2021/10/31 Western A/V, Inc. (19)StateFarm(DCD
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STATE FAHM GENERAL INSUFANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS
E?"FEiolEf, ! ?*, u o, u. r', u
Addl lnsured-Sectlon ll Only
M-23-61F8-FB8A F Z002453 3123CITY OF ]'IEN I FEEAND ITS OFFICERS, EHPLOYEES,
AGENTS & AUTHORIZED VOLUNTEERS29844 HAUN RD
I'|EN I F EE CA 92546-6539
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Home Product Sales Policy
DECLARATIONS A|\.i!ENDED NOV 1s 2021
Policyllumbar 92-GY-D812{
Policv Period Ellectiva Dale Exoimlion Date
12 Mbnths OCT 31 2021 OCT 31 2022
Ihe polipv period beoins and ends at 12:01 am standa rdtlme at lhe premtses Iocaton.
Named lnsured
WESTERN A/V INC
,E
Aubmalic Renewal - ll the policy period is shown as 12 monlhs . tfris policy will be renewed automatically su bject to fre premiums. rules and
forms in effectfor each succeeding policy period. lf fris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance witr the policy provisions or as required by law.
Entity: Corporation
Reason lor Declaratlons:Your policy is amended NOV 19 2021
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTNIENT
FORNII CMP-4786.1 ADDED
Endorsement Premium
lncrease $ 44.00
Prepared
DEC 08 2021
cMP-4000
@ Cowri0h! Slct6 flrm Muturl Automobil€ ln3urlnc€ Compnny,2008
lnrludes coDvright.d mllori!l of lnsu16ncs SBrvico! offic€, lnc., with it6 p.rmi!sion
Continued on Reverse Side of Page Page 1 of 7020138 290
N !30 66!7 05 31 20ll (,rlrl?ill.l
!
Home Product Sal€s Policv
Policy Number 92-G
DECLABATIONS (CONTINUED)
'or
CITY OF MENIFEEY-D812-0
SECTIONI.PROPERTYSCH EDULE
Location
Number Location ot
Oescribed
Premises
Limit of lnsurance'
Cov€rade A -
Bulldi'ngs
Limit ol lnsurance'
Coveraoe B -
Business FersonalProperty
Seasonallncrease-
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
No Coverage
$ 129,300
$ 129,100
25%
25%
. As of the efloctive date of lhis policy, t e Limit o lnsurance as shown includes any ncrease in the limit due to
SECTION I . INFLA ON COVEHAGE INDEX(ES)
atto rl overaoe
Cov A - lnflation Coverage lndex
Cov B - Consumer Price lndex:
N/A
271 .7
SECTION I . DEOU BLES
Basic Deductible
Special Deductibles:
Money and Securities
$2,s00
$2s0 Data Compromise
O Copyrioh! Ststr F,rm fulutu nl Automobilg lnsur.nc6 Comp!ny,2008
lncludes copyri0htsd mlterial of lnsurahce Service! 0ftics, lnc., with its Dermissiofl
Continued on Next Page
$1,000
Prepared
DEC 08 2021
cMP-4000
020138 Page 2ol 7
!
Home Product Sales Policv
Policy Number 92-G
DECLARATTONS (CONTINUED)
'or
CITY OF MENIFEE
Y-D8r2-0
lriritl
Employee Dishonesty $250 Equipment Breakdown $2,s00
Other deduclibles may apply - refer lo policy
PB
;3 The coverages and correspondlng limits shown below apply soparately to each described premises shown in these
Declarations, unless indicated by "S€e Schedule." It a coverage does not have a corresponding llmit shown below,
but has "lncluded" indicated, please reler to lhat policy provision for an explanation o, that coverage.
COVERAGE
Accounts REceivable
On Premises
Off Premises
Arson Beward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thefl, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alleration
Glass Expenses
lncreased Cost Ol Conslruction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Olf Premises)
Money And Securities (On Premises)
Money Orders And Counterleit Money
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Coverage B Limit
25% ol covered loss
lncluded
$2'5oo
$s,000
$10,000
lncluded
10%
See Schedule
See Schedule
$1,000
Pre p ared
DEC 08 2021
cMP-4000
020139 290
N
O Copyrigh! StBte F!rm Mutual Automobil€ lnsurtnc€ Comp!ny.2008
lncludBs copyrightod m6tori!l of ln3uranca Sorvicos office, lnc., with itr prrmission
Continued on Reverse Side of Page Page 3 of 7
StateFarm&
SECTION I - EXTENSIONS OF COVERAGE . LIMIT OF INSUBANCE. EACH DESCBIBEO PREMISES
LIMIT OF
INSURANCE
Home Product Sales PolicvPolicy Number 92-G
Valuable Papers And Records
On Premises
Off Premises
DECLABATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
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)
Ordinance Or Law - Equipment Coverage
Ouldoor Property
Personal Eflects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservalion Of Property
Property Ol Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
$100,000
s250.000
lncluded
See Schedule
$2,500
$2s,ooo
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
SF(:TION I - F NSIONS OF COVEFIAGF . LIMIT OF INSURANCF . SCH DULE
The coverages and corespondlng limits shown below apply only to the described premises as shown.
