2022/10/01 Armstrong & Brooks Consulting Engineers Inc (22)StateFam STATE FARI' GENERAL IiISUFAICE COiIPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?oE$i n61l i L a, t o, " r s, s
Addl lnsured-Sectlon ll Only
M-23.0555-FACE F U
003073 3123CITY OF t{EN I FEE
29844 HAUN RD
r{EN r FEE CA 92546-6539
Iililtillil,,t,rlilrl,rIlr,lrtrtli,t,Illl,llil,IIl,,llll,
oECLAHAT|ONS AMENDED DEc 22 2022
Policy umber 92-CV-K206-3
Pollcv Padod Elloctive Dalc Expiralion Dab
12 Mbnths OCI 12022 OCT 1 2023
Ihe polipy period beqins and ends at l2:01 am standardtme atme premlses loca0on.
Narn€d lnsurod
ARIISTRONG & BROOKS COiISU LT I NG
EI{GI NEERS INC
!&
ffi
E
OfIice Policy
Automrlic Berowal - If tte pollcy pe ,lod is shown as 12 monlhe , this policy
forms in etfectfor each sucLeeding policy period. lf his policy is terminated
compliance witr $e policy provisions or as required by law.
will be renewed automatcally subjectto the premiums, rules and
we will give you and fie Mortgagee/Lienholder written notice in
Enlity: Corporation
Beason tor Declarations:Your policy is amended DEC 22 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 19 2023
cMP-4000
O Copyri0ht, St!t. t.rm Muturl Automobile lnsurlncr Complny, m08
lnclud0s copyri0ht0d mltorirl of lnsuranc6 S6rvices offic6, lno., with hr permi3sion
Continued on Reverse Side of Page Page 1 of 6022246 290
N 5?I1 iiT ot 31701I lorl3?Xl.l
OECLARATIONS (CONTINUED)
Orflce Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K2Oe3
SECTION I. PBOP RTY SCHEDULE
LocallonNumb€t Locatlon olDescribodPremis€s
Limlt ot lnsurance'
Coveraoe A -
BuiEfngs
Llmit o, lnsutance'
Coveraoe B -
Business FersonalProperty
Seasonal
lncrease-
Business
Personal
Property
001 1350 E CHASE DR
coBoNA cA 92881-4001
No Coverage $ 84,100 250/.
' As ol ttre rve teo rs po e m of nsurance as shown includes any lncrgase rn mit due to lnf lat on overagee
SECTION I . INFLA N COVEFAGE INDEX(ES)
Cov A - lnfhlion Coverage Index
Cov B - Consumer Price lndex:
N/A
?92.3
SECTION I - D UCTIBLES
Baslc Deductible
Sp.clal Daductibles:
Mon€y and Securjties
Equipment Breakdown
$1,000
$2so
$1,000
Employee Dishonesty $2s0
Other deductibles may apply - refer to policy
Prepared
JAN 19 2023
cMP-4000
022246
O Copyri!h! St.te F!rm Mutu!l Automobilo lns!r.nc0 Comprny.2O(E
lncluds! 6opyraght€d m8teriol ol lnsur!nce S€ruicos officB, lnc , with rtl parmi!sion
Continued on Next Page Page 2 ol 6
StateFarm&
v';*;
tlt{t:
DECLAHATIONS (CONTINUED)
Office Policv fo. CITY OF MENIFEEPolicy Num6er 92-CV-K20&3
SECTION I . EXTENSIONS OF COVERAGE - LIMIT OF INSU RANCE. EACH OESCFIBED PREMISES
!
g
;3
The coverages and corresponding limits shown below apply separately to each described premisos shown in these
Declarations, unless indicated by "S6€ Schedule." ll a coverage does not have a corresponding limlt shown below,
but has "lncluded" indlcated, please refer lo that policy provision lor an explanation of lhat coverage.
LIMIT OF
INSURANCECOVERAGE
Accounts RecEivable
On Premises
Orf Premises
Arson Reward
Back-Up Ol S€wer Or Drain
Collapse
Damage To Non-Owned Builclings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Oepartmont Service Charge
Fire Exlinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Exp€nEes
lncreased Cost Ol Construclion And Demolition Costs (applies only when buildings aro
insured on a replacement cost basis)
Money And Securities (Off Premises)
Mon6y And Securities (On Premises)
Money Orders And Counterfeit Monoy
Newly Acquired Business Parsonal Property (applies only it this policy provides
Coverage B - Business Personal Property)
Newly Acquirod Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
$s0,000
$1s,000
$s,000
$15,000
lncluded
Coverage B Limit
25olo of covered loss
lncluded
$5,ooo
$5,000
$10,000
tnctuded
1Oo/o
Prepared
JAN 19 2023
cMP-4000
@ Copyrigh! St6te F!rm Mutu!l Automobils lnsur.nco Compiny,2m
lncludss copyrightid mr_tErial of ln3urrnce Sorvicos office, lnc , $ri6 it! p€rmislion
Continued on Reverse Side of Page
$5,ooo
$10,000
$1,ooo
$100,000
$250,000
022247 290
N
Page 3 of 6
DECLABATIONS (CONTINUED)
Olfic€ Policv for CITY OF MENIFEE
Policy Num6er 92-CV-K2O&3
Ordinance Or Law - Equipmont Coverage
Outdoor Property
Personal Efiects (applies only to those premises provjded Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservation Of Prop€rty
Property.Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Businsss Card Use
Valuable Papers Ard Records
On Premises
O{f Premises
lncluded
$s,000
$s,ooo
$15,000
$10,000
30 Days
$2,s00
$2,500
$5,000
$50,000
$15,000
SECTION I. E ENSIONS OF COVERAGE -LIMIT OF INSURANCE - PER POLICY
The coverages and cono3ponding limits sho'uvn below are the most we will pay rogardles3 o, tho number o,describEd premises shown ln theso Declaratlons.
COVERAGE
Dependent Properly - Loss Of lncome
Employee Dishonesty
Ulility lnterruption - Loss Ol lncome
Loss Of lncome And Extra Expense
@ Copyright Ststo tsrm l\,iutu!l Automobil0 ln6!ranco Comp6ny, Zm8
lnclud€s copyrilhted m6t0rial of lns!r.nco Seruices offics, |flc.. with its p0rmissron
Continued on Next Page
LIMIT OF
INSUHANCE
$5,000
$10,000
$10,000
Actual Loss Sustained - 12 Months
Pr epared
JAN 1 I 2023
cMP-4000
022247 Page 4 ol 6
StateFarm&
F.i:"*iE#
DECLARATIONS (CONTINUEO)
Otllce Policv lor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
SECTION II . LIABILITY
R6
6A
COVERAGE
Coverage L - Business Liabilily
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE LIMITEi
Products/Completed Operations A0gregate
General Aggregate
Each paid claim for Liability Coverage reduces the amount ol insurance we p
annual period. Please refei to Section ll - Liability in the Coverage Form and
LIMIT OF
INSURANCE
$3,000,000
$s,000
$300,000
LIMIT OF
INSUHANCE
Excluded
$6,000,000
rovide during the applicable
any attached endorsements
Your poticy consists of those Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any olher
forms and-endorsements that apply, including those shown below as well as those issued subsequent to the
issuance of this policy.
FONMS ANN FNDOHSEME
cMP-4101
cMP-4859
cMP-4787
FE-6999.3
cMP-4845
Cl\ilP-481 9.1
cMP-4698
cMP-4704.1
cMP-4710
cMP-4709
Cl\ilP-4703.1
cMP-4705.2
cMP-4260.1
Businessowners Coverage Form.Al Engineer Archilect Survey.Waiv6r of Trans Flgt of Recov
Terrorlsm lnsurance Cov Notice
Excl Product Comp Operatn Liab
Unauthorized Business Card Use
Back-Up of Sewor or Drain
Dependont Prop Loss of lncome
Employee Dishonesty
Money and Socurities
Utility Interruption Loss lncm
Loss ol lncome & Extra Expense
Amendatory Endorsement-CA
Prepared
JAN 19 2023
cMP-4000
022248 290
N
@ Copyri0ht, Stlto frrm Mu&!lAutomobile lnturcncr Complny.208
lnclud€s oopyrightod m.trriil of insur0ncB SErvices officr, lnc., wi$t its permission
Continued on Reverse Side ol Page Page 5 of 6
!
ofii
Poli
ce Pol,c
cy Num
DECLARATIONS (CONTINUED)
v lor CITY OF MENIFEE5er 92-cV-K2oG3
Amendatory Endorsement
Addl lnsd Owners Lessee Sched
Addl lnsd Primary Non Contrib
lnland Marins Attach Dec
NOTICE: INFORMATION CONCEBNING
CHANGES IN YOUR POLICY
TANGUAGE IS INCLUDED, PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.
' New Form Attached
cMP-4261
cMP-4786.1
cMP-4870.1
FD-5007
This policy is issued by the Stat€ Farm G€n€ral lnsuranco Company,
Participating Policy
You are anb'tled to participate in a- disUibution ol the earnings of the company as determined by our Board o, Directors inaccordanc€ wilh the Company's Articles of lncorporation, ai amended. '
General lnsurance Company has caused this policy to be signed by its pr€sident and
-{/,*k Mry
ln Witness Whereof, he State Farm
Secrotary al Boomington. lllinois.
