2021/10/31 Western A/V, Inc. (20)StateFarm STATE FARiI GENERAL INSURAi{CE ColrlPAI{Y
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS
E?"F?/a!#fr ,'?*rsou'.rezs
Addl lnsured.Section ll Only
M-23-61 F8-FB8A F Z002104 3123CITY OF I4EN I FEEAND ITS OFFICERS, E}IPLOYEES,
AGENTS & AUTHORIZED VO L UNTEE RS2984{ HAUI{ RDHENIFEE CA 925A6-6539
,, t,lrtl,r,,I,rtrtIllt, tl,,ll, rh,t,I tlil l,il rlIl, rl, rill, ril l
Home Product Sales Policy
OECLARATIONS AMENDED NOV 24 2021
Named lnsured
t{E STERN A/V INCffi
a
5
Policyllumber 92-GY-D812{
Policy Period
12 lvlonths
Clfuclivo Dato Exoiralion DaieocT 31 2021 )cr 31 2022
oins and ends at l2:0'l am standard
Io caton.The oolicv oetme'at tr6 br
riod be
em lses
Aubmrtic Renewal - lf 6e policy period is shown as 12 monlhs, *ris policy will be renewed automatically subjectto tre premiums, rules and
form s in effect for each succeeding policy period. lf fris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wifi the policy provisions or as required by law.
Entlty: Corporation
Reason tor Declaralions:Your policy is amended NOV 24 2021
ADDITiONAL INSURED ADDED
PREMIUM ADJUSTMENT
FORM CIVIP.4786.1 ADDED
Endorsement Premium
lncrease
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim Record
$ 214.00
Prepared
DEC 09 2021
cMP-4000
016754 290 A!
N
O Copyrighl St6tB Flrm lvlutu0l AutomobilE ln!uranc0 Comprny,2008
lncludes copvrightid mlt€ri!l of lnsur!ncs Soryic0r ollic0, lnc., wilh iB pBrmi33ion
Continued on Reverse Side of Page Page 1of 7
530 6863 2 05 :11 70ll l.lt373l.
D(-@
Home Product Seles Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
lor CITY OF MENIFEEY-D812-0
SECTION I. PROPERTY SCHEDULE
LocationNumber Location o,
Described
Premises
Limit ol lnsurance'
Coveraoe A -
Buildings
Limit ot lnsurance*
Cov€raoe B -Buslness Fersonal
Property
Seasonallncrease-BusinessPersonalProperty
001
002
1592 N BATAVIA ST STE 2
ORANGE CA 92867-3554
1590 N BATAVIA ST STE 4
oBANGE CA 92857-3s34
No Coverage
No Coverage
$ 129,300
$ 129,100
25./.
25%
. As of the effective te of this policy, the Limit ot tnsurance as own includes any increase in the limit ue to Inllation Coverage.
SECTION I . INFLA ON COVEFAGE INDEX(ES)
Cov A
Cov B
- lnflation Coverage lndex:
- Consumer Price lndex:
N/A
271 .7
SECTION I - OEDU TIBLES
Basic Deductible
Special Deductibles:
lvloney and Securities
$2,500
$2s0 Data Compromise
O CopyriOhl Srats Frrm lvlutu6l Automobile lnsurrnca Comprny,2OOS
lncludBs copynohtsd materi!l ol lnsurance Services olfice, lnc., with its permis!ion
Continued on Next Page
$1.000
Prepared
DEC 09 2021
ct\,4P-4000
016754 Page 2ol 7
StateFarm n
lr;'ilIE&
Home Product Sales PolicvPolicy Number 92-G
DECLARATIONS (CONNNUED)
'or
CITY OF MENIFEEY-D812{)
Employee Dishonesty $2s0 Equipment Breakdown $2.s00
Other deductibles may apply - refer to policy
SECTION I - EXTENSIONS OF COVEFAGE . LIMIT OF INSU BANCE. EACH DESCRIBED PBEMISES8
The coverages and corresponding limits shown below apply separately to each descrlbed premises shown in theseDeclarations, unless indicated by "See Schedule." lf a coverage does not have a corresponding limit shown below,but has "lncluded" indicated, please reler to that policy provision for an explanation ol that coverage.
