2022/10/01 Armstrong & Brooks Consulting Engineers Inc (21)I
StateFarm STATE FAFM GENERAL INSUNA CE COi'PANY
A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON. ILLINOIS6D@
E?#?i&lli L u,tor.re,s
Addl lnsured-Sectlon ll Only
DECLARATIONS AI,IENDED DEC 14 2022
Policy ltlumbe r 92CV-K206-3
Policy Period
12 l\ilonths
Elleclive Dateocr 1 2022
Exoiration DateocT 1 2023
The polipv period begins and ends at 12:01 am standard
tlme at the premlses Iocaton.
Named lnsured
ARI.ISTRONG & EROOKS CONSULTING
ENGINEERS INC
E
M.23.0555-FACE F U
H#EE^iri
t, tlr,il trt,lil,ll, rltr, tltlllil t,lrilllh,,lrlhlrFtrl,h rl
E
E.3
Oflice Policy
Aubmalic Renewal - lf the pollcy pedod is shown as 12 months, fris policy will be renewed automatically subiectto fie premiums, rules and
forms in effect for each succeed ing policy period. lf fris policy is terminated, we will give you and fre lVlongagee/Lienholder wriften notice in
compliance widr $e policy provisions or as required by law.
Entity: Corporation
Reason tor D€clsrations:Your policy is amended OEC 14 2022
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTMENT
FORM CMP-4859 ADDED
Endorsement Premium
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Claim Record
None
Prepared
JAN 16 2023
cMP-4000
029110 290 Al
N
@ Copyriqh! Stat€ Farm Mutuil AutomobilB lnrurdnc€ Complny, 2008
lnclude! copyrightEd mrtoridl o[ ln3urance Servicss officB, lnc., wilh it! p€rmr!9ion.
Continued on Reverse Side of Page Page 1 of 6
003851 3123CITY OF IIEN I FEE29844 HAUN RD
HENIFEE CA 92586-6539
DECLARATIONS (CONTINUED)
Office Policy for CITY OF MENIFEEPolicy Number 92-CV-KAnE3
SECTION I - PROP BTY SCHEOULE
Location
Number Location olOoscribed
Promises
Limit of lnsurance'
Coveraoe A -
Buildi'ngs
Limit ol lnsurance'
Coveraoe B -Business FersonalProperty
Seasonal
lncrease-
Busineqg
PersonalProperty
001 1350 E CHASE DB
coBoNA cA 92881-4001
No Coverage $ 84,100 25%
-Asofthee ve date o rs po , the Limit of lnsurance as s own includes any increase in the limit due to n atron overage
SECTION I - INFLA ION COVERAGE INDEX(ES)
Cov A - lnflatron Coverage lndex:
Cov B - Consumer Price lndsx:
N/A
292.3
SECTION I . D DUCTIBLES
Basic Deductible
Special Deductlbles:
lvloney and Securities
Equipment Breakdown
$1.000
$2s0
$1.000
Employee Dishonesty $250
Other deductibles may apply - refer to policy
Prepared
JAN 1 6 2023
cr\4P-4000
029110
O Copyright, Stats Frrm Mutu6l Automobilo lnsur0nce Compdny.2008
lncludes copyri0ht6d msterirl of ln,ur!nce Servicss olfice, lnc., with its prrmission.
Continued on Next Page Page 2 of 6
StateFam(DCO
ffi
DECLABATIONS (CONTINUED)
Oflice Policv ,or CITY OF MENIFEE
Policy Num6er 92-CV-K206-3
SECTION I - FXTFNSIONS OF COVERAGE - LIMIT OF INSU RAN(:F . FACH DFSCRIBED PREMISES
8
s,l
The coverages and corr€spondlng limits shown below apply separately to each descrlbed premlg€s shown in these
Declarationa, unless indicatad by "S€e Schedule." ll a coverage does not have a corespondlng llmit shown below,
but has "lncluded" indicatod, pleas€ reler to that policy provision to. an explanatlon of thal coverago.
COVERAGE
Accounts Receivable
On Premises
Ofl Premises
Arson Reward
Back-Up Of Sswsr Or Drain
Collapse
Damage To Non-Owned BuiHings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire D€partment SeNice Chargs
Fire Extinguisher Systems Becha196 Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ol Construction And Demolilion Costs (applies only when buildings are
insured on a replacement cosl basis)
Money And Securities (Ofl Pr€mi8es)
Money And Securities (On Promisos)
Money Orders And Counterfeit Money
Newly Acquired Business Personal Property (applies only il this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only il this policy provides
Coverage A - Buildings)
$5'000
$1s,000
lncluded
Cov€rage B Limit
25% of covered loss
lncluded
$5'000
$5'000
910,000
lncluded
10/"
$5,000
$10,000
$1,000
$100,000
$250,000
000
000
0
5$
Prepared
JAN 1 6 2023
Cl\ilP-4000
@ Copyrioh! St!t8 Frrm Mutual Automobile lnsurln60 Comprny,2008
lnrl!d€s copyrighted m!t€ri.l d lnsurrncr servicqs 0flio€, lno., with rts p0rmi!rion
Continued on Reverse Side ol Pago029i11290
N
Page 3 of 6
!
