2022/10/01 Armstrong & Brooks Consulting Engineers Inc (18)StateFarm STATE FAFM GENEFAL I SUNA CE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN ELOOMING|ON, ILLINOIS DECLARATIONS AMENDE D FEB 2 2023a
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Addl lnsured-Sectlon ll Only
003863 3123
CITY OF I.IEI{ I FEE
29E44 HAUN RD
r,f EN r FEE CA 9?5A5 - 6539
M.23-0555-FACE F U
Policyl{umber 92-CV-K206-3
Polhy Period Efhclive Dalc Exoirrlion Drb
12 Mbnths ocr 1 2022 ocT 1 2023
The polipyperiod begins 4nd ends at'12:01 am standard
tme atlhe premlses loca[on.
Nam€d lnsured
AR'ISTRONG E BROOKS CONSULTING
EIGITIEERS INC
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8
Oltice Policy
Aubmalic Renewal - lf dre policy prrlod is shown as 12 monlhs . tris policy will be renewed automatically subiectto the premiums, rules and
forms in etfect for each sucleediiri policy period. lf tris policy is terminated, we will give you and tre Mortgagee/Lienholder written notice in
compliance wifr the policy provisions or as required by law
Entity: Corporation
Beason foa DeclarationS:Your policy is amended FEB 2 ?023
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTMENT
FORM CI\iIP.4786.1 ADDED
Endorsement Premium
lncrease
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Claim Record
$ 44.00
O CopyIi0hL St.te Farm Mutu nl Automobile lnsurnnc. Complny,2008
lnclud6s copyrightsd material of lnsur0ncs Soruicss offico, lnc., wi$ iis p?rmisston.
Continued on Reverse Side of Page Page 1of 6
t30 tlE o 2 05 l! ?0ll lolll2llc,
!
Prepared
FEB 20 2023
cMP-4000
030677 290 Al
N
DECLARATIONS (CONTINUED)
Otllce Pollcv ,or CITY OF MENIFEE
Pollcy Num6er 92-CV-K20&3
SECTION I. PROPERTY SC LE
Location
Numbor
Locatlon ol
Descrlbed
Preml3gs
Limit of lnsurancs*
Coveraoe A -
Buildings
Llmlt ol lnsurance'
Coverao€ B -
Buslness Fersonal
Property
Seasonal
lncrease-
Business
Personal
Property
001 1350 E CHASE DR
coRoNA cA 92881-4001
No Coverage $ 84,100 25%
. As ol the ective date o spo cy, t e m
SECTION I - I
lnsu rance as s nc udes any incroase in the I tmt ue to nf latlonn verage
FLATION COVEHAGE IN ES)
Cov A - lnf lation Coverage lndex:
Cov B - Consumer Price lndex:
N/A
292.3
sEcrroN l -DEDUCTIBLES
Basic Deductible
Spoclal Deductibles:
Money and Securities
Equipment Breakdown
$1,000
$250
$ j,ooo Employee Dishonesty $250
Othsr d€ductibles may apply - refer to policy
Prepared
FEB 20 2023
cMP-4000
030677 Page 2 ol 6
O Copyri0ht, St!t. Farm Muturl Automobilq hsur.nc€ Comprny,20(E
lnclud!t copyrightBd mot8rial of ln!urrnce S6rvices offior, lnc., wi?h its psrmi!sjon.
Continued on Next Page
StateFarma
E-fi
tE4
DECLARATIONS (CONTINUED)
Orlice Pollcv lor CITY OF MENIFEE
Policy Num6er 92-Cv-K20&3
SECTION I . EXTENSIONS OF COVERAGE . LIMIT OF INSU RANCE - EACH DESCRIBEO PREMISES
!
E,3a3
The coverages and corrosponding llmlts shown below apply soparatsly to each descrlbod premisos shown in lhese
Declaratlons, unless lndicatsd by "Soe Schsdulo." ll a coverage does not hav6 a corrgsponding limlt shown below,
but has "lncluded" indlcated, pl6ase rerer to that pollcy provision for an oxplanatlon ol that coverage.
