2022/10/01 Armstrong & Brooks Consulting Engineers IncStateFam STATE FAHM GENEFAL INSUFAT{CE COMPAiIY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?o1fli fftJF L a, zoz-z s r s
Addl lnsured-Sectlon ll Only
M-23-0555-FACE F U
003091 3123CITY OF IIEN I FEE
?9844 HAUN RD
E IFEE CA 9?586-6539
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DECLARATIONS AMENDED FEaT 2023
Policyllumber 92-CV-K206-3
Pollcv Perlod Etloctivo Dots Exoimtion Dalo
12 Mbnths OCf 1 2022 OCT 1 2023
Ihe polioy period beoins and ends at 12.01 am standard
tme atl'le premrses l0cat0n
Named lnsurod
ARITSTRONG A BROOKS CONSUTTING
ENGINEERS INC
&
ffi
8
8
'aE
Office Policy
Automatic Rerswal - lf he policy parlod is shown as 12 months , this policy will be renewed automatcally su bject to the premiums, rules and
forms in etfect for each succeeding policy period. lf dris policy is telminated. we will give you and fie Mortgagee/Lienholder written notice in
compliance witr the policy provisions or as required by law.
Entlty: Corporation
Reason toa Declarations:Your policy is amended FEB 7 2023
ADDITIONAL INSUBED ADDED
PBEMIUM ADJUSTMENT
FORM CMP-4786.1 ADDED
Endorsement Premium
lncrease
Discounts Appl;ed:
Renewal Year
Years in Business
Protective Devices
Claim Record
$ 214.00
Prepared
FEB 21 2023
cMP-4000
022336 2S0 A
N
@ C0pyri!h! Strts F!rm l\4utual AutomobilE lniurlnc0 Comprny,2008
lnoludos copyri0ht€d mitori6l ol lnsur!nce SBrvic€s offics. lnc., r,rith its psrmission
Continued on Reverse Side of Page Page 1 of 6
q BxAi,I\ 1r,Irl rnltrrlllrr
!
DECLARATIONS (CONTINUED)
Olrice Pollcv lor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
SECTION I - PROPEFTY SCHEOULE
Locauon ot
Dsscribod
Premlses
Limlt ol lnsuranco'
Coveraoe A -
BulEfngs
Llmlt ol lnsurance*
Covereo€ B -
Business Fersonal
Prop6rty
Seasonal
lncrease-
Business
Personal
Property
001 1350 E CHASE DR
coRoNA cA 92881-4001
No Coverage $ 84,100 25%
' As of th-€fie ctive date of this po tcy,e Lim t ol lnsurance as s own n s any lncrgase nt m t due to lnf lat on erage
SECTION I . INFLATION C E INOEX(ES}
Cov A - Inf lation Coverage lndex:
Cov B - Consumer Price lndex:
N/A
292.3
SECTION I - DEDUCTIBLES
Basic Deductible
Special Doductlbles:
Money and Securities
Equipment Breakdown
$1,000
s250
$1,000
Employee Dishonesty $250
Other deduclibles may apply - refer to policy
Prepared
FEB21 2023
cMP-4000
022336
O Copyri!h! St.to F!rm l\4 utu r I Automobilo lnsurrnc€ Complny,2mg
lnolud.r copyrilhtsd mlt8ri!l ol lnlur!nc€ SBrvicBs offics, lnc,, rvith its psrmi!rion
Continued on Next Page Page 2 of 6
Location
Number
StateFarm
ffi
DECLARATIONS (CONTINUED)
Ofllce Policv lor CITY OF MENIFEE
Policy Num6er 92-Cv-K20&3
SECTION I. EXTENSIONS OF COVEHAGE . LIMIT OF INSUBANCE. EACH OESCHIBED PREMISES
I
EA
The coverages and corresponding llmits shown below spply separately to€ach desclibod premises shown in these
Declarationa, unless indlcal€d by "See Schedule." It a covoragg does not have a corrosponding llmit shown bElow,
but has "lnclud€d" indlcated, please refor to that policy provlsion for an explanatlon of that covsrage.