LOCATION
0001
0002
COVERAG E
Signs
Back-Up Of Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Off Premises)
Property Ol Others (applies only to those premises provided Coverage B - Business
Personal Property)
Accounts Receivable (On Premises)
Accounts Receivable (Otf Premises)
Outdoor Property
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Ofl Premises)
Accounts Receivable (On Premis6s)
(0 Copyri0h! Stats F0rm l\4utu s I AutomobrlB lnsur6nce Comp6ny, 2008
lnoludes copyri0hted m6tsri6l of lnsurancs Sorvicss office, lnc., with its permission
Continued on Next Page
LIMIT OF
INSURANCE
$s,000
$15,000
$10,000
$s,000
$2,s00
$10,000
$5,000
$5.000
$10,000
$5.000
$10.000
Prepared
DEC 08 2021
cMP-4000
020139 Page 4 of 7
I
StateFa',I,l&
I,UEI
B.$-r:
Home Product Sales Policv
Policy Number 92-G
DECLARATIONS (CONTINUEO)
'or
CITY OF MENIFEE
Y-D812-0
E
F
i8
Accounts Receivable (Off Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Olf Premises)
Money And Securities (On Premises)
Outdoor Property
Property Ol Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Becords (On Premises)
Valuable Papers and Becords (Off Premises)
$5,000
$1s,000
$s,000
$10,000
$s,000
$2,500
$5,ooo
$10.000
$5,ooo
SECTION I. EXTENSIONS OF COVERAGE - LIMIT OF INSUFANCE - PER POLICY
The coverages and correspondlng limits shown below are tho most we will pay regardless of tho number o,
described premises shown in these Declaratlons.
COVERAGE
Data Compromise
Legal And Forensic lnformation Technology Review
Per Occurrence
Dependent Properly - Loss Of lncome
Employee Dishonesty
ldentity Restoration
Other Expenses
Case l\rlanagement Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
O Cowrioh! Stats t6rm Mutual Automobils lnsurrnc€ Compiny, 2m
lncludes coryright€d mltsrial ol lnsurEnc€ Ssrvic6s offire, lnc., wilh its permission
Continued on Revsrse Side of Page
LIMIT OF
INSURANCE
$5,000
$s0,000
$5,000
$10,000
$1,000
'I 2 months
$35,000
$s,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
DEC 08 2021
ct\4P-4000
020140 290
N
Page 5 of 7
Home Product Sales PolicvPolicy Number 92-G
DECLARATIONS (CONTINUED)
'or
CITY OF MENIFEE
Y-D812-0
SECTION II - LIABILITY
COVERAGE
Coverage L - Business Liability
Coverage NI - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGHEGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
LIMIT OF
INSUBANCE
$2,000,000
$5,000
$300.000
LIMIT OF
INSURANCE
s4,000,000
$4,000,000
Each paid claim for Liability Co-verage 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 endoidements
Your policy consists of these.Declarations, the BUSINESSOWNERS COVERAGE FORIV1 shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequent to theissuance of this policy.
FORMS AND ENDORSEMEN
ctvP-4101
ctvtP-4786.1
cMP -4787
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.1
clvP-4703.1
ct\4P-4610
cMP-4746.1
Prepared
DEC 08 2021
cMP-4000
020140
Businessowners Coverage Form-Addl lnsd Owners Lessee Sched.Waiver of Trans Rgt of Recov
Amendatory Endorsement-CA
Amendatory Endorsemenl
Loss of lncome & Extra Expense
Employee Dishonesty
Money and Securities
Back-Up of Sewer or Drain
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
General Agg Limit Per Proj
Hired Auto Liability
O Cowoghl St.ro F.rm Mutu0l Automobrle lnsur.nc0 Complny.2ct0g
lncludes copyrighlsd mlteri6l of lnsurrnce Sorvicas offico, lnc., with its 0ermisston
Continued on Next Page Page 6 of 7
StateFarm(-@
lr:i:J|J
TCE!
