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2022/10/01 Armstrong & Brooks Consulting Engineers Inc (25)StateFarm STATE FAHM GENERAL INSUHANCE COI'PANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINO'S E?BHisIJi La,zor-rs,' Addl lnsured-Sectlon ll Only |\I|-23-0555-FACE F U002120 3123CITY OF I{EN I FEE2964{ HAUN RD }IENIFEE CA 92585 - 6 559 il,,, rll,trlr,ltr, r,l,il trtlllt,ilrt,I tr,lllr, rl,riltr,l, Ir,ltr DECLARATIONS AMENDED AUG 16 2022 Policyl{umbor 92-CV-K206-3 Pollcv Period Elt ctive Date Exoiralion Dale 12 Mbnrhs OCf 12022 OCr 12023 The oolicv oeriod beoins and ends at l2:01 am standardlime athe premises Tocaton. Named lnsured ARI{STRONG & BROOKS CONSU LT I NG EIIGINEERS INC !& LI'';{it## c a.i Office Policy Aubmalic Rencwal - ll the policy period is shown as 12 monlhs , this policy forms in effectfor each succeeding policy period. lftris policy is terminated compliance wi$ the policy provisions or as required by law. will be renewed automatically subjectto tre premiums, rules and , we will give you and he Mortgagee/Lienholder written notice in Entlty: Corporation Reason lor Declaratlons:Your policy is amended AUG 16 2022 ADDL INSURED INFORMATION CHANGED PREMIUM ADJUSTMENT FORM CMP-4859 CHANGED Other items shown are effective with the policy's 202? rcnewal Endorsement Premium None Discounts Applied: Claim Record Prepared sEP 08 2022 cMP-4000 018115 290 Al N O copyrigh! St.te F.rm l\4utu al Aubmobil0 ln!urrnc. Complny, 2008 lncludos copyri0htsd mEterial ol ln3ur.nc0 Srrvicr! offic.,lnc.. with hs pormission Continued on Reverso Sido ol Page Page 1 of 6 530 0E0 i.2 05 3l ?01I (ollSzllclI DECLARATIONS (CONTINUED) Offico Policv tor CITY OF MENIFEEPolicy Numb€r 92-CV-K20&3 sEcTtoN I - pRoP BTY SCHEDULE Location Number Locatlon olDescrlbed Premis6s Limit of lnsuranco' Coveraoe A - Bulldfngs Llmit ol lnsurance' Coveraoe B - Business Fersonal Property Seasonallncrease- Buslnoss Personal Properly 001 1350 E CHASE DRcoBoNAcA 92881-4001 No Coverage $ 84,100 25.k ' As of the effsctive teo rs po cy, the Limit of lnsurance as s own includes any increase in the tmt ue to n at overage.n SECTION I - INFLA ON COVEFAGE INDEX(ES'I Cov A - lnf lation Coverage lndex: Cov B - Consumer Price lndex: N/A 292.3 sFeTtoN I - n DlICTIBI FS Basic Deduclible Speclal Deductibles: Money and Securities Equipment Breakdown $1,000 $250 $1,000 Employee Dishonesty $250 Other deductibles may apply - reler to policy Prepared sEP 08 2022 cMP-4000 018'l 1 5 O Copyrighl Stalo F!rm lvlutu r I Automobilo lnsuroncB Comp!ny,2OO8 lncludgs copyrighted matgrirl of lnsur!ncs SBrvic0! otfice, lnc., with its p8rmission. Continued on Next Page Page 2 of 6 StateFatmi-)@ heuI!i DECLARATIONS (CONTINUEO) Otlice Pollcv lor clTY OF MENIFEEPolicy Num6er 92-Cv-K20&3 SECTION I- EXTFNSIONS OF COVERAGE . LIMIT OF INSURANCE. EACH DESCRIBED PFEMISES ! 88 Ja3 The coverages and corrosponding llmits shown below apply separately to each descrlb€d promlses shown ln these Declaratlons, unless lndicatod by "S€e Schedule." ll a coverage does not have a corrospondlng llmit shown below, but has "lnclud€d" indlcated, ploase refer lo that pollcy provision for an explanation ot thal covo.age. LIMIT OF INSURANCECOVERAGE Accounts Receivable On Premises Ofl Premises Arson Roward Back-Up Of Sewer Or Drain Collapse Damage To Non-Owned Buildings From Theft, Burglary Or Bobbery Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systems Recharge Expense Forgery Or Alteration Glass Expenses Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis) Money And Securities (Ofl Premises) Money And Securities (On Promises) Money Orders And Counterfeit Money Newly Acquired Business Personal Property (applies only if this policy provides Coverage B - Business Personal Properly) Newly Acquired Or Constructed Buildings (applies only il this policy provides Coverage A - Buildings) $s0,000 915,000 $5,000 $15,000 lncluded Coverage B Limit 25% of covered loss lncluded $s,000 $5,000 $10,000 lnclud6d 10% Prepared sEP 08 2022 cMP-4000 018116 290 N O Copyri!ht, Stdts F!rm Muu.lAutomobilB lnsurrnce Comp!ny,20tJg lncludes copyriohted mderi.l ol lnsurlncs S0rvicr! officB. lnc.. with iB pormission Continuad on Reverse Side ol Page $5,ooo $10,000 $1,000 $100,000 $2s0,000 Page 3 of 6 Office PolicPolicy Num DECLARATIONS (CONNNUED) v |or CITY OF MENIFEE6er 92-CV-K20&,3 Ordinance Or Law - Equipment Coverage Ouldoor Property Personal Effects (applies only to those prEmises provided Coverage B - Business Personal Property) Personal Proporty Ofl Premisos Pollulant Clean Up And Flemoval Preservation Ol Property P.operty Of Others (applies only to those premises provided Coverags B - Businoss Personal Property) Signs Unauthorized Business Card Use Valuable Papers And Records On Premises Ofl Premises lncluded $5,000 $s,000 $1s,000 $10,000 30 Days $2,500 $2,s00 $s,000 000 000 0$5 $ SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE. PER POLICY The coverages and correspondlng limits shown below are the most we will pay regardloss ot the number oldescribod premises shown in these Declarations. COVERAGE Dependent Property - Loss Of lncome Employee Dishonesty Utility lnterruption - Loss Of lncome Loss Of Income And Extra Expense O CopyriOhl St'te t6rm Mutu!lAutomobih lnrurrnc0 Comp!ny,2008 lnoludes copyriohtod m6tori.l ol ln!ur!ncB SBryicBs oflice, lnc., with rts pormis3ion Continued on Next Page Prepared sEP 08 2022 cMP-4000 0181 r 6 Page 4 of 6 LIMIT OF INSUEANCE $5'000 $10,000 $10,000 Actual Loss Sustained - 12 Months StateFarmi-,@ DECLARATIONS (CONTINUED) Ollice Pollcv lor CITY OF MENIFEE Policy Num6€r 92-CV-K206-3 ffi SECTIONII . LIAtsIIITL E -E COVERAGE Coverage L - Businoss Liability Coverage M - Medical Expenses (Any One Porson) Damage To Premises Rented To You AGGBEGATE LIMITS Products/Completed Operations Aggregate General Aggregate Each paid claim tor Liability Coverage reduces the amount of insuranco we provide during the applicable annual period. Please refer to Section ll - Liability in the Coverage Form and any attached endorsements LIMIT OF INSUBANCE $3,000,000 $5,ooo $300,000 LIMIT OF INSURANCE Excluded $6,000,000 Your policy consists of these Declarations, lhe BUSINESSOWNERS COVERAGE FOBM shown below, and any other forms and endorsements that apply, including those shown below as w€ll as those issued subsequont to the issuance of this policy. FOHMS AND ENDOFSEMENTS Businessowners Coverage Form.Al Engineer Architect Survey 'Waiver ol Trans Rgt of Becov Terrorism lnsurance Cov Notice Excl Product Comp Operatn Liab Unauthorized Business Card Use Back-Up of Sewer or Drain Dependent Prop Loss of lncome Employee Dishonesty Money and Securities Utility lnterruption Loss Incm Loss ol lncome & Extra Expense Amendatory Endorsement-CA Prepared sEP 08 2022 cMP-4000 018117 290 N o Copfiigh! Strte Farm Mutu!l Aubmobih lnrurrnc0 Comprny, 2008 lncludos copyri0hted matsriElof ln!u16nc0 S0wici! 0iic0,lnc., wi6 its pormission Continued on Roverse Sido ol Page Page 5 of 6 E cMP-4101 cMP-4859 cMP-4787 FE-6999.3 cMP-4845 cMP-481 9.'1 crvlP-4698 cMP.4704.1 cMP-4710 cMP-4709 cMP-4703.1 cMP-4705.2 cMP-4260.1 Ot ice PollcPolicy Num cMP-4261 ct\,4P-4786.1 cMP-4870.1 FD-6007 DECLARATIONS (CONTINUED) v lor CITY OF MENIFEE6er 92-CV-K20&3 Amgndatory Endorsement Addl lnsd O,vners Lessee Sched Addl lnsd Primary Non Contrib lnland Marine Altach Dec NOTICE: INFOBMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUB AGENT IF YOU HAVE ANY OUESTIONS. ' New Form Attached This policy is issued by he State Farm General lnsurance Company. Participating Policy You ar€ entitl€d to participal€ in a distribution ot the earnings o, the company as dotormined by our Board of Directors in accordance with the Compsny's Artioles of lncorporation, as amended. ln Witness Whereof, he State Farm General lnsurance Company has caused this policy to be signed by its President and Secretary at Bloomington, lllinois. ff0,--n1tr",,r,* Secretafu -il*& erh IMPORTANT NOTICE: C€lfomls hw requl]es tr3_to ploYlde you w_lth lnromotlon for llllng complolr s wlth the gtote lngurancr Dsponment re0ardlng tlE covorugo and eeryics provitbd under this policy, YouJ agenl's name and cortact lr ormrtion are provided on tlE lrori ol thls documeri. Another option is to resch out bym.llor phooo dlrectly to: State Fsrm@ Etecutlve Custorn r 3affice PO Box 2320 Bloomlnglon lL 61702 Phone f l+oo-STATEFARI (1.80o-782'83i]2) Depaiment-o, lnaunne complahtr should be lilod only alter you and Stale F8m or your agBnt or ollpl companyroprp$rtatfue have hlod to rElclr I stial.ctory .g]Rement on I probbm. Califomia oepartment of lnslrrnce Consumer Serylc*! 0Mobn 300 Sornh SprlnO srrcst LoE Ang€ls8, CA 0O0t3 Phone * 1.60o-927-HELP (4357) o, vbit uuw.inouiance.sa.qoy/o1-conqmera Presldent O Copyri0hl St.$ F!rm l\4utu!l Automobilo lnsurrncs Comp!ny,2008 lnclud0s copyrightsd mot6ri.l of lnsur!ncB Servicos otlics, lnc., wilh its o0rmtssion Prepared sEP 08 2022 cMP-4000 0181 17 290 N Page 6 ol 6 STATE FARU GENERAL INSUFANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON, ILLINOIS E?oEEi,3?l i L * z o r., e, s Named lnsured M.23.0555-FACE F U ARI'ISTRONG & EROOKS CONSU LT I NG ENGINEERS INC ATTACHING INLAND MARINE INLAND MARINE ATTACHING DECLARATIONS PolicyNumber 92-CV-K206-3 Policv Period Etlecllvr Dale Exriralion Dab 12 Mbnths OCT 12022 ocT 1 2023 Ihe polipy period beqtns qnd ends at 12 01 am standardtme atthe premlses locat0n. n d5@ It;'#Hft qI Aubmslic Renewrl - ll ttre policy pe riod is shown as l2 monlhs , dris policy will be renewed automatically su bject to the premiums, rules and torms in ettectforeach succeeding policy period. ll tris policy is terminated, we will giveyouand re Mortgagee/Lienholder written notice in compliance wi$ the policy provisions or as required by law. Annual Policy Pnmium $ 373.00 The above Premium Amountis included in tre Policy Premium shown on fie Declarations Your policy consists of these Declarations. fre INLAND MARINE C 0NDiTl0NS shown below, and any other forms and endorsements trat apply, including trose shown below as well as $ose issued subsequentto the issuance of this policy. Forms, 0plions, and Endolsoments FE-8 FE.6 FE-8 FE.8 739 271 745 760 lnland Marine Conditions Amendatory Endorsement lnland Marine Computer Prop Mobile Equipment Form See Reverse for Schedule Page witr Limis Prepared sEP 08 2022 FD-6007 018118 O Cowrilhl Stlto t!rm Mutu.l Automobilo lnsur.roe Comp!ny, 2m8 lncludos copyright8d m.torial of ln!ur!nce Servicsr oflice, lnc., with its psrmission 530 tA6r ? 0! !l 20ll loll3232c) StateFarm 92-CV-K206-3 ATTACHIT'IG IiILAND MARINE ATTACHING INTAI{D MARINE SCHEDUIE PAGE ENDORSEMENT NUMBER FE-8745 FE-8760 C OVERAG E LIMIT OF INSURANC E DEDUC TIBLE AI\4OU NT ANNUAL PREI\4IUM IncludedIncludedI 575.00 lnland Marine Computer Prop Loss ol lncome and Extra Expense Mobile Equipment Form s sI 25,000 25,00037,000 $ 500 $ 1,000 Prepared sEP 08 2022 FD-6007 0181 r I OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY O Copyrioh! Stlt8 t6rm Mlturl Automobilo lns!rlnco Comp!ny,2008 lnclud0! copyriohtsd mrtBrirl ol lnsu16nc0 SBrvicB, offics, Inc., with its pormission 530 i36 r 2 0t 31 20ll loll323!cr StateFarm STATE FARM GENERAL INSURAI{CE COMPANY A STACK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOISdD@ E?oEPi ffi li,, u,, o r - r', t Addl lnsured-Section ll Only DECLARATIONS AMENDED AUG 15 2022 Policyllumber 92-CV-K206-3 Policv Psriod Eflectlvr Dale Exoiralion 0ab 12 Mbnths OCr 12022 ocT 1 2023 The pohpy perio! beqins and €nds at 12 01 am standard bme atthe premrses locaton Named lnsured ARI,ISTRONG & BROOKS CONSU LT I NG ENGINEERS INC trl M-23-0555-FACE F U Er;d,Etffi 002807 3123CITY OF IIEN I FEE?9E44 HAUN RD !.rEN r FEE CA 9?546-6539 , t, r, rlil rtlrltlrl, rtI t, t,lr,, rtrll' rtrt,llr , il trlil r,lt rtl,l, r ? B Office Policy Automalic Renowsl - lf the pollcy poriod is shown as t2 monlhs , fris policy will be renewed automatcally subiectto the premiums, rules and forms in effectfor each sucieeding policy period. lf dris policy is terminated, we will give you and the Mortgaqes/Lienholder written notice in com pliance wifi fie policy provisions or as req uired by law Entity: Corporation Reason lor Oeclaratlons:Your policy is amended AUG 15 2022 ADDITIONAL INSURED ADDED PREMIUM ADJUSTIVIENT FOR[il CMP-4859 ADDED Other items shown are effective with the policy's 2022 @newal Endorsement Premium Discounts Applied: Claim Record None Prepared sEP 07 2022 cr/P-4000 024045 290 At N @ Copyrioh! State form Mutu.l Automobilo ln!urrncB Comp!ny,2008 lnclud0s copyri0ht0d mltsri!l of ln3ur.nc. Servrcos offic., lnc.,with its psrmistion Continued on Reverse Side of Page Page 1of 6 53{ t!!.1 05 11 ?0ll loit3?3lcl DECLARATIONS (CONTINUED) Otfico Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K20&3 sEcTloN I - pROp RTY SCHEDULE Location Numb€r Location o, Described Premises Limit ol lnsurance' Coveraoe A - Buildinqs Llmit ol lnsurance* Coveraoe B - Business FersonalProp€rty Seasonallncrease- BusinessPersonal Property 001 1350 E CHASE DR coBoNA cA 92881-4001 No Coverage $ 84,100 250/. .Aso lhe e ective teo spo icy, t e m lnsurance as s nc U es any incroase in the Irmt ue to ln ation Coveragen sFcTtoN I - rNFLATION COVERAGE INDEX/ES'I Cov A - lnflation Coverage lndex: Cov B - Consumer Price lndex: N/A 292.3 SECTION I . DEDU TIBLES B6ic Doductiblo Spocial Dsductibles: Money and Securities Equipment Breakdown $1,000 Other deductibles may apply - refer to policy $2so $1,000 Employee Dishonesty $250 Prepared sEP 07 2022 cMP-4000 024045 O Copyri!ht, Strts F6rm l\4utu.l Automobile lnsur!nco Comp!ny, 2O()8 lnrludss copyri0ht0d m.tsri.l of lnsur!0ce Seruicos oflics, lnc., w$ it! plrmission Continued on Next Page Page 2 of 6 StateFarm ffi DECLARATIONS (CONTINUED) Otlice Pollcv tor CITY OF MENIFEE Policy Num6sr 92-Cv-K20&3 SECTION I . EXTENSIONS OF COVERAGE - LIMIT OF INSU RANCE. EACH DESCRIBED PFEMISES EE iR The coverages and corrBponding llmlts shown below apply 3eprratoly loeach descrlb€d premlses shown in thsse Declaratlons, unless lndlcated by''See Schedule." ll a coverage does nol havo a corresponding llmlt shown bolow, but has "lncludod" lndlcated, please refer to that policy provl3lon lor en exPlanation ol that coverage. LIMIT OF INSUBANCECOVEFAGE Accounts Receivable On Premises Ofl Premises Arson Reward Back-Up Of Sewer Or Drain Collapse Damage To Non-Owned Buildings From Thett, Burglary Or Bobbory Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguish€r Syslems Rscharge Expense Forgery Or Alteration Glass Exp€nses lncreased Cost Ol Construction And Domolition Costs (applies only wh€n buildlngs are insured on a replacement cost basis) Money And Securities (Ofl Premises) Money And Securities (On Premises) Money Orders And Counterfeit Monoy Newly Acquired Business Personal Property (appliss only if this policy providos Coverage B - Business Personal Property) Newly Acquirsd Or Constructed Buildings (applies only il this policy provid€s Coverage A - Buildings) 0 5 $5 $ 000 000 $5,000 $15,000 lncluded Coverage B Limit 257o of covered loss lnctuded $5,ooo $5,ooo $10,000 lncluded 10o/. Prepared sEP 07 2022 cMP-4000 024046 290 N O Cogyright, St!t. fcrm Mulurl Automobila lnaurlnc. Comptnv, 2U08 lnclud6s copvrightod matori!l of lnsurancr Sanicrt ollic., lnc., with its pBrmission Continued on Reverso Side ol Page $5,000 $10,000 $1,000 $100,000 $250,000 Page 3 of 6 & DECLABATIONS (CONTINUEO) Ottice Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K20&3 Ordinance Or Law - Equipment Coverage Outdoor Prop6rty Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Otf Premises Pollutant Clean Up And Bemoval Preservation Of Proparty Properly.Of Others (applies only to those premises provided Coverage B - Business Personal Property) Signs Unauthorized Business Card Use Valuable Papers And Becords On Premises Otf Premises SECTION I - EXTE lncluded $5,000 $5,000 $15,000 $10,000 30 Days $2,500 $2,500 $s,000 $s0,000 $15,000 SIONS OF COVERAGE - LIMIT OF I RANCE - PER POLICY The cov€rages and correspondlng limits sholvn below are the mosl we will pay regardless of the number oldescribed pr€mises shown in th€s€ Declarations. COVERAGE Dependent Property - Loss Of lncome Employee Dishonesty Utility lnterruption - Loss Of lncome Loss Of lncome And Extra Expense O Copyrigh! Stst8 t!rm Mutu!l Automobil0 lnsurance Company,2t08 lnrlude! copyrighted mlterill of l.l3u16nco Sorvtc0s offics, lnc. wilh its p0rmr!sion Continued on Next Page LIMIT OF INSURANCE $5'000 $10,000 $10,000 Actual Loss Sustained - 12 Months Prepa red sEP 07 2022 cMP-4000 024046 Page 4 ol 6 ffi DECLARATIONS (CONTI NU ED) Otllce Pollcv lor CITY OF MENIFEE Policy Num6€r 92-Cv-K20&3 SECTION II - LIABILITY B 3 COVEFAGE Coverage L - Business Liability Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You AGGFEGATE LIII|ITS Products/Completed Operations Aggregate General Aggregale Each paid claim for Liability Coverage reduces the amount ot insurance we provide duri annual period. Please reler to Section ll - Liability in the Coverage Form and any attach LIMIT OF INSURANCE $3,000,000 $5.000 $300,000 LIMIT OF INSURANCE Excluded $6,000,000 ng ed the applicable endorsements Your oolicv consists of rhese Declarations, the BUSINESSowNERS covERAGE FORM shown bolow, and any other forms and-endorsements that apply, including those shown below as well as those issued subsequ€nt to the issuance ol this policy. FORi'S AND FNDONSEMEN cMP-4101 Cl\ilP-4859 cMP-4787 FE.6999.3 cMP-4845 cMP-4819.1 cMP-4698 cMP-4704.1 cMP-4710 ct\4P-4709 cMP-4703.1 cMP-4705.2 cMP-4260.1 Businessowners Coverage Form 'Al Engineer Architect Survey.Waiver of Trans Rgt of Recov Terrorism lnsurance Cov Notice Excl Product Comp Operatn Liab Unauthorized Business Card Use Back-Up of Sewer or Drain Dependent Prop Loss of lncome Employe6 Dishonesty lvloney and Securities Utility lnterruption Loss lncm Loss ol lncome & Extra Expense Amendatory Endorsement-CA @ Copyrioht Stlto Flrm Mutu!l Automobils lnrur!nca Complny, 2008 lnclude! copyri0htod m.teri.lof lnsur.nca Seruico! offics, lnc., witi its permission Continued on Reverse Sido ol Page StateFarm'(D @ Prepared sEP 07 2022 cMP-4000 024047 290 N Page 5 ol 6 DECLARATIONS (CONTINUED) Olllce Policv lor CITY OF MENIFEEPolicy Number 92-CV-K20&3 Amendatory Endorsemenl Addl lnsd Owners Lessee Sched Addl lnsd Primary Non Contrib lnland Marine Attach Dec NOTICE: INFORMATION CONCERNING CHANGES IN YOUR POLICY LANGUAGE IS INCLUDED, PLEASE CALL YOUB AGENT IF YOU HAVE ANY QUESTIONS.- New Form Attached This policy is issued by the State Farm General lnsurance Company. Parlicipating Policy You are entited to participat€ in a_distribution of th€ earnings of th€ company as determin€d by our Board of Directors inaccordanc€ with the Company's Articles of lncorporation. ai amended. ln Witness Whereof, the State Farm General lnsurance Company has caused this policy to be signed by its President andSecretary at Bloomington. lllinois. {r-nY-"* s6Cr€tary 4A-r," C-/q President IMFOHTANT NOTICE: Colfomla hw requlres us.to