2021/10/01 Armstrong & Brooks Consulting Engineers IncStateFarm STATE FAHM GENEHAL INSUHANCE COMPANY
A S|OCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS
E?"F?ial1f,! ?* r s o e s. s s rs
Addl lnsured-Sectlon ll Only
l\il-23-0555-FACE F U001983 3123CITY OF I'IEN I FEE29844 HAUN RD
MENIFEE CA 9?546-6539
rr,1r,Ir111r111rl11lrl' rlrlil rh II r" il, hthtlh l'1il il" ttllt
DECLARATIONS A|\,4ENDED JAN 1 7 2022
Policyl{umber 92-CV-K206-3
Policy Period Ethclive Date Exointion Date12 l\ilbnlhs OCf 1 2021 OCT 1 2022
Ihe polipV period beqins qnd ends at l2:01 am standardtme at fie premlses Iocaton.
!&
fffi
EsrE
Office Policy
Automatic Benewal -
forms in erffect for eac
com plian ce witr the p
lf the policy period is sh
h succeeding policy per
olicy provisions or as re
own as 12 monlhs , this policy will be renewed automaically subJectto $e premiums, rules and
iod. If tris policy is termin ated, we will give you and the Mortgagee/Lienholder written notice in
quired by law.
Endorsement Premium
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Claim Record
None
Prepared
FEB 02 2022
cN/P-4000
015517 290 At
N
o Copyriohl Stat8 Farm lvlutu0l AutomobilB lnsur!nce Comp!ny, 2008
lncludes copvrightsd motsrial of lnsurancs S6ruices offics, lnc., with its pBrmissioi
Continued on Reverse Side of Page Page 1 of 5
130 080 o 2 05 3l l01l lo1l3?illc
Named lnsured
AR]'ISTRONG & BROOKS CONSULTING
ENGINEERS I I{C
Entlly: Corporation
Reason lor Declarations: Your policy is amended JAN 17 2022
ADDITIONAL INSURED ADDED
PREIVIIUM ADJUSTMENT
FORM CMP-4859 ADDED
DECLARATIONS (CONTINUED)
Ollice Policv for CITY OF MENIFEEPolicy Num6er 92-CV-K206-3
SECTION I . PROPERTY SCHEDULF
LocationNumber Location olDescribedPremises
Limit ot lnsurance*
Coveraoe A -
Buildi-ngs
Limit ot lnsurance*
Coveraoe B -Busin6ss Fersonal
Property
Seasonallncrease-Buslnoss
P6rsonalProperty
001 1350 E CHASE DR
coRoNA cA 92881-4001
No Coverage $ 77,400 25%
'Asofthee VE te ol this policy, the L m nsurance as s own nclu s any ncrease in the limit due to on erage
SFT:TI.)N I . INFI ATION COVFFIAGF INNFY/FqI
Cov A - lnflation Coverage lndex
Cov B - Consumer Price lndex:
SECTION I - DEDUCTIBLES
N/A
269.2
Basic Deductible
Special Deduclibles:
Money and Securities
Equipment Breakdown
Employee Dishonesty
$1,000
s250
$1.000
$250
Other deductibles may apply - refer to policy
Prepared
FEB O? 2022
ct\,4P-4000
015517 Page 2 of 6
@ Copyright, St6ts tfim Mltu.l Automobile lnsur!hcE Comp.ny, 2008
lncludss copyriohtsd materi6l of lnsuronce Sorvic€s offi!6, lnc., with its pBrmission
Continued on Next Page
I
StateFarm(-dD
ffii
DECLABATIONS (CONTINUED)
Oltice Pollcv lor CITY OF MENIFEE
Policy Num6er 92-CV-K206-3
SFCTION I - FYTF IONS OF COVERAGF - I II/IIT OF INSI BANCE . EACH DESCRIBED PREMISE
!
8
.363
The covetages and coresponding limlts shown below apply separately lo each described premlses shown in theseDeclarations, unless indicated by "See Schedule." ll a coverage does not have a corresponding lhit shown below,but has "lncludod" indicated, please refer to that policy provision lor an explanation ol that covsrage.
