lhould be llled only alter you 8nd Stste Fam ot youl ager ol olhel comPany
r€prE$ntatlve havo hllcd to rEich ! aalirlrcloly .gleoment on a problom'
CslilomiE oepsrunent ol lnlllrnce
consumBr soff lc€ Dhl!lon
So0 Sodh gpllng girset
Loa Anoslss. CA gr0'13
Phom ; l€oo-927-HELP (4illtl) o, Yilit xlw.inaurance.cq qoY/01-co]rE{t[err
President
o copyrioht St6t0 F.rm lvlutu !l Automobile Inlur.n66 Comprny,2008
lnolud€5 copyrightod mlteriol of lnsuronce Services oflicB' lnc.' wifi it! psrmission
Prepared
FEB 03 2023
cMP-4000
020505 290
N
Page 7 ot 7
I
StateFarm STATE FAFM GENEFAL INSUHANCE COi'PANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?BPI ie?Ji L a, ro r"z s,s
Named lnsured
l\il-23-61 F8-FB8A F Z
},ESTERN A/V INC
ATTACHING INLAND MARINE
L]
INLAND MARINE ATTACHING DECLARATIONS
Policyltlumber 92-GY-D812-O
Policv Period Elhclive Dale ExDiralion Data
12 Nlbnths ocr 31 2022 ocT 31 2023
Ihe polipy period beqins qnd ends at l2:01 am standard
tme atthe premlses localon.
&
H#
l..'tEltr
I
FA
Auiomatic Ronowal - lf the policy poliod is shown as 12 monlha , this pohcy will be.renewed automati
forms in effectlor each sucieedin! policy period. lf fris policy is terminated. we will give you and the
callv subiectto *re premiums, rules and
Monga gee/Lienholder written notice in
comp liance witr the policv provisions or as req uired by law
your oolicv consists of fiese Declarations, fre INLAND MARINE C 0NDlTl0NS shown below, and any other Iorms and endorsemenB tlat
a pplyi rnctirdin g $ose shown below as well as trose issued subsequent to fre issuance of this policy.
torms, 0plion6, and Endor66ments
FE-87 45
FE-6271
FE-8739
lnland lvlarine Computer Prop
Amendatory Endorsement
lnland Marine Conditions
See Reverse for Schedule Page wifi Limits
Prepared
FEB 03 2023
FD-6007
020506
O Copvright Strte F.rm i, utu !l Automobil6 lnsurincE Complny, 2008
lncludes copyrighted mlteritl ol lnsur!ncB Sorvicss offics, lnc., with iti pelml3rion
530 6lt!.2 05 3l ?0ll lolll?3?cl
AnnualPolicy Premium lncluded
The above Premium Amount is included tn tre Policy Premium shown on $e Declaralions.
92-GY-0812{)
ATTACHI GI LA D MARIITE
ATTACHING INI.AND MARINE SCHEDULE PAGE
ENDORSEMENT
NUMBER
FE-87 45
C OVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
LIMIT OF
INSURANCE
DEDUCTIBLE
AMOUNT
ANNUAL
PREMIUM
OTHER LIMITS AND EXCLUSIONS MAY APPLY . BEFEB T(] YOUR POLICY
@ Copylight, Stots F6rm Mutual Automobils lnsur.nco Compnny, Z00B
lncludgs copyrightBd m6t8ri0l of lnsursncs Ssrvic€i Office, lnc., wth its DBrmission_
$ 500 Included
Included
$
s
25,000
25,000
Prepared
FEB 03 2023
FD-6007
020506
t!0 6860.2 05 3l ,011 loltl2:Ecr
StateFarm tl92-GY-D812-0 020507
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
CMP4786.1 ADDITIONAL INSURED _ OWNERS, LESSEES, OR CONTRACTORS
(Scheduled)
cMP-4786.1
Page 1of2
F#
This endorsement modifies insurance provided under the followng
BUSINESSOWNERS COVERAGE FORM
1. SECTION ll - WHO lS AN INSURED of
SECTION ll - LIABILITY is amended to in-
clude, as an additional insured, any person or
organization shown in the Schedule, but only
wiih respect to liability for "bodily injury'',
"property damage', or 'personal and advertis-
ing in.jury" caused, in whole or in part, by.
a. Ongoing Oporatlons
(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
followng:
a. The insurance afiorded to the additional
insured only applies to the extent permit-
ted by law;
8
E
;B
SCHEDULE
Name And Addresa Of Additional lnsured Person Or Organization:
CITY OF MENIFEE
AND ITS OFFICERS. EMPLOYEES.