plovide you w_hh lnlormatlon for llllng complElnts whh the State lnsulance Deponmenr rcgardlng thecovsrags and Eervico provHqd undsr thl! policy. Your lgent 3 name and cort.ct ir omrtbn ale provided on th lro]lt ol thls documed. Another optbn is to reach out bymall or phono diroctly lo: Slsls FarrP Erocutlve Cuslomgr Servlco PO Box 2320 Bloomlngron lL 61702 Phone r 13oo-STATEFABtt (1 -80G782-8332) DePartment of lnsurance comPlainB 6hould be libd only alter you End State Farm or your ogent or olher companyreprogentatfuo hovs lsllod lo rEach a sotlalastoty .grBemont on o problom. Caliromir DepErtm€nt ol lnanrance Consumer Serylces Olvlslrn 300 Eouh Sprlng Street Loa Angobs, CA 9oor3 Phone * l€00-927-HELP (rr!5n er vbit xrw jrcurqnce.cs.oov/Ol.cortE(tnor! Prepared sEP 07 2022 Cl\,'lP-4000 0240d7 290 N O Copyrigh! St.te Farm Mutu!lAutomobils lnsur6nos Company, 20OB lncludBs cowright6d material of lnsur!nce Servicsr office, lnc.. with ih pErmission Page 6 of 6 cMP-4261 cMP-4786.1 cMP-4870.1 FD-6007 StateFarm STATE FARM GENEFAL INSURANCE COMPANY A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON, ILLINOIS Po Box 2915Bloominglon lL 61 702-291 5 Named lnsured I\il-23-0555-FACE F U ARMSTRONG & IROOKS CONSU LT I NG ENGINEERS INC ATTACHING INLAND MARINE -l I]{LAND MARINE ATTACHING OECLARATIONS, Policyllumber 92-CV-K206-3 Policv Period Elfuctive Dale Exoiralion Dale 12 Mbnths OCI 12022 ocT 1 2023 The oolicv oeriod beotns and ends at I2:01 am standard [m e'at th e'prem rse s Toc aton. & ffi B.:;3 Aulomstic Renowrl - lf the policy period is shown as 12 monlhe, dris policywill be renewed automatically sub1ectto the premiums, rules and forms in effect for each succeeding policv period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance wi$ dre policy provisions or as required by law. AnnualPolicy Premlum $ 373.00 The above Premium Amount is included in ttre Policy Premium shown on $B Declar.tions Your policy consists of $ese Declarations, tre INLAND MARINE C 0NDlTl0NS shown beloq and any other forms and endorsements $at apply, ineluding $ose shown below as well as $ose issued subsequentto the issuance ofthis policy. Foms, Options, and fndorsemenb FE-8739 FE-6271 FE-87 45 FE-8760 lnland Marine Conditions Amendatory Endorsement lnland Marine Computer Prop Mobile Equipment Form See Reverse for Schedule Page wifr Limits Prepared sEP 07 2022 FD-6007 o24MA O Copyrioht, Stlto Frrm Mutuil Automobilo htur!nc€ Comprny, 2008 lnchdes copvrightsd mrtsrirl of lnsu16ncr Sarvica! ollicr, lnc., with its psrmission 510 6!t r.l 05 3l ?0lr !oll323?cl 92-CV-K206-3 ATTACHING II{I-ANO MARIiIE ATTACHING INLAND MARII'IE SCHEDUTE PAGE ENDORSEMENT NUIVIBER FE-87 45 FE-8760 C OVERAG E LIMIT OF INS U RANC E DEDUCTIBLE A[4OUNT ANNUAT PBEMIUM Included Included$ 373.00 lnland Marine Computer Prop Loss of lncome and Extra Exoense Mobile Equipmenl Form s $ $ 25,000 25, 0 0 057,000 $ 500 s 1,000 Prepared sEP 07 2022 FD-6007 02404a OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY @ Copyright, Stste Farm Mutual Autohobile lnsurance Company,2OOS lncludBs copyriqhtsd mEtBri!l of lniu16nce Servicss offico, lnc , wiih its p!rmtssion !10 6t6a 2 0! 3l ?011 loll32r3cl