LIMIT OF
INSURANCECOVERAGE
Accounts Receivable
On Premises
Ofl Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thelt, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department S€rvice Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alleration
Glass Expenses
lncreased Cost Ol Construclion And Oemolition Costs (applies only when buildings ar€
insured on a replacement cost basis)
Monoy And Securities (Olf Premises)
Money And Securities (On Premises)
Money Orders And Counterleit Monoy
Newly Acquired Business Personal Property (applies only if this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
$50,000
$1s,000
$5,000
$15,000
lncluded
Coverage B Limit
25% of covered loss
lncluded
$s'ooo
$5,000
$10,000
lncluded
100/"
Prepared
FEB 02 2022
cMP-4000
015518 290
N
O Copyright Stlt€ Farm lvlutual Automobils ln!urrncr Comp.ny,2008
lncludos copyriOht6d mitorial ol lnsur!ncs Servic0g olficB, lnc., with it' p0rmission
Conlinued on Reverse Side of Page
$s,000
$10,000
Sl,ooo
$100,000
$2s0,000
Page 3 ol 6
DECLARATTONS (CONTTNUED)
Oltic€ Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K20&3
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Etfects (applies only to thos6 premises provided Coverage B - Business
Personal Property)
Personal Property off Premises
Pollulant Clean Up And Removal
Preservation Of Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Business Card Use
Valuable Papers And Becords
On Premises
Oft Premises
SECTION I. EXTENSIONS OfCOVEEAGE: LIMIT OF INSURANCE - PER POLICY
lncluded
$s,000
$5,000
$15,000
$10,000
30 Days
$2,s00
$2,500
$5,000
$50,000
$15,000
The coverages and corrosponding limlts shown bslow are the most we wlll pay regardless ot the numbor ol
described premises shown in these Declarations.
COVERAGE
Dependent Property - Loss Ol lncome
Employee Dishonesty
Utility lnterruption - Loss Of lncome
Loss Ol lncome And Extra Expense
LIMIT OF
INSURANCE
$5,000
$10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
FEB 02 20?2
cMP-4000
015518 Page 4 of 6
O Copyri!ht Stlto Firm l\4uturl Automobils lnrurrnor Cornprny, 2008
lncluds$ copyright.d m0terial of lnsurance Servic0s offio€, lnc , with its psrmission
Continued on Next Page
StateFarm !&
fe.*Lrlr
DECLARATTONS (CONTT NUED)
Otlice Policv lor CITY OF MENIFEE
Policy Num6er 92.Cv-K20&3
sEcTtoNll-rtaB ITY
II
ig
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE LIMITS
Productycompleted Operations Aggregate
General Aggregate
Each paid claim for Liabjlity Coverage reduces the amount of insurancs we
annual period. Please refer to Section ll - Liability in the Coverage Form an
provide during the applicable
d any attached endorsements.
LIMIT OF
INSURANCE
s2,000,000
$5,ooo
$300,000
LIMIT OF
INSURANCE
Excluded
$4.000.000
Your policy consists ol these 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.
FORMS AND ENDOBSEMENTS
cMP-4101
cMP-4859
cMP-4787
FE-6999.3
cMP-4845
ctvlP-481 9.1
crvlP-4698
cMP-4704.1
cMP-4710
C l\il P -4709
cMP-4703.1
cMP-4705.2
cMP-4260.1
Businessowners Coverage Form.Al Engineer Architect Survey-Waiver ol Trans Rgt of Becov
Terrorism lnsurance Cov Notice
Excl Product Comp Operah Liab
Unaulhorized Business Card Use
Back-Up of Sewer or Drain
Dependent Prop Loss of lncome
Employee Dishonesty
Money and Securities
Utility lnterruption Loss lncm
Loss of lncome & Extra Expense
Amendatory Endorsement-CA
Prepared
FEB 02 2022
cMP-4000
0r 5519 290
NI
Page 5 of 6
@ Copylight Strts Fum Mutu.l Automobils lnaur!ncs Complny, 2008
lncludos copyriohtsd m.t8ri.l ol lnsur!nc0 S6rvic0! 0ffics, lnc., with its psrmilsion.
Continued on Rev€rs€ Side ol Page
DECLAHATIONS (CONTINUED)
Otfico Policv tor CITY OF MENIFEEPolicy Num6er 92-CV-K20G3
cirP-4261
cMP-4786.1
FD-6007
Amendatory Endorsement
Addl Insd Owners Lessee Sched
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 Attached
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You are €ntfled lo participate in a distribution of th€ €arnings o, th€ company as d€lermined by our Board of Directors in
accordance with the Company's Articles of lncorporation, as amended.
ln Witnoss Whereof, he State Farm
Secrelary at Bloomington, lllinois.