AGENTS & AUTHOHIZED VOLUNTEERS
29844 HAUN RD
MENIFEE CA 92586
b. lf coverage provided to the additional in-
sured is required by a contract or agree-
ment, the insurance provided to the
additional rnsured will not be broader than
that which you are required by the contract
or agreement to provide for such addition-
al insured; and
c. lf 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 in$ured is the lesser of that
which:
(1) ls 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.
O. Copyright, State Farm lllutual Automobile lnsuranoe Company, 2013
lnclud66 oopyriglrted material of lnsurance Services Office, lnc , with itE permission
CONTINUED
&
Policy Number: 9z-cY-D812-0
Named lnsured:
WESTEFN AA/ INC
3
2
4.
92-GY-O812-0 020507
cMP-4786'l
Any rnsurance provided to the additional in-
sured shall only apply with respect to a claim
made or a "suit" brought for damages for
which you are provided coverage.
With respect to the insurance afforded to the
addilional insured, the following is added to
SECTION II _ LIMITS OF INSURANCE,
lf coverage provided to the additional insured
is required by contract or agreement, the most
we will pay on behalf of the additional insured
will be the lesser of the amount of insurance:
a. Required by the contract or agreement; or
b. Available under the applicable Limits Of
lnsurance shown in the Declarations.
This endorsement shall not increase the ap-
plicable Limits Of lnsurance shown in the
Declarations.
Wrh respect to the insurance afiorded to the
additional insured, the following is added to
Paragraph 3. Duties ln The Event Of Occur-
rence, Offense, Claim Or Suit of SECTION
II _ GENERAL CONDITIONS:
The additional insured must:
a. See to it that we are notified as soon as
practicable of an ''occurrence" or an of-
fense which may result in a claim. To the
extent possible, notice should include:
(l) How, when and where the "occur-
rence" or offense took place;
(2) The names and addresses of any in-
jured persons and witnesses; and
"*!"'lr1
(3) The nature and location of any injury
or damage arising out of the "ocCur-
rence" or ofiense;
b. Tender the defense and indemnity of any
claim or 'surt' to us and to all other insur-
ers who may have insurance potentially
available to the additional insured; and
c. Agree to make available any other insur-
ance the additional insured has for de-
fense or damages for which we would
provide coverage under SECTION ll -LIABILITY.
5. With respect to the insurance afforded the ad-
ditional insured, the following replaces SEC-
TION ll -LIABILITY of Paragraph 7. Other
lnsurance of SECTION IAND SECTION ll -COMMON POLICY CONDITIONS:
a. This insurance is primary to and will not
seek contribution from any other insurance
available to the additional insured, provided
that the additional insured is a named in-
sured under such other insurance.
b. Regardless of any agreement between
you and the additional insured, this insur-
ance is exc€ss over any other insurance
whether primary, excess, eontingent or on
any other basis for which the additional in-
sured has been added as an additional in-
sured on other policies.
There will be no refund of premium in the event
this endorsement is cancell€d.
All other policy provisions apply.
O, CopyrEht, State Farm Mutual Automobile lnsurance Company, 2013
lnofudes copyriohted materialof lnsurance SeNices Ofi]ce, lnc. \ytth iE permFsion
StateFarm 92-GY-D812-0 020508
CMP4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGA]NST
OTHERS TO US
clvP-4787
Page 1 of 1
E*
$
This endorsement modrfies insurance provided under the following
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92-GY-D812-0
Named lnsured:
WESTERN A/V INC
Name And Address Of Person Or Organization:
CITY OF MENIFEE
AND ITS OFFICERS. EMPLOYEES.
AGENTS & AUTHOHIZED VOLUNIEERS
29844 HAUN RD
MENIFEE CA 92586
The following is added to Paragraph 10.b. of SECTION I AND SECTION ll - 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
O, Copyright, State Farm l\4utual AL/tomobile lnsurarrce Company, 2008
lncludes copyrigmed material of lnsurance Services Office, lnc., with its permission.
&
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY