2021/10/31 Western A/V, Inc. (25)StateFarm STATE FANM GENERAL INSUHANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"F ?id€lf,! ?* z s o a s - s s r s
Addl lnsured-Sectlon ll Only
ar2 - - M-23-3535-FBSA F Z001867 3125CITY OF I4EN I FEE
AND ITS OFFICERS, E]{PLOYEES,
AGENTS & AUTHORIZED VO L UI{TEERS29844 HATJN RI)
t{EN r FEE CA 92546-6539
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Home Product Sales Policy
FENEWAL DECLARATIONS
Policy umbor 92-GY-D812-0
Policv Pedod Elleclive Dato Exoi;alion Dab
12 Mbntns ocT 31 2021 }Cr 31 2022
The oolicv oeriod beoins and ends at l2:0'l am standard
time'at $6 premises Iocaton.
Named lnsured
WESTERTI A/V INC
n&
H!:d(;
E&t
8
s
Aulomalic Renowrl - lf the policy period is shown as 12 months . tris policy will be renewed automatcally subjectto the premiums, rules and
forms in effect for each succeeding policy period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written nolice in
compliance witr t're policy provisions or as required by law.
Entity: Corporation
NOTICE: lnformation concerning changes in your policy language is included. Please call your agent
if you havs any questions.
POLICY PBEMIUM
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim Record
$ 11,403.00
Prepared
AUG 10 2021
cMP-4000
011376 294 At
N
O Copyrigh! Strto Flrm Muo0lAutomobilo lnsur!nco Comp!ny, 2008
lncludes copyrightod mrterirl o[ lnsuronce Services offico, lnc, with i$ psrmission
Continued on Reverse Side ot Pags Page 1 of 8
Home Product Sales PolicvPolicy Number 92-G
RENEWAL DECLABATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
SECTION I - PROP BTY SCHEDULE
LocationNumbet Location olDescribed
Premises
Limit ot lnsurance*
Coverao€ A -
Buildi'ngs
Limit ol lnsurance'
Coveraoe B -
Buslness FersonalProperty
Seasonallncrease-Business
PersonalProperty
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92867-35s4
1590 N BATAVIA ST STE 4
oRANGE CA 92867-3534
No Coverage
No Coverage
$ 129,300
$ 129,100 25%
.Asoft e ct e ate of th spo . the Limit ol nsurance as shown ncludes any increase in the Irmtt due to lnf lation Coverage
SECTION I - INFLA ON COVERAGE INOEX(ES)
Cov
Cov
A - lnflation Coverage lndex:
B - Consumer Price lndex:
N/A
271 .7
SECTIO NI - DED BLES
Baslc Deductible
Special Deductibles:
lvloney and Securities
$2,s00
$250 Data Compromise
O Copyrigh! Stltg Form ll4 utu sl Altomo bil. lnrur6nc€ Comp6ny,2008
lncludes copyrioht.d mltsfl6l ol lnsurnnc€ S€rvic.s offics. lnc., $/ith its psrmrssion
Continued on Next Page
$1,000
Prepared
AUG 10 2021
cMP-4000
011376 Page 2 of I
Staf€farm D(-)ob
ft&It,JEa
Home Product Sales PolicvPolicy Number 92-G
FENEWAL DECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-D812-0
aa
Employee Dishonesty $250 Equipment Breakdown $2,s00
Other deductibles may apply - refer to policy
SECTION I . EXTENSIONS OF COVEBAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES
The coverag€s and corresponding limits shown bolow apply soparately to each described premlsos shown in these
Oeclarations, unless lndicated by "See Schedule." ll a coverago does not have a corresponding limit shown b€low,
but has "lncluded" indicated, please reler to that policy provlsion lor an explanation ol that cov€rage.