COVERAGE
Accounts Receivable
On Premises
Ofl Premisgs
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Dspartment Service Charge
Fire Extinguisher Syslems Flecharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applies only when buildings are
insured on a 16placement cost basis)
Monoy And Securities (Otf Premises)
Money And Securities (On Premises)
Money Orders And Counterfait Mon€y
LIMIT OF
INSURANCE
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Coverage B Limit
25% of covered loss
lncluded
$2,500
$s,000
$10,000
lncluded
.took
See Schedule
See Schedule
$1,000
Prepared
DEC 09 2021
cMP-4000
016755 290
N
O Copyriohl St.to F.rm l\rulu.l Autonobil0 lns!r!.cB Comp.ny,2008
lncludet copyrighted mat0ri6l of lnsurince Sorvicer oflicB, lnc.. with its permirsion
Continued on Reverse Side of Page Page 3 of 7
(D@
Home Product Sales PolicvPolicy Number 92-G
DECLABATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
Newly Acquired Business Personal Properly (applies only il this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Coverago A - Buildings)
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property OII Premises
Pollutant Clean Up And Removal
Preservation Ol Property
Properly Of Others (applies only to lhose premises provid€d Coverage 8 - Business
Personal Property)
Signs
Valuable Papers And Becords
On Premises
Off Premises
s100.000
$2s0,000
Included
See Schedule
$2,s00
$2s,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
SECTION I - EXTENSIONS OF COVERAGE . LIMIT OF INSUBANCE . SCHEDULE
The coverages and corresponding limits shown below apply only to the described premises as shown
LOCATION
0001
Prepared
DEC 09 2021
cMP-4000
016755
COVEHAGE
Signs
Back-Up Of Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Off Premises)
Property Of Olhers (applies only to th
Personal Property)
Accounts Receivable (On Premises)
Accounts Receivable (Off Premises)
Outdoor Property
Valuable Papers and Records (On Premises
Valuable Papers and Records (Ofl Premises
0002 Accounts Receivable (On Premises)
$5'000
$15,000
$10,000
$s'000
ose premises provided Coverage B - Business $2,500
LIMIT OF
INSURANCE
$10,000
$s,000
$s,000
$10,000
$5,000
$10,000
@ Copyri0h! Strts Frrm Mutu!lAltomobilB lnsurince Comp.ny, 2008
lnclud0s copyrightsd mrtsri6l of lnsur.ncs Sorvices ofltcB, lnc., with its permissio0
Continued on Next Page Page 4 ot 7
StateFarm !
ll''ltft
H#,.i
ai8
Accounts Receivable (Of f Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Oll Premises)
Money And Securities (On Premises)
Outdoor Property
Property Ot Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Ofl Premises)
$5,000
$15,000
$5,000
$10,000
$s,000
$2,s00
$5,000
$10,000
$5,000
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSU RANCE - PER POLICY
The cove.ages and corresponding limits shown below a?e the most we will pay regardless ot the number o,
described premises shown in these Declaratlons.
COV ERAGE
Data Compromise
Legal And Forensic lnformation Technology Review
Per Occurrence
Dependent Property - Loss Of lncome
Employee Dishonesty
ldentity Restoration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility Interruption - Loss Of lncome
Loss Of lncome And Extra Expense
@ Copyri0h! Stoto F.rm Muluol Automobil, lnsur.ncr Compony,2008
lncludqs copyri0htod mstsri!l of lnsurEnce Soryicss olfic!, lnc., with its permi.sion
Continued on Reverse Side ol Page
LIMIT OF
INSURANCE
$5,000
$50,000
$5,000
$10,000
$1,000
12 months
$3s,000
$s,000
$10,000
Actual Loss Sustained - 12 l!4onths
Prepared
DEC 09 2021
cMP-4000
I
016756 290
N
Page 5 of 7
& DE.LARATT.NS(.oNrNUE,)
Home Product Sales Policv for CITY OF MENIFEE
Policy Number 92-GY-D812-0
Home Product Sales Policv
Policy Number 92-G
DECLABATIONS (CONTINUEO)
lor CITY OF MENIFEEY-D812-0
SECTION II . LIABILITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Bented To You
AGGBEGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
LIMIT OF
INSURANCE
$2,000,000
$s,000
$s00,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Each paid claim for Liability Coverage reduces the amount of insurance we provide durino
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached
the applicable
endorsements
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FOFIM shown below, and any otherforms and endorsemenls that apply, including those shown below as well as those issued subsequent to theissuance of this policy.
FOBMS AND N DORSEMENTS
cMP-4101
CNiIP-4786.1
cMP-4787
cMP-4260.1
cMP-4261
cMP-4705.2
CI\,tP-4710
ctvtP-4709
Cl\,lP-4698
cMP-4704.1
cMP-4703.1
cMP-4610
cMP -47 46.1
Prepared
DEC 09 2021
cMP-4000
016756
Businessowners Coverage Form-Addl lnsd Owners Lessee Sched-Waiver of Trans Rgt of Recov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss ol lncome & Extra Expense
Employee Dishonesty
lvloney and Securities
Back-Up of Sewer or Drain
Dependent Prop Loss ol Income
Utility lnterruption Loss lncm
General Agg Limit Per Proj
Hired Auto Liability
O CopyrighL Stot6 F0rm Mutu.l AutomobilB lnsur6nc€ Comp.ny, 2009
lncludes copyrighted mlteri!l of lnsurrnce Ssrvice! offlce, lnc., wath its Dermissioh
Continued on Next Page Page 6 of 7
StateFann(-)@
Home Product Sales PolicvPolicy Number 92-G
DECLAHATIONS (CONTINUED)
,oT CITY OF MENIFEE
Y-D8 t2-0
H-,iEi
F4.lr1
ctvtP-4990.1
Cl\ilP-4994
cMP-4875
FE-6999.3
cMP-4793.1
Cl\ilP-4788.1
FD-6007
ldentity Restoration Coverage
Data Compromise
Loss Payable
Terrorism lnsurance Cov Notice
Al State Political Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marin6 Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.* New Form Attached
I
!