LIMIT OF
INSURANCE
oEcLARATTONS (CONTTNU ED)
Oftice Policv for CITY OF MENIFEEPolicy Num6er 92-CV-K206,3
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (applies only to those premises provided Coverags B - Businsss
Personal Property)
Personal Property Off Premisas
Pollutant Cl€an Up And Removal
Presorvafon Of Property
Property_Of Othgrs (applies only to those premises provided Coverage B - Business
Psrsonal Property)
Signs
Unautho,izod Business Card Use
Valuablo Papers And Records
On Premises
c,ff Premises
SECTION I. EXTE
lncluded
$s,ooo
$5,ooo
$1s,000
$10,000
30 Days
$2,500
$2,500
$s,000
$50,000
$1s,000
IONS OF COVERAGE . LIMIT OF INS RANCE . PER POLICY
The coverag€s and correspondlng limits shown below are the most we will pay rogardless of the number ofdoscrlbod premises shown in thgso Dsclarations.
COVERAGE
Dependenl Property - Loss Ot lncome
Employee Dishonesty
Ulility lnterruption - Loss Of lncome
Loss Of lnmme And Extra Expense
O Copyri0hL St,te F6rm Mutuol Automobilo lnsursnce Comp!ny,2OOa
lncludes cogyrighted mat8ri6l of lnsur!flco S0rvicss otfi0e, lnc , with its psrmission
Continued on Next Page
LIMIT OF
INSUBANCE
$s'000
$10,000
$10,000
Actual Loss Sustained - 12 lvlonths
Prepared
JAN 16 2023
cMP-4000
0291fi Page 4 of 6
hr"r"/e E
DECLARATIONS (CONTINUEO)
Oflice Policv lor CITY OF MENIFEE
Policy Numbsr 92-CV-K206-3
H#tE!.'-
SECTION II . LIABILITY
a
;3
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Porson)
Damage To Premisss Flented To You
AGGREGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim tor Liability Coverage reduces the amount ol insurance we provide during
annual period. Please refer to Soction ll - Liability in lhe Coverage Form and any attached
LIMIT OF
INSUBANCE
$3,000,000
$s,ooo
$300,000
LIMIT OF
INSURANCE
Excluded
$6,000,000
the applicable
endorsements
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequont to the
issuance of this policy.
FORMS AND ENDOHSEME
cMP-4101
cMP-4859
cMP-4787
FE-6999,3
cMP-4845
cMP-4819.1
cMP-4698
ClvtP-4704.1
cMP-4710
cMP-4709
cMP-4703.1
cMP-4705.2
cMP-4260.1
Businessowners Coverage Form.Al Engineer Architect Surv6y.Waiver of Trans Bgt ol Recov
Terrorism lnsurance Cov Notice
Excl Product Comp Operatn Liab
Unauthorized Business Card Use
Back-Up of Server or Drain
Dspendent Prop Loss of lncome
Employee Dishonesty
Money and Securities
Utility lnterruption Loss lncm
Loss of Income & Extra Expense
Amendatory Endorsement-CA
Prepared
JAN 16 2023
cMP-4000
029112 290
N
O Coprrigh! Stlls Farm Mutual Automobils Intur!nco Comp!ny. 20m
lncludei copyrighbd mlt8ri6l of lnsu16nce Sorvic0! offic8, lnc., with it pormis!ion
Continusd on Reverse Side of Page Page 5 of 6
DECLARATIONS (CONTINUED)
Offic€ Policv for CITY OF MENIFEEPollcy Num6er 92-CV-K2OG3
cMP-4261
cMP-4786.1
cMP-4870.1
FD-6007
Amsndalory Endorsement
Addl lnsd Owners Lessee Sched
Addl lnsd Primary Non Contrib
lnland Marine Attach Dec
NOTICE: INFOBMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.. New Form Attached
This policy is issued by th€ Stats Farm General lnsurance Company.