,'frr,-,.n)u'lt- )a 0Secretary
IHPORTANT NOTICE:
Calomla l€w requlrei us_to provldo you wlth lntormatlon for llllng complalnts wth rhs Staro lnsutance Depadmem rcgsrdlng thecovcrrgo and sryice provktd under tio policy.
Yolr .lsfll's nEme End contlct lnlomltion srr provlded on ths lronl ol thb document. Anotlpr optbn ls to rcach out bym.il or phon€ dlrsctly to:
Sl.!. FrrrP Exscutfuo Curlomar SeMce
PO Bor 2320
Bloorhgton lL 8t 702
PhoE t lSoo-STATEFARI (1 -8(xF782-83i12)
Deparlrllent ol lnsurance comphl,*r should be liled only atter you and State Farm or your lgsnt or othor companyreptEsrltstlvg havg lallod lo tlr(rr a 3otisloctory rgrggmont on a problsm,
Calomio oepartsnent ot hti.lrancsConsrltler Servlee! OlYlsbn
300 South Bprlng Srreet
L@ Allgslos, CA 90013
PhoF t 1t00.927-HELP (4354 qr vbil urw j nsurEnce.ca.ooyi 01-conldmers
President
O Cogyri0ht St'to Frrm Mutu!lAutomohlB lnsitr!nce Comp!ny, 2OOg
lncludss copyraghtod motsri6l of lnsur!ncE Ssruicas Offi0€, lnc., with iti p.rmission
Prepared
JAN 19 2023
cMP-4000
022248 290
N
Page 6 of 6
StateFarm STATE FARTI CENERAL INSI,FA}ICE COIIPAI{Y
A STOCK COMPANY WTH HO'IE OFFICES IN ELOA NGTON, IUINOIS
Po Box 2915Bloonington lL 61 702-29 1 5
Named lnsured
M-23.0555-FACE F U
ARI'ISTRONG & BROOKS CONSULTING
E NGI I{EER5 INC
ATTACHING INLAND MARINE
D
INLAND MARINE ATTACHING DECLARATIONS
Policyltlumber 92€V-K206-3
Policv Pedod Elfuctive Dalo Eroiration Dats
'r 2 Mbnths OcI 1 2022 OCr 1 2023
The polipv period beoins and ends at l2:01 am standardtme atme premtses locaDon.
v.::#.
F,fi'j
YI
a3
Aubmotic Roltowal - lf ttre pollcy pedod is shown as 12 monlhs , this policy will be renewed automatically subject to fie 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 notice in
compliance wi6 tre policy provisions or ss required by law.
Annual Policy Premlum $ 373.00
The above Premium Amount is included in the Policy Premtum shown on fie Declarations
Your policy consists of these Declarations, tre INLAND MARINE C0NDITI0NS shown below, and any odter forms and endorsemens trat
apply, including trose shown below as well as $ose issued subsequentto he issuance of this policy.
Forms, 0plions, and Endorsomanb
FE-8739
FE-6271
FE-8745
FE-8760
lnland l\ilarine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
Mobile Equipment Form
See Reverse for Schedule Page wi6 Limis
Prepared
JAN 19 2023
FD-5007
022249
O Copyrioht, Sr0t6 Ffim Mulual Altomobili lnsur!nc0 Comprny, 2m
lnclud0t copyriohted miterirl of lnsur!ncs Strvicos 0ffics, lnc.. widt is permission
530 d83 i 2 05 31 2011 roll3?32c1
&
92-CV-K206-3
ATTACHII{G It{LAND MABIIIE
ATTACHING INLANO MARINE SCHEOUTE PAGE
ENDORSEMFNT
NUIVIBER
FE-87 45
FE-8750
COVERAGE
LIMIT OF
INSUflANCE
DEDUCIIBLE
A[IOUNT
ANNUAL
PREMIUM
Included
Includeds 375.00
lnland Marin6 Computer Prop
Loss ol lncome and Extra Exoenselrobile Equipment Form
s
s
s
25,000
25,00037,000
$ 500
s 1,000
Prepared
JAN 1 I 2023
FD-6007
022249
OTHEB LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
@ Copyri0ht St0to t!rm Mutu0l Autgmobils Insur.ncs Comp.ny, Z0O8
lnclude! copyrightsd matsrialof lnsuranco Services 0ffice, lnc., witi jts oermission
530 686s 2 05 3l l0ll lolfilzlJc)