COVEBAGE
Accounts Receivable
On Premises
Olf Premises
Arson Roward
Back-Up Ol Sewer Or Drain
Collapse
Damage To Non-Ownod Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Departmenl Service Charge
Fire Extinguisher Systems Becharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cosl O, Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Off Premises)
Money And Securities (On Premises)
Money Orders And Counterleit Money
LIMIT OF
INSU RANCE
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Covorage B Limit
25olo of covered loss
lncluded
$2,s00
$s,000
910,000
lncluded
107"
See Schedule
Seo Schedule
91,000
Prepared
AUG 10 2021
cMP-4000
011377 2
N
@ Copyrioh! St!$ trrm Muturl Automobils lnrur.nc' Compcny, 2008
lnclud.s copyri0ht0d mitsri!l of lnsurrncr Ssrvicss offico, lnc., with its p8rmis!ion
Continued on R€verse Side of Page Page 3 of 8
Home Product Sales Policv
Policy Number 92-G
Valuable Papers And Records
On Premises
Otf Premises
BENEWAL DECLABATIONS (CONTINUED)
for CITY OF MENIFEEY-D812-0
Newly Acquired Business Personal Property (applies only il this policy provides
Coverage B - Businoss Personal Property)
Newly Acquir.4 Or Constructed Buildings (applies only if thjs poticy provides
Coverage A - Buildings)
Ordinance Or Law - Equipment Covsrage
Outdoor Property
Personal Effects (applies only to those prsmises provided Coverage B - Business
Personal Property)
Personal Property Ofl Premises
Pollutant Clean Up And Removal
Preservation Of Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
$100,000
$250,000
lncluded
See Schedule
$2,500
$2s,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
SFCTION I . FYTF ONS OF COVFRAGF - I Ii/lIT OF INSI RANCF - SEHFDIII F
The coverages and corresponding limits shown below apply only to the described premises as shown,
LOCATION
0001
0002
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 Fleceivable (On Premises)
Accounts Fleceivable (Off Premises)
Outdoor Property
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
Accounts Receivable (On Premises)
LIMIT OF
INSURANCE
$5,ooo
$15,000
$10,000
$5,000
$2,500
$10,000
$5,ooo
$5,000
$10,000
$5,000
$10,000
Prepared
AUG 10 2021
cMP-4000
011377 Page 4 of 8
I
I
C Copyright St6te F.rm Muturl Automobilo Insur.nco Cofipany, 2O()8
lncludas copyri0hiod msteri!l of ln!urrnce S€rvirss office, lnc., with its Dermission
Continued on Next Page I
StateFatm D(-@
W,lli
Egfr
Home Product Sales PollcvPolicy Number 92-G
RENEWAL DECLAHATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-D812-0
E
Accounts Receivablg (Otf Premises)
Back-Up Of Sewer Or Drain
Money And Securitias (oll Premises)
Money And Securiti€s (On Premises)
Outdoor Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Otf Premises)
$5,ooo
$15,000
$5,000
$10,000
$5,ooo
$2,soo
$s,000
$10,000
$s,000
SECTION I. EXTENSIONS OF COVERAGE . LIMIT OF INSURANCE . PFR POI ICY
The covsrages and correspondlng limlts shown below are tho most we wlll pay regerdless ol the number ol
describod premises shown ln lhese Oeclarations.
Data Compromise
Legal And Forensic lnformation Technology Review
Per Occurrence
Dependent Proparty - Loss Of lncome
Employee Dishonesty
COVERAGE
ldentily Restoration
Other Expenses
Case lrlanagement Services
Per Occurrence
Lost Wages And Supervision Exp€nses
Utility lnterruption - Loss Ol lncome
Loss Ol lncome And Extra Expense
@ CopyrighL ststo tsrm l\4utual Automobile ln!ur!noe comp!ny,2008
lncludes copyrighted matsriEl of lns!ranc6 Sorvices offi0B, lnc., with its pErmission
Conlinued on Reverse Side of Page
LIMIT OF
INSURANCE
$s,000
$50,000
$5,000
$10,000
s1,000
1 2 months
$3s,000
ss,000
$10,000
Actual Loss Sustained - 12 Months
Pre p ared
AUG 10 2021
cMP-4000
011378 294
N
Page 5 of 8
Home Product Sales PolicvPolicy Number 92-G
BENEWAL DECLARATIONS (CONTINUED)
'or
CITY OF MENIFEEY-D812-0
sFc?t6N -ttaFut ITY
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
LIMIT OF
INSURANCE
$2,000,000
$5,ooo
$300,000
LIMIT OF
INSURANCE
$4,000,000
$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 Doclaralions, the BUSINESSOWNEBS COVERAGE FORM shown below, and any otherforms and endorsements that apply, including those shown below as well as those issued subsequent to theissuance of this policy.