Participating Policy
You are entiued to participal€ in a distribution of the €arnings of the company as determined by our Board of Directors inaocordance with the Company's Articles of lncorporation, as amended,
ln Witness Whereof, he State Farm General lnsurance Company has caus€d lhis policy to be signed by its President andSecr€tary at Bloominglon, lllinois.
ff*m$ut
Sscrstary
-il-r," Mr{
Presrdent
IMPORTANT NOTICE:
Colltomls hw requllre us.to provlde you wlth lnlomatlon lor llllng complolrltg wlth the State lngurance Dop€ttmem legardlno tlEcoverEgB and $ryi'! provi&d ul|de] thi8 policy.
Your aged's nsme rnd coltact inlqmstion are provided on the lrord ol thle documern. AnottEr optbn is to reach out bymlilor phone dloctt to:
State Farm@ Executlve Cudomot Service
PO Bor 2320
Bloomington lL 61702
Pho no s 'l €oo-STATE FAB I ( I .800-782-8332)
D,ePertnent-of lnsurtnco complalntr should be liled only arter you and Stste Fsrm or your qgcrt or other companyroprBge atfuo havo lilsd to telch a satlglsctory agreemet* on a problsm.
CElilorniE Deprftnent oI lnar]loce
Con3!mer SeaYlco3 Dhl!bn
300 gornh Spdng Slre€t
Los Angples, CA 900 | 3
Phoru , l{0O427.HELP ((r54 ol vbit xuw,inEura nce.cs.oov/o1-qoflE(m era
Prepared
JAN 1 6 2023
cMP-4000
O Copyriohl Stsle t.rfi MuEalAutomobil€ lnsuronc0 Compony, 2008
lncludes copyrightsd msterllof lnsur0nce Sorvics! 0ffice, lnc., with its p€rmission
029112 290
N
Page 6 of 6
]ut"rur-i(-/@
Hi?iL,
Efl*
STATE FANM GENERAL INSUFANCE COMPANY''^' -iK ;;npAi1ifuru uoue orr-rCii ii 'aloouNcrou.1114yp7s INLAND MABINE ATTACHING DECLAHATIONS
E?oEH,6?Ji,, u, zor" rt, u Policy umber 92-CV-K206-3
Policv Period Etlective Date Expiration Date
12 M'onths ocl 1 ?022 ocT 1 2023
The oolicv oeriod beoins and ends at 12:01 am standard
time'at$6'premiseslocaton.
Named lnsured
M-23-O555.FACE F U
AR]ISTRONG & IROOKS CONSULT ING
ENGINEERS INC
I
bE
Aubmatic Renewal - lf the Policy Pirlod is shown as 12 months , ttris polic
forms in effectfor each suci:eeding policy period. lfttris policy is terminate
y will be renewed automatically subjectto the premiums, rules and
d. we will give you and $e Mortgagee/Lienholder written notice in
compliance witr the policy provisions or as required by law
Annual Policy Premium $ 373.00
The above Premium Amount is includod in tre Policy Premium shown on $e Declarations
Your oolicv consists of these Declaradons, tre INLAND MARINE C 0NDlll0NS shown below, and any other lorms and endorsements that
applv, inclirding $ose shown below as well as $ose issued subsequentto the issuance ofthis policy.
Foms, 0ptions, and Endoisallrents
FE-8739
FE-6271
FE-8745
FE-8760
lnland Marine Conditions
Amendalory Endorsement
lnland Marins Computer Prop
Mobile Equipment Form
See Reverse for Schedule Page wifr Limis
Prepared
JAN 16 2023
FD-6007
029113
O Cowright State Fsrm Mutual Automobil0 lnsurtnce Cornp!ny,2008
lncludes copyrighted m6terial of lnsurance Seivicss olfic€, lnc , with its permission
t3u 686d 2 05 31 20ll lollS?3zc|
ATTACHING INLAND MARINE
92-CV-K206-3
ATTACHIITG I I.AITD MARINE
ATTACHING INLAiID MABINE SGHEDULE PAGE
ENOORSEMEN]
NUMBER
FE.87 45
FE-8760
COVERAGE
LIIVIIT OF
INSURANC E
DEDUCTIBLE
AIVIOUNI
ANNUAI
P RE I\4IU I\4
Included
Includeds 575.00
lnland Marine Computer Prop
Loss of lncomo and Extra Exoense
Mobile Equipment Form
$
$
25,000
25 , 0 0 037,000
$ 500
$ 1,000
Prepared
JAN 16 2023
FD-6007
0291 13
OTHER LIMIIS AND EXCLUSIONS MAY APPLY . REFER TO YOUR POLICY
O Copyri0h! St6te Farm l\,lut! al Automobile lnsursnce Comp6ny, ZOOB
lncludes copyrighted miterisl ot lnsur!nce Services office, lnc., wilh its p0rmasston.
530 [06d.2 05 ]l ?01! lo1tU33rl