Home Producl Sales Policv
Policy Number 92-G
DECLABATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-0812-0
cMP-4990.1
cMP-4994
cMP-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD-6007
ldentity Restoration Coverage
Data Compromise
Loss Payable
Terrorism lnsurance Cov Notice
Al State Political Psrm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUH AGENT IF YOU HAVE
ANY QUESTIONS.. New Form Attached
II
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You are entitled to participate in a distribution of the earnings of the company as d€terminod by our Board of Directors in
accordance wilh the Company's Articles of lncorporalion, as amended.
Sr-nl6--'t
secretary
-{/r*t" brh
ln Witness Whereof, he State Farm General lnsurance Company has caused this policy to be signed by its President and
Secretary al Bloomington, lllinois.
President
IMPOFTANT NOTICE:
Coltromla lsw r€qulree ue to provldo you wfth lnlo]matlon lor llllng complolms whh lhc State lneurance Oepqnment regardlng the
covemge and arvh€ provkled under this policy.
Your agenl's oame and coltact lnlomatlon arr proyided on th lro ol lhi3 documetn. Anolhar option i8 to reach out by
msil or phons dlrectly lor
Stcte Farmo Ereculiv€ Customor Sorvice
PO Box 2320
Bloomlnglon lL 81702
Phone f 1{oo-STATEFARtTt (1 -80G782-8332)
D,epEn nent ol lnsurance complaints should be liled only sfter you rnd State Form or your rgorlt or olher compsnyiepreer stive hqvo lsiled lo rsach s latlalsclory ggregmont on 6 probbm.
calitomis Depsnment ol lnsurEnce
Congumgt SgrYlcei Olvlsion
300 gornh gprlng $leet
LoE AngEbr, CA 9ool3
Phone * 1+oo-g27-HELP (ili'57) or ybh *ww,inrulanceca.qov/o1-cona(mers
Prepared
DEC 08 2021
cMP-4000
020141 290
N
C Copyri0h! Stste Form Mutu.l Automobilo lnsur.nco Compiny, 2008
lncludBs copyrightod mlterirl o[ lnsurnnco Servrces oftice, lnc., with its permission
Page 7 ol 7
E
StateFarm STATE FAHM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES ]N BLOOMINGTON, ILLINOIS
EooEE lf$i.t &, u o, u -, n, u
Named lnsured
M-23.61F8.F88A F Z
WESTERN A/V INC
ATTACHING INLAND MARINE
l
INLAND MARINE ATTACHING DECLARATIONS
Policyltlumber 92-GY-D812-0
Policy Period Elleclivo Oate Exoiration Dale
12 Mbnrhs OCT 31 2021 3cr 31 2022
Ihe poltpy pertod beqins qnd ends at 12.01 am standardtme atlhe premrses locaton.
&
ffi
sB
Aulomalic Bonowal - lf the policy period is shown a s 12 monlhs , this policy will be renewed autom atcally su bject to tlre premiums, rules and
forms in effect for each succeeding policy period. lf tr is policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wlt'r tfre policy provisions or as requtred by law
Your policy consisB of these Declarations, he INLAND MARINE C 0NDlTlONS shown below, and any other forms and endorsements that
a pply, including drose shown below as well as fiose issued subsequent to fie issuance of this policy.
Foms, 0plions, and Endorsemenb
FE-8739
FE-627"1
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page widr Limis
Prepared
DEC 08 2021
FD-6007
020142
O Copyrioh! Strt8 F6rm l\,!utu.l Automobile lns!rlnc0 Comp6ny,2m
lncludes copyri0htsd m6tsri6l of ln!ur0nco S€r!icos oftice, lnc., with ils pBrmrssrDn
53[ Em d.? 05 Jl 2011 lo1l32]?c)
Annual Policy Promium lncluded
The above Premium Amount is included in t're Policy Premium shown on $e Declarations.
s2-GY-D812-0
ATTACHII{G It{LAt{D MARINE
ATTACHING INTAND MARINE SCHEDUTE PAGE
ENDORSEI\4EN]
NUMBER
FE-8745
L IUT 0F
INSURANCE
DEDUCTIBLE
AMOUNT
ANNUAL
P RE I\4IU I\4COVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
s
$
25,000
25,000
Prepared
DEC 08 2021
FD-6007
020142
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
O Copyright St6t6 F6rm l\4uturlAutomobrie lnsur!nce Complny,2008
lncludes copyrighted moterial ot lnsurdnce Services olfice, lnc., wfi its permisston.
$ 500 Included
Included
5301i86 r 2 05lll ?0ll lo1ll233c