FOFIMS AND FNDO BSEMENTS
Businessowners Coverage Form
'Terrorism lnsurance Cov Notice
Amendatory Endorsemenf CA
Amendatory Endorsement
Loss of lncome & Extra Expense
Employee Dishonesty
Money and Securities
Back-Up of Sewer or Drain
Depend6nt Prop Loss of lncome
Utility lnterruption Loss lncm
Addl lnsd Owners Lessee Sched
General Agg Limit Per ProJ
Hired Auto Liability
Prep a red
AUG 10 2021
Cl\ilP-4000
01 1378
@ Copyri0ht, Sl.te Form lvlutual Automobils lnsLirsnc€ Company,2008
lnclud0s copyriEhtod matorirlof lnsurrnce S€rvices officB, lnc., with tts parmission
Continued on Next Page Page 6 of 8
cMP-4101
FE-5999.3
cMP-4260.1
cMP-4261
cMP-470s.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.1
ct\,4P-4703.1
cMP-4786.'1
cMP-4610
cMP -47 46.1
I
StateFarmI
tslrHtr,J+EdII
BENEWAL DECLARATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
I
3
Home Producl Sales Policv
Policy Numb€r 92-G
cMP-4990.1
cMP-4994
cMP-4787
cMP.4875
cMP-4793.1
cMP-4788.1
FD-6007
ldentity Restoration Coverage
Data Compromise
Waiver ol Trans Rgt of Recov
Loss Payable
Al state Political Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Attach Dec* New Form Attached
!
This policy is issued by the State Farm General lnsurance Company.
Parlicipating PolicY
You are entited to participats in a distribution of the earnings ol lhe company as determined by our Board ol Directors in
aocordance wilh the Company's Articles of lncorporation, as amended.
ln Witness Wher€or, he Stat€ Farm Gen€ral lnsurance Company has caused this policy to be signed by its Pr€sident and
Secretary at Bloomington, lllinois
ff,",-rny*u-
secr€lary
-il,*e e/q
President
IMPORTANT NOTIGE:
Callloml. bw lequlleg u9 to provlde you whh lnlormEtlon for llllng complolms wlth the gtste lnsuronce Deponmc]n legardlng tlE
coveragc and eervice provkled under this policy.
Your €gsm's nlme and comact lnlormrllon 6re provlded on t]t lrod ol thls documed, Another option is to Ieach out by
mailor phono diroctV lol
stEtg FarITP Ercctnlve cuctomer seryice
PO Box 2320
Bloomlngton lL 61702
Phorp * | 3oo-STATEFAAU (1-80G782-8331t)
Departmcnt o, lnsunnce complaint! should b€ llbd onty arter you ald Slsle Fsm ol your Egsnt ol othel compsny
rgprcsornativs h.vo lrllod to rE.ch a g6tlal6slory agIEdnent on s problem.
Califomis Depefinent of lnsurance
consumer 8€rvlce! Dlvlglon
a00 Sodh Sprlng Slreet
Los Angchr, cA 9oo'13
Phqne * l {0o-927-HELP (€57) or vi!it xrwinEurEnoe.cr.ooY,lol -colEtmera
Prepared
AUG 10 2021
cMP-4000
O Cop/righ! StltB trrm Mutu!l Automobilt ln3urtnro Comprny,2006
lncludo! copyri0ht8d mrtsri.l of lniurrnc0 Sorvicsi ollic6, lnc., with itt pormiision
Continued on Reverse Side ol Page011379 294
N
Page 7 of 8
Home Product Sales PolicvPolicy Number 92-G
RENEWAL OECLABATIONS (CONTINUED)
for CITY OF MENIFEEY-D812-0
NOTICE TO POLICYHOLDER:
For a comprehensive description of coverages and forms, pleaso reler to your policy.
