2021/10/31 Western A/V, Inc. (22)StateFann&,
LrrliI;trdhllrfC.i
STATE FARM GENEBAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"fr 8ld\f, ,s ?* z s o a s - s s z s
Addl lnsured-Section ll Only
M-23-3535-FB8A F Z002668 3123CITY OF IIEN I FEEA D ITS 0FFTCERS, Er.tPL0VEES,
AGENTS & AUTHORIZED VO L U I{TEERS29844 HAUN RDIttENTFEE CA 925A6 - 6539
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Home Product Sales Policy
DECLABATIONS AMENDED AUG 1s 2021
Policyl{umber 92-GY-D812-0
Pollcv Period Elleclive Dats Exoiration Dale12Mbnths OCT31 2021 OCial 2022
Ihe polipy period begins and ends at 12.01 am standardEme atme premtses Ioca0on.
Named lnsurod
WESTERN A,/V INC
ts
Aubmatic Ronowal - lf the policy period I
forms in effect for each succeeding policy
compliance wi$ tre policy provisions or a
s shown as 12 monlhs , $is policy
period. lf 6is policy is terminated
s required by law.
will be renewed automatically subjectto the premiums, rules and
we will give you and $e Mortgagee/Lienholder written notjce in
Entity: Corporation
Beason lor Declarallons:Your policy is amended AUG 19 2021
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTMENT
FOBI!{ CMP-4786.1 ADDED
Other items shown are effective
with the policy's ?021 renewal
Endorsement Premium
lncrease
Discounts Applied:
Benewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim Record
$ 440.00
Prepared
sEP 09 2021
cMP-4000
019164 290 At
N
O Copyri0h! Stit. Farm Muturl Automobils lnrur!ncs Complny,2008
lncludos copyri0ht6d mrtari.l of ln!uranc0 S0rvic€i offic!, lnc..,/vith its p€rmis!ion
Continued on Reverse Sid6 of Page Page 1 ot 7
!
Home Product Sal6s Pollcv
Policy Number 92-G
DECLARATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
SECTIONI.PROPEBTYSCH DULE
Limit ol lnsurance'
Coveraoe B -
Buslness Fersonal
Property
Seasonal
lncrease-
Business
Personal
Property
Limit of lnsurance'
Covsraoe A -
Bulldfngs
Location
Number Location ol
DescribedPr€mises
$ 129,300
$ 129,100
25./.
25%
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
' As of the effeclive date rs policy, the Limit ol nsurance as shown includes any increase nt mit due toe nf lat overagen
SECTION I - INFLATION COVERAGE INDEX(ES)
Cov A - lnflation Coverage lndex:
Cov B - Consumer Price lndex:
SECTION I . DEOUCTIBLES
N/A
271 .7
Basic Deductible
Sp€cial Oeductibles:
Money and Securities
$2.500
$2so Data Compromise
O Copyri!h! Strte F6rm Nlut!!l Automobilg lnrur.nca Comp!ny.2008
lncludss copyriohtod mltorial of lnsurrflcr SBrvicss oftic0, lnr., wfi it. permission
Continued on Next Page
$1,000
Prepared
sEP 09 2021
cMP-4000
019164 Page 2 ot 7
StateFarm D
ft-l E
EiE
Home Product Sales Policv
Policy Number 92-G
Employee Dishonesty
DECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-0812-0
$250 Equipment Breakdown $2,500
Other deductibles may apply - refer to policy
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCBIBED BEMISES8
The coverages and corresponding limits shown bolow apply soparately to each doscribod premlsos shown in theseoeclarations, unless indicated by "See Schedule." ll a coverage doos not have a corresponding llmit shown below,
but has "lncluded" indicated, please rerer to that pollcy provlsion lor an explanation ot that coverag€.
COVEBAGE
Accounts Receivable
On Premises
Otl Premisss
Arson Reward
Back-Up Ol Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Dapartmont Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alleration
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securitios (off Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
LIMIT OF
INSU RANCE
See Schedule
See Schedule
$s,000
See Schedule
lncluded
Coverage B Limit
25% of covered loss
lncluded
$2,s00
$s,000
910,000
lncluded
10y"
See Schedule
See Schedule
$1,000
Prepared
sEP 09 2021
cMP-4000
019165 290
N
O Cogyri!ht Sbto trrm Mutu!l Automobil€ lnturrnco Comprny,2008
lnclude3 cogyright€d mrtoricl oI lnsur!flc. S.rvics! offics, lnc., wib i$ pErmilsion
Continued on Reverse Side ol Page Page 3 of 7
&
I
Home Product Sales Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-O812-0
Newly Acquired Business Personal Property (applies only if this policy provides
Coverage B - Business Personal Prop€rty)
Newly Acquirod Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effscts (applies only to lhose premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservation Of Property
Property Ol Others (applies only lo those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers And Records
On Premises
Off Premises
SECTION I. EXTEITSIONSOECOVERAGE - LIMIT OF INSURANCE. SCHEDULE
$100,000
$250,000
lncluded
See Schedule
$2,500
s2s,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
The coverages and corresponding limits shown below apply only to the described premisgs as shown.