LIMIT OF
INSUBANCECOVERAGE
Accounls Receivable
On Premises
Otf 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 Dopartmenl S€wice Charge
Fire Exlinguisher Systems RechargE Expens€
Forgery Or Alteration
Glass Expenses
lncreased Gost Of Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securitiss (Off Premises)
Money And Securities (On Premises)
Money Orders And Counterleit Money
Newly Acquired Business Personal Property (applies only it this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
$s0,000
$15,000
$5,ooo
$15,000
lncluded
Coverage B Limit
25olo of covered loss
lncluded
$s,ooo
$5,000
$10,000
lncluded
10%
Pre p ared
FEB 21 2023
cMP-4000
C Copyright Stats Farm Mutu!l Auiomobils hsurlnrs Comptny, 2008
lnclud6s copyrichted materltl ot ln3ur!nco SErvicBt 0ffice, lnc,, with its permission
Continued on Reverse Side of Page
$5,000
$10,000
$1,ooo
$100,000
$2s0,000
022337 290
N
Page 3 of 6
E&
oEcLARATTONS (CONTTNUED)
Otlice Policv for CITY OF MENIFEE
Policy Num5er 9iI-CV-K2OE3
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Ellects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Pr€servation Of Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Businsss Card Use
Valuable Papers And Becords
On Premises
Off Premisos
sEcTtoN I -
Included
$s,000
$s,000
$1s,000
$10,000
30 Days
$2,500
$2,s00
$5,000
$s0,000
$15,000
EXTENSIONS OF COV RAGE . LIMIT OF IN RANCE - PER POLICY
Tho coveragos and corlesponding limits shown below are tho most we will pay rogardless ot tho number ofdescrlbed premises shown ln thsso Dgclarations.
COVEFAGE
Dapendent Property - Loss Of lncome
Employee Dishonosty
Utility lnlerruption - Loss Of lncome
Loss Ol Income And Extra Expense
O Copyright Stats trrm Muru!l Automobilo lnsurrncB Complny,l0(E
lnclud03 copyrightsd materirl ot lnsur!0c€ SrrvicB! offics, lnc., urith its prrmission.
Continued on Next Page
LIMIT OF
INSURANCE
$5'000
$10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
FEB21 2023
cMP-4000
022337 Page 4 of 6
StateFam&
E"Si
EisB)
DECLARATIONS (CONTINUED)
Ofllce Pollcv lor CITY OF t ENIFEE
Pollcy Num6er 92-CV-K2OS3
SECTION II - LIABILITY
8
3
J63
COVEFAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rontsd To You
AGGREGATE UTIITS
Productyoompleted Operations Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces lhe amount of insurance we provide duting
annudl period. Please rer€i to S€ction ll - Liability in the Coverage Form and any attached
LIMIT OF
INSUBANCE
$3,000,000
$5,ooo
$300,000
LIMIT OF
INSUBANCE
Excluded
$6.000.000
the applicable
endorsements.
Your oolicv consists of those Declarations, the BUSINESSOWNEBS 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.
FOBMS AND ENOO RSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
FE-6999.3
cMP-4845
cMP-4819.1
cMP-4698
cMP-4704.1
cMP-4710
cMP-4709
Cl\,lP-4703.1
cMP-4705.2
cMP-4260.1
Businessowners Coverage Form
'Addl lnsd Owners Lessee Sched
'Waiver of Trans Rgt of Becov
Terrorism lnsurance Cov Notice
Excl Product Comp Operatn Liab
Unauthorized Business Card Use
Back-Up ol Sewer or Drain
Dependent Prop Loss of Income
Employeo Dishonesty
Money and Secutities
Utility lnterruption Loss Incm
Loss of lncome & Extra Expense
Amendatory Endorsement-CA
Prepared
FEB 21 2023
cMP-4000
022338 290
N
Page 5 o{ 6
!
O Copyri0h! StltB Firm Muturl Automobilo lnlurlnc. Complny,2m
hcludor copyrilhted mltsrill of lnsur!ncs Sorvices olfics, lnc., with is permission.
Continued on Reverse Side of Page
DECLAFATIONS (CONTINUED)
cMP-4261
cMP.4859
cMP-4870.1
FD-6007
Amendatory Endorsement
Al Engineer Architect Survey
Addl lnsd Primary Non Contrib
lnland Marin€ Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED, PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.
' New Form Attached
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You are enfitlad to paIticipate in a dlstdbution of the earnings of the company as determined by our Board of Directors in
aocordance wilh he Company's Artioles of lnoorporation, as amended.
ln Witness Whereof , the State Farm
Secretary at Eoomington, lllinois.
General lnsurance Company has caused this policy to be signed by its President and
ff '-rrnl*"tt
secr€tary
-{l-r," b/ry
IMPOFTANT NOTICE:
Colforlil8 low requlres ug.to provldo you wlth lntomotlon for llllng complalnts wlth the Stste lmu]tnce Dep€]tmem leoordlng the
covelago and sorvice provldcd under ttfa policy.