COVEBAGE
Accounts Receivable
On Premises
Off Premises
Arson Reward
Back-Up Of Sewsr Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Dopartment Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Altetation
Glass Expenses
lncreased Cost Of Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securilies (Olf Premises)
Money And Securities (On Premises)
Money Orders And Counterteit Money
Newly Acquired Business Personal Property (applaes only if this policy provides
Coveiage B - Business Personal Property)
Newly Acquired Or Conslructed Buildings (applies only if this policy providos
Coverage A - Buildings)
LIMIT OF
INSUBANCE
$5,ooo
$15,000
lncluded
Coverage B Limit
25% ot covered loss
lncluded
$s,ooo
$s,000
$10,000
lncluded
10%
$5,000
$10,000
$1,ooo
$100,000
$250,000
000
000
$s
$
0
Prepared
FEB 20 2023
cMP-4000
O Copyrioht Strlo F.rm Mulull Automobils lnsurlncs Company, 2008
Includss coovri0htod m.brilt ot lnsurrnca S.rvices 0ffice, lnc., with its permistion
Continued on Revsrse Side ol Page030678 290
N
Page 3 of 6
DECLABATIONS (CONTINUED)
Offic€ Policv tor CITY OF MENIFEE
Policy Num6er 92-CV-K20G3
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Ellects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property Ofl Premises
Pollulant Clean Up And Removal
Preservation Of Property
Properly Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Businsss Card Use
Valuable Papers And Flecords
On Premises
Off Premises
lncluded
$s,ooo
$s,000
$15,000
$10,000
30 Days
$2,s00
$2,500
$5,000
s50,000
$15,000
sEcTtoN r -EXTENSIONS OF COV ERAGE . LIMIT OF INS RANCE - PER POLICY
The covorages and corresponding limits shoJvn below are the most we will pay rogardless of the number oldescrlbod premisos shown in thoso Oeclarations.
COVERAGE
Dependent Property - LosE Of lncome
Employee Dishonssty
Utility lnterruption - Loss Ol lncome
Loss Of lncome And Extra Expense
@ Copyrich! Stlt€ F!rm Mutu!l Automobil? lnsur.nc0 Comp!ny, 2mB
lnEludsr cogyriohtsd mlterirl of lnrurunce Servic0s officB, lnc., with lt! trermission
Continued on Next Page
LtiitlT oF
INSURANCE
$s,000
$10'000
$10,000
Actual Loss Sustained , 12 Months
Prepared
FEB 20 2023
cMP-4000
030678 Page 4 of 6
StateFarm(D@
W1#.Lffi
DECLARATIONS (CONTINUEO)
Oflice Policv tor CITY OF MENIFEE
Policy Num6er S2-CV-K20F3
SECTION II . LIABILITY
D
a
ts
,'J
6A
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE UTITS
Products/Completed Opsrations Aggregate
General Aggregale
Each paid claim for Liability Covarag€ reduces lhe amount ol insurance wo provide during
annudl period. Please refei to Ssction ll - Liability in the Coverage Form and any attached
LIMIT OF
INSURANCE
$3,000,000
$5,000
$300,000
LIMIT OF
INSURANCE
Excluded
$6,000,000
the applicable
endorsements
Your oolicv consists of these Declaralions, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and-endorsements lhat apply, including those shown below as well as those issuod subsequent to the
issuance of this policy.
FOBMS AND ENOO RSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
FE-6999.3
cMP-4845
cMP-481 9.1
cMP-4698
cMP-4704.1
cMP-4710
cMP-4709
cI/P-4703.1
cMP-4705.2
cMP-4260.1
Businessowners Coverage Form
'Addl lnsd Owners Lessee Sched
.Waiver of Trans Rgl of Recov
Terrorism lnsurance Cov Notice
Excl Product Comp Operatn Liab
Unauthorized Business Card Use
Back-Up ol Sewer or Drain
Dependent Prop Loss of lncome
Employee Dishonesty
lVoney and Securities
Utility lnterruption Loss lncm
Loss of lncome & Extra Expense
Amendatory Endorsement-CA
o copyriqh! Strt. F!rm lvlutual AutomobilE lnsurrnce Complny, 2m8
lnclud6s copyrightod m6torial of lnsu16nc0 Soruices 0ffio8, lnc., with its psrmission
Continued on Reverse Side ol Page Page 5 ol 6
Prepared
FEB 20 2023
cMP-4000
030679 290
N
DECLARATIONS (CONTINUED)
Otllc€ Policv tor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
cMP-4261
cMP-4859
cMP-4870.1
FD-6007
Amendatory Endorsement
Al Engineer Architect Survey
Addl lnsd Primary Non Contrib
lnland Marine Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.. New Form Altached
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You are entided to parlicipats in a- dlstrlbution of the earnings of the company as det€rminad by our Board of Dirsctors in
accordanca with the Company's Artbles of lncorporation, as amended.
ln Wtness Whereof, he State Fam Geh€ral lnsurance Company has caused this policy to be signed by its President and
Secrotary al Boomington, lllinois.
ffU, .lnltr"'r,n
Sscretary
-ileM4
President
IMPOBTANT NOTICE:
Callomla bw requhes us.to plovlde,you wlth lnlomatlon for llllng complslrte whh tho Stat6 lnsuronce llepattmem regordlng rhecovercgs and ssrvhe provldod under fia policy.