LOCATION
0001
Prepared
sEP 09 2021
cMP-4000
019165
COVEBAGE
Signs
Back-Up Of Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Off Premises)
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Accounts Receivablo (On Premises)
Accounts Receivable (Off Premises)
Outdoor Properly
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
0002 Accounts Receivable (On Premises)
LIMIT OF
INSURANCE
$s,000
$1s,000
$10,000
$5,000
$2,500
$10,000
$s,000
$s,000
$10.000
$5,000
$10,000
O Copyrigh! Strts Frrm lvlutu.lAutomobils lnsurlno0 Complny,2008
lncludos copyright8d mltsriil ol lnsur!nc€ S0rvicsi oflioo, lnc., yri$ $ psrmission
Continued on Next Page Page 4 ol 7
StateFarm&
ffilELYndi
Home Product Sales PolicvPolicy Number 92.G
DECLAHATIONS (CONNNUED)
'or
CITY OF MENIFEE
Y-D812-0
Accounts Receivable (Off Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Oll Premises)
Mon€y And Securities (On Premises)
Outdoor Property
Property.Of Others (applies only to thoso premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Olf Premises)
$5,000
$15,000
$5,000
$10,000
$5,000
$2,500E
E
a3 $5,000
$10,000
$5,000
SECTION I - E TENSIONS OF COVERAGE .LIMIT OF INSI.JFANCE . PER POLICY
The cove.agos and correspondlng limits shown below are the most w3 wlll pay rogardless o, the number oldescrlbod premises shown in theso Doclaralions.
Data Compromise
Legal And Forensic lnformation Technotogy Review
Per Occurrence
COVERAGE
Dependent Prop€rty - Loss Of lncome
Employee Dishonesty
ldentity Restoration
Other Expenses
Caso Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncome
Loss Of Income And Extra Expense
@ Cogyri0hL Stlts t.rm MutuslAutomobilo lnrurance Compony,2008
lncludo! cogyri0htod mlt€ri!l ol lnsurance Sorvic.! offics, lnc.. whh its psrmission
Continued on Reverse Side of Page
LIMIT OF
INSURANCE
$5,000
$50,000
$5,000
$10,000
$1,000
12 months
$35,000
$5,000
$10,000
Actual Loss Sustained - 12 Nlonths
Prepared
sEP 09 2021
cMP-4000
019166 290
N
Page 5 ol 7
Home Product Sales Policv
Policy Numb€r 92-G
DECLABATIONS (CONTINUEO)
lor CITY OF MENIFEE
Y-D812-0
SECTION II - LIABILITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented 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 reter to Section ll - Liability in the Coverage Form and any attached endorsements
LIMIT OF
INSURANCE
$2,000,000
$s.000
$300,000
LIMIT OF
INSURANCE
$4,000,000
$4.000,000
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequenl to the
issuance of this policy.
FOFMS AND ENDORSEMENTS
c t\,4 P-41 01
cMP-4786.1
cMP-4787
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.1
cMP-4703.1
Cl\ilP-4610
cMP-47 46.1
Prepared
sEP 09 2021
cMP-4000
019166
Businessownels Coverage Form.Addl lnsd Owners Lessee Sched
'Waiver of Trans Rgt of Becov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss ol Income & Extra Expense
Employee oishonesty
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
@ Copyrighl Stlt8 Frrm lvlutu!l Automobrls lnsurrncs Comp!ny,2008
lncludBs cowrightsd mltsri.l of losur!nc€ SBrvicBs office. lnc., with its permission
Continued on Next Page Page 6 of 7
StateFam&
Ei,tE
EflE
Home Product Sales Policv
Policy Number 92-G
DECLAHATIONS (CONTINUED)
,O] CITY OF MENIFEE
Y-D812-0
Identity Restoration Coverage
Dala Compromise
Loss Payable
Terrorism lnsurance Cov Notice
Al State Political Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Attach Dec
NOTICE: INFOHMATION CONCERNING
CHANGES IN YOUB POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.. New Form Attached
E
a3
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You ar€ entitled to participate in a distribution of the earnings ol lh€ company as datermined by our Board of Directors in
accordance with the Company's Articl€s of lncorporation, as amended.
ln Witness Whereof, the State Farm General lnsurance Company has caused this polioy to be signed by its President and
Secretary at Bloomington, lllinois.