Policy changes requesled before he'Dale Prepared'', which appear on this notice,'are etfective on the Renewal Date
of lhis policy unless otherwise indicated_by a separate endorsement, binder, or amended declarations. Any coverage
forms attached to this notrce are also elfective on the Renewal Datre of this polhy.
Policy changes r€qu€sled aflsr lh€ ''Dat6 Prepared" will be s6nl to you as an amended declarations oras an€ndorsement to your policy. Billing lor any addilional premium for sirch changes will be mailed at a laler date.
lf, during fre Past y€ar, youVe acquired any valuable property rtems, made any improvern€nts to insured property,
or have any questions about your insuranc€ coverage, contact your State Farir ajent.
Please keep this with your policy.
Prepared
AUG 10 2021
cMP-4000
01 1379 294
N
O Copyighl Stots Flrm Mutucl Automobils lns!rrnce Complny, 2@8
lnclud.i copyrjghtsd mcteri!l of lnsurrnc0 Soruicss office, lnc., with its pormisrion
Page 8 of I
I
I
StateFarm STATE FABM GENERAL INSUBANCE COiIPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"fl 3i093f,! ?*,s o's. s s z s
Named lnsured
M-23-3535-FB8A F Z
I{ESTERN A/V INC
I
INLAND MARINE ATTACHING DECLARATIONS
Policyl{umbar 92-GY-D812-0
Policv Period Ellective Dale Exoiralion Dab
12 Mbnths OCT 31 2021 OCf 31 2022
The polipy penod begtns and ends at 12 0l am standardime atthe premrses locaton.
&
EIfi
bBrts
q
3
ATTACHING INLAND MARINE
Aubmalic Ren.wal - lf tfre policy Deriod is shown as 12 months . this policy will be renewed automatically su biect to the premiums, rules and
forms in effect for each succeeding policy period. lf tris policy is terminated, we will give you and $e Mortgagee/Lienholder written notice in
compliance wifi $e policy provisions or as required by law.
AnnualPollcy Prrmlum lncluded
The above Premium Amount is included in 6e Policy Premium shown on fie Declarations
Your policy c onsists of these Declarations. tre INLAND MARINE C 0NDlTlONS shown below, and any otter forms and endorsemenB that
apply, including trose shown below as well as fiose issued subsequent to the issuance of this policy.
Foms. options, ard Endorsemens
FE-8
FE-6
FE-8
739
271
745
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse Ior Schedule Page witr Limits
Prepared
AUG 10 2021
FD-6007
01 1380
@ Copylioht St0te F.rm Mutu.l Automobilo lnr!r.ncs Comp6ny, 2m8
lncludes cogyrighted moterial of ln!ur.ncs S.rvic.. offics, lnc., wifi its p0rmisgion
5X0 0!0 ! 2 05 ll 20ll ioll3232cl
92-GY-D812-0
ATTACHING IIIILAND MARINE
ATTAGHING INTAND MARINE SCHEDUTE PAGE
ENOORSEMENI
NUMBER
FE-8745
LIMIT OF
INSURANCE
DEDUCTIBLE
AMOUNT
ANNUAL
PREMIUI\4C OVE RAG E
lnland Marine Computer Prop
Loss of Income and Extra Expense
s
s
25,000
25,000
Prepared
AUG 10 2021
FD-6007
011380
OTHEB LIMITS AND EXCLUSIONS MAY APPLY - BEFER Tt] YOUB POLICY
O Copyri!ht, Stlt8 F!rm l\4utu.l Automobile lnsurrnce Compony, 2008
lncludes copyriohtsd m!t0ri6l ot lnsurrnca Ssrvic0s offico, lnc., with its psrmission.
s 500 Included
Included
530 6E0 r ? 05 31 20ll lolfiP33cl