2022/10/01 Armstrong & Brooks Consulting Engineers Inc (14)StateFarm STATE FAFM GENERAL I]{SURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON, ILLINOIS
E?o7o?ifftJi ,t a, roz.rs, s
Addl lnsured-Secllon ll Only
M.23.0555-FACE F U002329 3123CITY OF I{EN I FEE29844 HAUN RD
t{EN r FEE CA 92586-6559
DECLARATIONS AMENDED AUG 4 2022
Policv Period Efleclivo Dato Exoimtion Dale
12 Mbnths OCr 1 2022 OCT 1 2023
Ihe polipy period be0ins and ends at 12:0'l am standardtme at me premlses locaton.
I'lsmed lnsured
ARI{STRONG t BROOXS CONSU LT I }IG
EI{GINEERS INC
f,/,1nd
H*fi
Ea
Oflice Policy
Aubmrtic Renswal - lf the policy period is shown as 12 months , tris policy will be renewed automatically subiect to $e premiums, rules and
forms in effect for each succeeding policy period. lf fiis policy is terminated, we will give you and the Mortgagee/Lienholder written notce in
compliance wi$ $e policy provisions or as required by law.
Entity: Corporation
Boason to? Declaratlons:Your policy is amended AUG 4 2022
ADDITIONAL INSUBED ADDED
PBEMIUM ADJUSTMENT
FORM CMP-4859 ADDED
Other items shown aro eflective
with the policy's 2022 renewal
Endorsement Premium None
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Claim Record
Prepared
AUG 19 2022
cMP-4000
020168 290 Ar
N
O Copyrioht, Stlts F.rm Mutuil Automobilo lntur!nc0 Comprny,2008
lncludos copyriohtsd mrterirl of lflruranc! Ssrvic!! Otfic!.lnc., with it! pormi.sion
Continued on Rev€rso Sids ol Page Page 1 of 6
130 685r7 0511 ,0ll rorl323l.l
!
dDoo
tlilllrll, il,il1t,I,, tlt,l, [,,,,illllillttt,tt,, il1,1, t,llt, r,l
Policytumber 92-CV-K206-3
DECLARATIONS (CONTINUED)
Ofrice Policv ror CIW OF MENIFEEPollcy Num6or 92-CV-K20&3
SECTION I . PROP BTY SCHEDULE
Location
Number Location ol
Descilbod
Premis€s
Limit of lnsurance'
Coveraoe A .
Bulldi'ngs
Llmit of lnsuranc€*
Cov€raoe B -
Business FersonalProperty
Seasonal
lncrease-Businoss
PersonalProperty
001 1350 E CHASE DB
coRoNA cA 92881-4001
No Coverage $ 84,100 25%
'Asoft e ect ve date spo cy, the tm t of lnsurance as shown rrrctuOes'any r ase tn lmte ue to n at on verage
SECTION I . INFLA ION COVERAGE INDEX(ES)
Cov A - lnflation Coveraoe lndox
Cov B - Consumer Price-lndex:
N/A
292.3
Basic Deductlble
Speclal Deductiblos:
Money and Securities
Equipment Breakdown
$1,000
$2s0
$1.000
Employee Dishonesty $250
Other deductibles may apply - reler to policy
Prepared
AUG 19 2022
cMP-4000
020168
O Copyright, St6tq Frrm l\4uturlAltomobil. lns!rEnrs Compiny,200g
lncludBs 6opyriqht8d matirirl of lnsursncB SBrvices office, lnc., with its prrmission
Continued on Next Page Page 2 of 6
SF(:TION
StateFarm
ffi
DECLABATIONS (CONTINUED)
Otlice Policv for CITY OF MENIFEE
Policy Num6er 92-CV-K20G3
SECTION I . EXTENSIONS OF COVERAGE . LIMIT OF INSUBANCE. EACH DESCBIBED PREMISES
I8
J6g
The coverages and corresponding limits shown below apply separalely to each dascribed premis€s shown in these
Declaratlons, unless indicated by "See Schedule." It a coverage does not have a corresponding ltmit shown b€low,
but has "lncluded" indicated, pleaso refer to that policy provision for an explanation ol that coverag€.