General lnsurance Company has caused this policy to be signed by its President and
fi*tnltr*"tt
secretary
-ilr-t" Mrf
IMPORTANT NOTICE:
CEllroml€ hw lsqulles ue-to provlde you wlth lnlormatlon ror llllng cornplglmg whh th€ $are lnsuronce DiDpaflmen r6gqrdh0 tlE
coverage and aervice provkled under thi8 policy.
Your sge]Il's name snd contact inlormrtion are p]ovided on the llonl ol lhb document, Anotlrr opllon 16 to re8ch out by
mqil or phone dlroctly lo:
Stato Fario Erccutivq Customer S€rvico
PO Box 2320
Blooming,lon lL 61702
Phone * I8OO-STATEFAB (1'80G782-8332)
Depanment ot lnsuranoe complaints should be lihd only sner you snd Stste Frrm or yout aganl or other cornpanyleprEsntatfuo htve leiod to rsaeh € satisloEtory sgrgomont on 6 problom,
Csliaomia Deprrtn€nt of lflsuI{nce
conrumer serYlces Olvlslen
300 South Sprlng Slreet
Loa AngobE, CA 9ool3
Phons # l+oo{27-HELP (/N}57) 01 ybit www,in8ulance.ca.ooyiol-qonqmsr.
President
@ Copynohl St6te F6rm lvlutu!lAltomobilB lnsur.nco Comp!ny,2008
lncludes copyright8d materiil ot lnsur!ncs Ssrvic0! oflica, lnc.. with its permission
Prepared
FEB 02 2022
cMP-4000
015519 290
N
Page 6 of 6
I
I
I
StateFarm STATE FABM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS
El"F 3/#8f, ,n ?f, , u ou u.' n, u
Named lnsured
IV-23.0555.FACE F U
ARHSTROT'IC & BROOKS COI{SULTING
ENGI t,IEE R S INC
ATTACHING INLAND MARINE
INLAND MARINE ATTACHING DECLABATIONS ,
Policy[Iumber 92-CV-K206-3
Policv Po od Elloclivo Dato Exoiration Date'l2lvlbnths OCT 1 2021 oli 11022,I he policv period beqins and ends at 12:01 am standardtme at the prem tses Iocaton.
(-)c(D
tdiLEEL
I
3
Aubmalic.Bonewol - lf the policy period is shown as 12 months , tris policy will be renewed automatcally subjectto tre premiums, rules and
forms in effect for each succeeding policy period. lf tris policy is terminated, we will give you and tre Mortgagee/Lienholder written notice in
compliance witr fre policy provisions or as required by law.
Annual Polhy Pnmium $ 373.00
The above Premium Amountis included in tre Policy Premium shown on $e Declaralions
Your policy consists of tirese Declarations. fre INLAND MABINE C 0ND|Tl0NS shown below. and any other forms and endorsemenB $at
apply, including drose shown below as well as trose issued subsequent to dle issuance of $is policy.
Forms, 0plions, and Endorsemonts
FE-8739
FE-6271
FE-8745
FE-8760
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Compuler Prop
Mobile Equipment Form
See Heverse for Schedule Page witr Limits
O Copyrioht Stats t!rm lvlutual Altomobil€ ln!u16ncB Comp!ny.2008
lncludor copyriqht€d mltorirl ol lnsuranc€ Sgrvicss offic6. lnc., with it! psrmission
530 606 o 2 05ll 20ll (oll323zcl
Prepared
FEB 02 2022
FD-6007
015520
92-CV-K206-3
ATTACHII{G INLAITD MARIITE
ATTAGH]NG INLAND MARINE SCHEDUTE PAGE
ENDORSEMENT
NUI\4 BER
FE-8745
FE-8760
COVERAG E
Lil\4tT 0F
INSURANC E
DEDUCTIBLE
AI\4OUNT
ANNUAL
P RE I\4IU IV
Included
Included$ 375.00
lnland Marine Computer Prop
Loss of lncome and Extra Expense
Mobile Equipment Form
I
s
25,000
25,00037,000
$ 500
$ 1,000
Prepared
FEB 02 2022
FD-6007
015520
OTHER LIM ITS AN D EXC LUSIONS MAY APPLY " REFER TO YO UR
O Copyrioht, Stlte Farm Mutual Automobilg lnsur.ncB Company, 2008
lncludBs cowri0hrsd matgrial of lnsu16nco Soruicss officE, lnc , with its psrmission
*O *O r, OU r, a,, ,",Orrr",
l