2021/10/01 Armstrong & Brooks Consulting Engineers Inc (6)StateFarm STATE FARM GENERAL INSURANCE COMPANY
A STOCK CAMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"F3io93i! R rsoe s -s s zs
Addl lnsured-Section Il Only
M.23.0555-FACE F U002154 3123CITY OF I{ET{ I FEEe98(4 HAUi{ RD
l{EN I FEE CA 9?546-6539
uDECLARATIONS COVERAGE SUMMARY I\,4AR 28 2022
Policy umber 92-CV-K206-3
Policv Period Elfuctive Date Exoiration Dato
12 Mbnths OCT 1 2021 6Ci t za2z
Ihe polipy penod begins and ends at l2 0l am standardflme at me premrses locaton.
Named lnsu.ed
ARI.ISTRONG & BROOKS CONSULTING
ENGINEERS INC
t'.is-rE-4$
E
Office Policy
Aulomatic Reltowal - lf ttre policy period is shown a s 12 months , this policy will be renewed automatically su blect to the premium s. rules and
forms in effectfor each succeeding policy period lf tris policy is terminated, we will giveyou andfre Mortgagee/Lienholder written notice in
compliance witr fre policy provisions or as required by law.
Entity: Corporation
Policy Premium
Discounts Applied:
Protective Devices
Claim Record
$ 1,435.00
Prepared
MAR 28 2022
cMP-4000
017421 290 Ar
N
Page 1of 6
&
tlh,rrlrllrt,1,,,t,I,rl,r,[,l,l,l,,il[,I,lriltl,tttlil,,,t,lt
O Cogyright StrtE Frrm Mutull Automobil€ lnrurcnc€ Compcny,2008
lnclud0s oopyrightsd mlterirl of ln3ur!nc. Ssrvicar offics, lnc., wifi hs psrmisiion.
Continued on Reverse Side ol Page
DECLARATIONS (CONTINUED)
Oftice Policv lor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
SECTION I . PROPERTY SCI{EDULE
Location
Number Location otDescribedPremises
Limit ot lnsurance'
Coverao€ A -
Bulldfngs
Limit ol lnsurance"
Coveraoe B -
Business Fersonal
Proporty
Seasonallncrgase-Business
PersonalPropeny
001 1350 E CHASE DR
coRoNA cA 92881-4001
No Coverage $ 77 .400 250k
t As of the effective date of lhis po icy, the Limit ol nsurance as s n rnc es any rncrease in the limit ue to latUnron rage
SECTION I . INFLATION COVERAGE INDEXTES}
Cov A - lnf lation Coverage lndex
Cov B - Consumer Price lndex:
SECTION I - DEDUCTIBLES
N/A
269.2
Basic Deductible
Special Deductibles:
Money and Securities
Equipment Breakdown
$1,000
$2so
$1,000
Employee Dishonesty $250
Other deductibles may apply - refer to policy
Prepared
MAR 28 2022
cMP-4000
017421
O Copyri!hL Stlte t!rm l\4uturl Automobils lnsur6nce Complny,zmg
lncludes copyri0htod materiEl ol lns0r!nc0 Servic6s oflica, lnc., with its psrmission
Continued on Next Page Page 2 of 6
StateFarm
ffi
DECLARATIONS (CONTINUED)
Office Policv lor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
SECTION I. EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES
Evt
The coverages and corr€sponding limits shown bolow apply soparately to each doscribed premis€s shown in these
Oeclarations, unless indlcated by "See Schedule." ll a coverage do€s not have a corresponding llmit shown below,but has "lncluded" indicaled, please reter to that policy provision tor an explanation ot that coverage.
LIUIT OF
INSUFANCECOVERAGE
Accounts Beceivable
On Premises
Otf Premises
Arson Reward
Back-Up Ol Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thett, Burglary Or Hobbery
Debris Bemoval
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Exp€nses
lncreased Cost Of Construction And Demolition Costs (applias only whon buildings are
insured on a replacemont cost basis)
Money And Securities (Off Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Mon6y
Newly Acquired Businees Personal Property (applies only if this policy provides
Coverage B - Business Porsonal Property)
NBwly Acquired Or Constructed Buildings (applies only i, this policy provides
Coverage A - Buildings)
$50,000
$15,000
$5,000
$15.000
tnctuded
Coverage B Limit
257" ol covered loss
lncluded
$5,000
$5,000
$10,000
lncluded
10o/o
Prepared
MAR 28 ?O22
cMP-4000
017422 290
N
o Cop/right Stlts Frrm Mutu!l Automobils lnturunc. Complny,20(E
lncludos copyriohtod m.ts.i.l of lnsur!ncB Sorvic0s oflicE, lnc., with ita p.rmi!sion
Continued on Reverse Side of Page
$250,000
Page 3 of 6
&!
$s,000
$10,000
$1,000
$100,000
DECLARATIONS (CONTINUED)
Otlice Policv lor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (applies only to those premises providod Coverage B - Business
P€rsonal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservation Of Property
Proporly Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Business Card Use
Valuable Papers And Flecords
On Premises
Oll Premises
lncluded
$5,000
$5,000
$15,000
$10,000
30 Days
$2,500
$2,500
$s,000
$s
$
000
000
0
5
SECTION I. EXTENSIONS OF COVEFAGE . LIMIT OF INSUBANCE - PER POLICY
The coverages and corresponding limits shown below are the most we will pay regardless ol the number oldescribed premises shown ln thos€ Declarations.
COVERAGE
Dspendent Property - Loss Of lncome
Employee Dishonesty
Utility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
O Copyright Stato F.rm l\4utuEl Altomobilo lnsur.nce Comp.ny, 2008
lncludes copyrighted mnteri!lof lnsuruncE Ssrvicss ofticE, lnc., wth its psrnnrsion
Continued on Next Page
LIMIT OF
INSURANCE
$s,000
$10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
MAR 28 2022
ct\4P-4000
017422 Page 4 of 6
StateFarm(-@
E:i-#jE-il+
DECLARATTONS (CONTTNUED)
Oflice Policv for CITY OF MENIFEEPolicy Num6er 92.CV-K2083
E
sFcTloNlt-ttaF t ITY
8
E COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Renled To You
AGGREGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached endorsemenls.
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
lorms and endorsements that apply, including those shown below as well as those issued subsequent to the
issuancs ot this policy.
FOHMS AND ENDORSEMENTS
cMP-41 01
FE-6999.3
cMP-4705.2
cMP-4710
cMP-4260.1
cMP-4698
cMP-4709
cMP-4704.1
cMP-4703.1
cMP-4819.1
cMP-4261
cMP-4845
cMP-4859
Businessowners Coverage Form
Tenorism lnsurance Cov Notice
Loss of lncome & Extra Expense
Employee Dishonesty
Amendatory Endorsement-CA
Back-Up of Sewer or Drain
Money and Securities
Dependent Prop Loss ot lncome
Utility lnterruption Loss Incm
Unauthorized Business Card Use
Amendatory Endorsement
Excl Product Comp Operatn Liab
Al Engineer Architect Survey
Prepared
MAR 28 2022
cMP-4000
017423 290
N
Page 5 ol 6
LIMIT OF
INSUHANCE
$2,000,000
$5.000
$300,000
LIMIT OF
INSURANCE
Excluded
$4,000,000
O Copyrigh! St.tB F.rm l\4utu!l Automobil€ ln!urrnc€ Complny,20m
lnclud0! copvri0htsd mltsri.l of lntur.ncs Sorvicsr offic0. lnc., wth its prrmi!!ion
Continued on Reverse Side of Page
DECLARATIONS (CONTINUED)
Orlice Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K20G3
cMP -4787
cMP-4786.1
FD-6007
Waiver of Trans Flgt of Recov
Addl lnsd Owners Lessee Sched
lnland Marine Attach Dec
This policy is issued by th6 State Farm General lnsurance Company.
Partbipating Policy
You are enlifl€d to participate in a distribution of th€ €arnings of the company as determined by our Board of Dir€ctors in
accordanoe with ttre Company's Articles of lncorporation, as amended.
ln Witness Whereof, he Stat€ Farm General lnsurance Company has caused this policy to be signed by its President and
Secretary at Bloomington, lllinois.
f,r*'*Ynfut")a uS6cretary
-{A*e C"/q
IMPORTANT NOTICE:
Colllomlr hw rcqulres ue to provlde you wlth lnlormatlon tor llllng complolnts whh th€ 3t6te lngulonce Departmem reg€tdlng tlre
covorEgp and sorvice proviled under this policy.
Your aoent'! nEme and contact inlomation src provided on the tro.i ol ihb documet , Anotlpr optbn is to reach out by
moilor phone dloctly to:
Stste FqrrP Exsculivq Customer Ssrvico
PO Box 2320
Bloomlnglon lL 61702
Phone t I€{X)-STATEFAR (1-80G782-8332)
Depsrtment of lnsurance comphinB should be lilsd onty alter you 8nd State Fam ol your agent or olhel companyroprosntatfuc havo lallGd to Iorch a aatial6clory sgtesnent on. problem.
Caliaornir Oeparunent of lnsulonce
Consumer SerYlces Dlvlglrn
300 South Sprlng SlBet
Lo! AngoleE, CA 90013
Phone # 1.600.92z-HELP (4354 or vish f,ww.inourance.cq.qoy/ol.commere
President
@ Copyri!ht St6te F6rm lvlltu6l Automobile lnsursnce Comp!ny, 2008
lncludss copyriohtsd m6tori6l ol lnsur!0ce Servicos oflic€, lnc., with its psrmlgsion
Prepared
MAR 28 2022
crvrP-4000
017423 290
N
Page 6 of 6
StateFann STATE FARU GENERAL INSUBANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
tl
INLAND MARINE ATTACHING DECLARATIONS
Policyl{umber 92-CV-K206-3
Policv Period Elhclive Dale Exoiralion Oate
12 Mbnrhs OCT 1 2021 OCi t zo22
Ihe poltpv period begins qnd ends at l2:01 am standardtme at the premtses I0caton.
(D@
E?"E?idgT!;:?*75085-3925
Named lnsured
M-23-0555-FACE F U
ffi
E
bg
ARMSTRONG & BROOKS COI{SULTING
ENGINEERS INC
ATTACHING INLAND MARINE
Aubmatic Renewal - lf fie policy period is shown as 12 months . tlris policy will be renewed automatically subiectto fie premiums, rules and
lorms in effect for each succeeding policy period. ll tris policy is terminated, we will give you and tfre Mortgageeruenholder written notjce in
compliance widr $e policy provisions or as required by law.
AnnualPolicy Premium $ 373.00
The above Premium Amount is included in he Policy Premium shown on tre Declaralions
Your policy consists of fiese Declarations, fte INLAND MARINE C 0NDlTlONS shown below, and any other forms and endorsemenr that
apply. including trose shown below as well as fiose issued subsequent to tte issuance of this policy.
Forms, 0ptions, and Endorsements
FE-8745
FE-8739
FE-8760
FE-6271
lnland Marine Computer Prop
lnland Marine Conditions
Mobile Equipment Form
Amendatory Endorsement
Prepared
MAR 28 2022
FD-6007
017424
5:l i84.2 05 31 70ll 16ll!r!r.
See Beverse for Schedule Page witr Limis
o Coryrighl Stlto F!rm lrutu !l Automobilo lnlurrnco Comp.ny,2lxE
lncludos copyrioht.d mltarill ol lnsu16ncs Servic0s oflic0, lnc., rvith iti p.rmis!ion.