{,u,,"*rnlp*r-
secretary
-{t*e e/4
IMPORTANT NOTICE:
CalltomlE kw require3 us to provlde you whh lnlormallon lor llllng complalr g whh rhe St e Insursnce Departme regaldlng the
coverugo and eervice provided under thia policy.
Your ager 's name and contact inlormalion are proyided on the lrol ol lhis document. Another optbn ie to reach out bymailor phono dlroctly to:
state Farm@ Executiye Cuslomer S€rvics
PO Box 2320
Bloomington lL 61702
Phons # t{oo-STATEFAFIt (1 -80G782-8332)
Depatunent of lnsurance complaints should be liled only alter you 8nd State Fam or your agent or olher company
representative have lailed lo reach E satiolEctory agrscment on a problem,
Calilomia Deparunent of lnsurance
Consumer Servlces Dlylglon
300 Sornh gprlm Stteer
Loa Angehs, CA 90013
PhqrE S l€OO-927-HELP (rtil54 or virh wulyinEur8nce,ca.ooy/Ot -comrmers
Prssident
O Copyri0hl Strt€ F!rm Mltu6l Arrtomobile lnsurancs Comp0ny, 2000
lnclude. copyri0ht6d m6tori6l of lnsur!nc€ S€rvices 0ffice, lnc., with its permission
Prepared
sEP 09 2021
c[/P-4000
I
019167 290
N
Page 7 ol 7
!
ctvtP-4990.'1
crvlP-4994
cI/P-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD-6007
StateFarm STATE FARM GENERAL INSURANCE COMPANY
A STO1K COMPANY W|TH HOME OFFTCES tN BLOOM\N1TON, [tlrvOtS INLAND MARINE ATTACHING DECLABATION
E?"83h#i!n 75485-s925
Named lnsured
tl,ESTERN A,/V INC
ATTACHING INLAND MARINE
ns
Policyilumber 92-GY-D812{
Policv Pe od Elleclive Datc Exoiration Date12 [ilbnths OCT 31 2021 61ial i62,
Ihe policv period beoins and ends at 12:01 am standardtme at fie Dremtses Tocaton.
M-23-353s-FB8A F Z
r;,rE
Effi,
8I
F3
Automalic Ronowal ' lf the policy period is
forms in effect for each succeeding policy p
compliance widr $e policy provisions or as
shown as l2 monlhs , tris policy wrll be renewed automatically su biect to the premiums, rules and
eriod. lf fiis policy is terminated. we will give you and fte Mortgagee/Lienholder written notjce in
required by Iaw.
Annual Policy Premium lncluded
The above Premium Amountis included in the Policy Premium shown on $e Declaratjons.
Your policy c onsists of fiese Declarations, tre INLAND MABINE C 0NDlTlONS shown below, and any ofrer forms and endorsemens that
apply, including trose shown below as well as fiose issued subsequentto the issuance oltris policy.
Foms, 0ptions, and Endorsoments
FE-8739
FE-6271
FE-8745
lnland lvlarine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page wifr Limis
Prepared
sEP 09 2021
FD-6007
019168
O Copyri0ht Stlto t.rm Mutu6l Automobil€ lnsurrnc€ Compiny, 2008
lncludos copyrightod mrterial of lnsu16nc€ Ssrvic€s offica, lnc., with its pErmission
lm 635! 2 0t 3J 7011 loll323rcl
6-oo
92-GY-D812-O
ATTACHIl{G INLAI{O MARIT{E
ATTACHING INLAND MABINE SCHEDULE PAGE
ENDOBSEI\4ENT
NUMBER
FE-8745
OTHER LIMITS AND EXCLUSIONS MAY APPLY - BEFEB TO YOUR POLICY
O Copyri0hl Stlto F!rm lrutu.l Automobilo lnsu16nc€ Comp6ny, 2008
lncludss copyri0ht8d m.tgri6l of lnsur!ncs Ssrvics$ otfics, lnc., with its p€rmissron.
ANNUAL
P REM IUM
$ 500 Included
Included
LIIVIIT OF
INSUBANC E
DEDUCIIBTE
AMOUNTC OVERA6E
lnland Marine Computer Prop
Loss of lncome and Extra Expense
s
s
25,000
25,000
Prepared
sEP 09 2021
FD-6007
0191 68
!30 686! 2 Dt 3l 20ll loll3233c