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