92-CV-K206-3
ATTACHING II'IIAI'IO MARII{E
ATTACH!NG INLAI'ID MARII'IE SCHEDUTE PAGE
ENDORSEMENT
NUI\4 BEB
FE-87 45
FE-8760
C OVERAG E
LIIVIT OF
INSURANCE
DEt)UCTIBLE
AMOUNT
ANNUAL
PREMIUI\4
lnland Marine Computer Prop
Loss of lncome and Extra ExoenseMobile Equipment Form
I
s
$
25
2537
,000
,000,000
$ 500
6 1r000
Included
Included$ 573.00
Prepared
MAR 28 20?2
FD-6007
017424
0THER LltVlTS AND EXCLUSI0NS MAY APPLY , BEFER r0 y0UB P0LtCy-
C Copyfloht Statr F.rm M utu ! I Automobile lnsur!nce Comp!ny,2008
lncludes copyr0hted m.terirlof lnsurance ServicBr oflice, lnc., with its pormision
t30 t86e2 05l! ?l,Il lolt32!3cl
StateFarm&92-CV-K206-3 017425
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
CMP4786.1 ADDITIONAL lNSURED _ OWNERS, LESSEES, OR CONTRACTORS
(Scheduled)
cMP-4786.1
Page 1ol2
ffi This endorsement modrfies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SECTION II - WHO IS AN INSURED of
SECTION ll - LIABILITY is amended to in-
clude, as an addittonal insured, any person or
organization shown in the Schedule, but onlywith 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;
8
.$
SCHEDULE
Policy Number: 92-cv-K2o6f
Named lnsured:
ARMSTFONG & BROOKS CONSULTING
Name And Address Of Additional lnsured Person Or Organization:
CITY OF MENIFEE
29844 HAUN RD
MENTFEE CA 92s86-6s39
1 b. lf 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, 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 rnsured 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.
@, Copyright, State Farm Mutual Automobile lnsurance Company, 2013
lncludes copyrigMed material of lnsurance SeMces Ofiice, lnc , with ib permissiofl
CONTINUED
!
3
2
4.
92-CV-K206-3 017425
Any insurance 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 afiorded to the
additional 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 wrll 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.
With respect to the insurance afforded 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 includer
(1) How, when and where the "occur-
rence" or offense took place;
(2) The names and addresses of any in-
jured persons and witnesses; and
c[/P-4786 1
"*"Jrx?l
(3) The nature and location of any injury
or damage arising out of the "occur-
rence" or offense:
b. Tender the defense and indemnity of any
claim or "suit" 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 rnsur-
ance the additional insured has for de-
fense or damages for which we wouldprovide 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 I AND 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 excess over any other insurance
whether primary, excess, contingent 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 cancelleo
All other policy provisions apply.
O, Copyright State Farm l\,1utual Automobrle lnsurance Company, 2013
lncludes copyrighted material of lnsurance Services Office, lnc wth rts permrssion
StateFarm !92-CV-K206€ 017426
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
CMP4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST
OTHERS TO US
cruP-4787
Page 1 ol 1
EEfi
H@
This endorsement modifies insurance provided under the following
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92-cv-K206-3
Named lnsured:
ARMSTRONG & BBOOKS CONSULTING
Name And Add ress Of Person Or Organization:
CITY OF MENIFEE
29844 HAUN RD
MENTFEE CA 92586-6s39
The following is added to Paragraph 10.b. of SECTION I AND SECTION ll - COMMON POLICY
CONDITIONS:
We warve any right of recovery we may have against the person or organLation shown in the Schedule
because of payments we make for in.jury 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-
com pleted operations hazard,.
This waiver applies only to the person or organization shown in the Schedule.
All other policy provisions apply.
ctllP"4787
O, Copyright, State Farm Mutual Automobile lnsuranoe Company, 2008
lncludes copyrighted material of lnsurance Services Office, lnc , wth its permission.
8I
$
&