Your agslrll nlme 8nd contlcl ldomtllon rrE provided on ths lrom gl lhb documsd. AnottBr optlon ls to teach oul by
msll orphon€ dloctly lo:
Slds Fr]nP Erccutv. Culonrcr SoMo.
PO Bor 2320
Boomhglon lL 61702
Phone t l€oo-STATEFARI (r -8G782{!i}2)
Irep.ttlent ot lnlurrnoe comphhtr should be llled only attol you lnd Stste Farm or youl rgel ol othel company
roplDsmltlvo havo l.Ie d lo rtadr I aadthctory tgroomont on ! pIobLm .
Crfomir Depanme[lt oa ln nncp
Comuner gervlce3 Olvlsbn
300 South 8prlry gt]eet
Lo. A|{cbs, CA 90013
Phon", l€00.927-HELP (i*t54 er vilit ruw.lnau1anco.cs.ooy/0l.corllrmort
P16sident
O Copyrigh! Stito F!rm Mutull Automobils ln!urlnc0 Comp!ny,2m
lnclud!r copyri!ht8d mltoriil of lnsurrncr Ssrvicir 0ffirs, lnc.. wi$ itr p0rmirsion
Prepared
FEB 21 2023
cMP-4000
022338 290
N
Page 6 of 6
Ofllce Pollcv lor CITY OF MENIFEE
Pollcy Num6er 92-CV-K20F,3
STATE FARM GENEFAL II{SURA CE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOAMNGTON, ILLINOIS
Po qox 2915
Bl@ni nqton I L 6 1 702- 29 t 5
Named lnsured
M-23-O555.FACE F U
AR STRONG & EROOKS CONSULTING
ENGIIEERS INC
ATTACHING INLAND MARINE
INLAND MARINE ATTACHING OECLARATIONS
Policyl{umber 92-CV-K206-3
Policv Period Elfuctivo Date Exliralion Date
12 Mbnths ocr 12022 ocT 1 2023
Ihe polipv period beqins and ends at 12:01 am standard
ttme at the premlses Iocaton.
&
ffi
8
Aubmalic Ronowal - lf tfre policy pefod is shown as 12 months . $is policy will be renewed automatcally subject to the premiums, rules and
forms in effect for each sucleedin! policy period. lf tris policy is terminated, we will give you and the lvlo rtga ge e/Lien hold er written notce in
com pliance witr the p olicy provisions or as required by law
Annual Policy Premium $ 373.00
The above Premium Amountis included in ttre Policy Premium shown on fie Declarations.
Your policy consists of $ese Declarations, tre INLAND MARINE C0NDITI0NS shown belo_w, and any odter forms and endorsemenE trat
a pply, inclirding fiose shown below as well as trose issued subsequent to fte issuance of tlris policy.
Foms, 0ptions, and EndorsomenE
FE-8739
FE-6271
FE-8745
FE-8760
lnland Marine Conditions
Amendatory Endorsemsnt
lnland Marine Computer Prop
Mobile Equipment Form
See Reverse for Schedule Page wi$ Limits
Prepared
FEB 21 2023
FD-6007
022339
O Copyri0ht State Fsrm M utu a I Automobii€ lnsur!nc. Company,2008
lncludes copyri0htsd matetisl of lnsur.ncE Servic0s office, lnl.. with its psrmission
530 618r.2 0! 3l ?0ll (olt32l2cl
StateFarm
92-CV-K20&3
ATTAC HII{G II{tAfl D MARIIIE
ATTACHING INLANO MARINE SCHEDUI.E PAGE
ENDORSEMENT
NUMBER COVERAGE
LIMIT OF
INSURANCE
DEDUCTIBLE
AMOUNT
ANNUAL
PREI\4IUM
Included
IncludedI 575.00
FE-8745
FE-8760
25 , OOO
25,00057,000
s 500
$ 1r000
lnland Marine Computer Prop
Loss of lncome and Extra Exoense
Mobile Equipment Form
s
s
$
Prepared
FEB 21 2023
FD-6007
022339
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
-
@ Copyrighi Stato Flrm lvlutu.lAutomobile lnsur!nce Comp.ny, Z00B
lncludBs copyrightod mEtBrial of ln3urrncs SeryicBs Offics, lnc.. with it! oormission.
!10 016!? 0! 31 2tll lolBtin.l