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You are sntited to participate in a distribution of the earnings ot the company as determinod by our Board of Directors in
accordance with the Company's Articles of lncorporalion, as amended.
ln Witness Whereof, the State Farm General lnsurance Company has caused this policy to be signed by its President and
Secretary at Bloomington, lllinois
ff -nl1"""ttsecrelary President
IMPORTANT NOTICE:
CEllfomlE law requlree us to provlde you whh lnfomo on lor lllln0 cornplol 3 whh the State lnoul8noe Depenment rsgsrdlng the
covcrago and eervica proviled undor thi8 policy.
Youl agem's name and conlact inlomation are provided on the lrod ol lhl3 documed. Anottpr optlon ls to reach out by
mailor phorP dkectly lo:
state Farmo Ersculivs cuglomcl s€ryice
PO Box 2320
Bloominglon lL 61702
Phone * 1€Oo-STATEFARL (l "8@782-8332)
Depaiment of lnsurance complaints should be llbd only alter you snd State Frm or your agEnt or olher company
reprcaentative havo l.llsd to ro6ch. gotislactory agregmont on a probhm.
califomi8 Dep8rlmenl of lnsursnc€
Coneumsr gervlces Dlvlslon
300 South Sprlng Street
Lo! Angshs, CA 90013
Phqrle # I {o0-927-HELP (4354 or ybit wutv.inEura nsc,cs.ooy/o t -co rErme rs
Prepared
DEC 09 2021
cMP-4000
016757 290
N
O Copyrioht State Flrm Mutu !l Automobile lnsurrnc6 Comprny, 2m8
lncl!des copyriohted miteri!l of lnsur.nce Services officB, lnr., with its permlssion
Page 7 ol 7
StateFarm STATE FARM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS
E?,F 3io#3! ?* rc o u s. s' z'
INLAND MARINE ATTACHING O'".-OAO''O'#
Policyltlumbsr 92-GY-D812-0
Named lnsured
I|lESTERN A,/V INC
l\,1-23-61F8-FB8A F Z
lil-! EH#
E
-H
ATTACHING INLAND MARINE
Automatic Renowal - lf the policy period is shown as 12 months , this policy will be renewed automatically subjectto tle premiums, rules and
forms in effect for each succeeding policy period. lf $is policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wifr fre policy provisions or as required by law.
Annual Policy Premium lncluded
The a bove Premium Amount is included in tre Policy Premium shown on fie Declarations
Your policy consists of these Declarations, tre INLAND MARINE C 0NDlTlONS shown below, and any ofrer forms and endorsemenb $at
apply, including trose shown below as well as those issued subsequentto the issuance ofthis policy.
Forms, options, ald Elldo]somoflts
FE-8739
FE-6271
FE-87 45
lnland Marine Conditions
Amendatory Endorsement
lnland lvlarine Computer Prop
See Reverse for Schedule Page witir Limits
Prepared
DEC 09 2021
FD-6007
016758
O CopvrighL Stots F.rm irulu !l Automobil0 ln!urlnco Comprny, 20m
lncludes copyri!htrd m0t8rinl ol lnsur!ncs S0rvicos oftico, lnc., witi its permission
510 6!0 a 2 05 ll ?[]l loll3?Uc
&
Policv Period Ethclive Date Exoiralion Date12Nlbnrhs OCT31 2021 }cI 31 2022
The polipv period begins 4nd ends at l2 01 am standardtme at fie premlses Iocaton.
I
92-GY-D812-0
ATTACHIT{G IITLAND MARIT'IE
ATTACHING INTAND MABINE SCHEOUTE PAGE
ENDORSEI\4ENT
NUI\4BER
FE-8745
COVEHAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
s 25,000
25 ,OOO
LIMIT OF
INSURANCE
DEDU C]IBLE
AMOUNT
s 500
ANNUAL
P RE IVI IU IVI
Included
Included
Prepared
DEC 09 2021
FD-6007
016758
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
O Copyn0ht, Stlt8 Farm Muturl Automobil6 lnsurrnco Comp!ny, 2008
lncludss copyrighted m6teri.l ol lnEur.nco Seruico! oflic0, loc., with its pormts.ion
530 6s6 !.2 05 3l 2011 lollt213cl