Your rgsnl'! name and conltct lnlormdlon are plovid€d on the lrom ol lhis documenl. AnotlEr optlon iB to letch oul by
mail or phone dlrectly 'to:
Stde Farmo Erecrrtiye Curlomar garvlog
PO Eor 2320
Bloomhgnon lL 61702
Phone t 1{oo-STATEFABI (l -80G762'OAP)
D,spannent or lnsurance comphlntt should be llhd only alter you and Stste Fam or yout agpnl or olhor company
reptE$rt8tfus hsvs lsiled to rrrch 0 stlrlactory agls€mont on E problgm.
Crlifomir Deparunent oI lr|ainnco
ConslIner 9ervlcer Dlvlslrlr
300 Soulh gprlng Srrc€t
LoE Angeles, CA 90013Phon, lSoo-927-HELP (r&157) or ybit iyw.insuranca,s€.qov/o.|-conl(fnerr
Pre p ared
FEB 20 2023
cMP-4000
030679 290
N
O Copyri!h! Strto F.rm lMutu al Automobil€ lnsuranc? Comprny,2008
lDcluds! cogyri0htBd matErial of lnsur.nce Servicos Offi6s, lnc., with its pormislion.
Page 5 of 6
I
STATE FART' GEI{EBAL INSURANCE COI/IPANY
A STOCK COMPANY WfH HOME OFFICES IN BLOOMINGTON, ILLINOIS
EIAPI&1I7,t t,,or.rt, u
Named lnsured
M-23-O555.FACE F U
AR}ISTRONG & BROOKS CONSU LT I NG
ENGITIEERS INC
ATTACHING INLAND MARINE
INLAND MARINE ATTACHING DECLARATIONS
Policyltlumber 92-CV-K206-3
Policv Pedod Elleclive Oata Exoiration Dats
12 Nitbnths ocT 1 2022 ocT 1 2023
Ihe polioy penod begtns and ends at I2:01 am standard
tme at the premlses locauon.
(D@
ffi
Aulomatic Renewal - lf the policy period is shown as 12 monlhs , tris policy will be renewed automatcally subiectto the premiums, rules and
forms in effect tor each sucieedin! policy period. ll tris policv is terminated, we will give you and the Mortgagee/Lienholder writien notce in
compliance wi r the policy provisions or as rgquired by law
Annual Policy Premium $ 373.00
The above Premium Amount is included in fre Policy Premium shown on he Declarations.
Your policy consists of these Declarations, tre INLAND MARINE C ONDlTl0NS shown beloq and any other Iorms and endorsemenb that
app[l inclirding trose shown below as well as fiose issued subsequentto the issuance of dtis policy
Foms, 0plions, and Endorsoments
FE-8739
FE-6271
FE-8745
FE-8760
See Reverse for Schedule Page wi$ Limits
Prepared
FEB 20 2023
FD-6007
030680
O Copyright Stlto Flrm Mutu!lAutomobih lnrurrnc. ComplnY,2m
lnclud0! copvrilhted mlt8ri0l of lnsurroco S€ryicoi ofic8. lnc., with its permissign.
I
!30 6[0a.2 05 ill 2[]1 lo1l3?12cl
StateFann
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
Mobile Equipment Form
92-CV-K20&3
ATTAC HII{G IITLAIIID MARIIIE
ATTACHING INTAND MABI]tIE SCHEDULE PAGE
ENDORSEMENT
NUMBER
FE-8745
FE-8760
C OVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Exoense
Mobile Equipment Form
I
I
$
25,000
25,00037,000
LIMIT OF
INSURANCE
DEDUCTIBLE
AM(]UNT
ANNUAL
PREMIUM
Included
IncludedI 573,00
s 500
$ 1,000
Prepared
FEB 20 2023
FD-6007
030680
OTHER LIMITS AND EXCLUSIONS MAY APPLY . REFER TO YOUB POLICY
O Cogyrighl Suts F.rm lvlutuEl Automobile lnsurlnco Comp6ny, 2m8
lnclud0! copyrighted mrtsrill of lnsur6ncs Ssrvices 0ffice, lnc.. with its ogrmission.
530 t86 BZ 05 3l ?ll1 loxStllcl