LIMIT OF
INSUBANCECOVERAGE
Accounts Receivablo
On Premises
ofl PrEmises
Arson Reward
Back-Up O, Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Oepartment Service Charge
Fire Extinguisher Systems Recharge Expense
Forgsry Or Alteration
Glass Expsnses
lncreased Cost Ot Construction And Demolition Costs (applies only when buildings arE
insured on a replacement cost basis)
Money And Securities (Ofl Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
Newly Acquired Businsss Personal Property (applies only if this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only it this policy provides
Coverage A - Buildings)
$50,000
915,000
$5,000
$15,000
lnclud€d
Coverage B Limit
257o of covered loss
lncluded
$s,000
$s'ooo
$10,000
lncluded
100/"
Prepared
AUG 19 2022
cMP-4000
020169 290
N
@ Copyri0h! Stlts Frrm Mutu!lAutomobih lnturrncs Comproy,20m
lnclud€$ copyrioht6d mltorill ot ln!ur!ncs S€rvicrs offica. lnc., with it! p6rmis3ion
Continued on Reverse Side of Page
$s,000
$10,000
$1,000
$100,000
$2s0,000
Page 3 of 6
&
DECLANATIONS (CONTINUED)
Office Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K206-3
Ordinance Or Law - EquipmEnt Coverage
Outdoor Property
Personal Elfects (applies only to those premises providod Coverage B - Business
Personal Prop€rty)
Personal Property Olf Premisss
Pollutant Clean Up And Removal
Preservalion Ol Property
Property Of Others (applios only to those premises provided Coverage B - Business
Porsonal Property)
Signs
Unauthorized Business Card Use
Valuable Papers And Records
On Premises
Of, Premises
lncluded
$5,ooo
$5,ooo
$15,000
$10,000
30 Days
$2,500
$2,s00
$s,000
$50,000
$1s,000
SECTION I. EXTENSIONS OF COVEBAGE . LIMIT OF INSURANCE. PEF POLICY
The coverages and correspondlng limits shown below are the most we will pay regardless of the number otdescrib€d premises shown in th€se Declarations.
COVERAGE
Dependent Property - Loss Of lncome
Employee Dishonesty
Utility lnlerruption - Loss Ol lncome
Loss Of lncome And Extra Expense
O Copyri0h! Stlt8 Farm lvlutu ! I Automobrls ln!urnnce Company,2mS
lnclud€s cowrighted mltsrirlot lns!r!nc€ SBrvios! offico, lnc., with its pormi,.ion
Continued on Next Page
LIMIT OF
INSURANCE
$s,000
$1o,ooo
$10,000
Actual Loss Sustained - 12 Months
Prepared
AUG 19 2022
cMP-4000
020169 Page 4 of 6
StateFa'f,(-@
fl+-frHfr
DECLABATIONS (CONTI NUEO)
Oflice Policv lor CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
SECTION II . LIABILITY
Ea
-E
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
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable
annual period. Please refer lo Section ll - Liability in the Coverage Form and any attached endorsements
LIMIT OF
INSURANCE
$3,000,000
$5,000
$300,000
LIMIT OF
INSURANCE
Excluded
$6,000,000
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 woll as those issued subsequent to the
issuance ol this policy.
FORMS AND ENDORSEMENTS
cMP-4101
cMP-4859
cMP-4787
cMP-4870.1
FE-6999.3
cMP-4845
cMP-4819.1
cMP-4698
cMP-4704.1
cMP-4710
cMP-4709
cMP-4703.1
cMP-4705.2
Businessowners Coverage Form
'Al Engineer Architect Survey.Waiver of Trans Rgt ot Recov.Addl lnsd Primary Non Conlrib
Terrorism lnsurance Cov Notice
Excl Product Comp Operatn Liab
Unauthorized Business Card Use
Back-Up ol Sewer or Drain
Dependent Prop Loss of lncome
Employee Dishonesty
Money and Securities
Utility lnterruption Loss lncm
Loss of lncome & Extra Expense
Prepared
AUG 19 2022
cMP-4000
020170 290
N
@ Copyri0hl SGIE Flrm Mutuol Automobil. lnturinc0 Comp!ny, 2008
Ircludes copyrightsd mlterirl of ln!uranc0 Servicer Ollicr, lnc., with its permission.
Continued on Reverso Sid6 of Page Page 5 o, 6
oEcLARATTONS (CONTTNUED)
Offlce Policv tor CITY OF MENIFEEPolicy Num6or 92-CV-K20G3
Amondatory Endorsement.CA
Amendatory Endorsement
Addl lnsd Owners Lessee Sched
lnland Marine Anach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY QUESTIONS,
' New Form Attachod
This policy is issued by the State Farm General lnsurance Company.
Participating Policy
You are entitled to participale in a dlsbibution of ths €arnings of the company as d€termined by our Board of Directors inaccordance with tre Company's Articles of lncorporation, as amended.
ln Witness Whereot, he Stat€ Farm General lnsurance Company has caused this policy to b€ signed by its president andSscr€tary at Bloomington, lllinois.
ff,,*nlpt
Secr€tary
-il,*e b/4
President
IMPORTANT NOTICE:
CEllroml. hw requlre! us.to plovlde you whh lnlomatlon for llllng complslrns whh the ttat€ lnsufoncs llgpanmern regatdlng thecoverage and eervico provi{rod undol thio policy.
Your agoflt's nlme and co acl lnlomstion 8re plovided on tlE lront ol thls documem. Anothor option is lo reach out bymailor phono dlrectt lo:
Slste Fqrmo Execultvs Cudoln.r garytco
PO Box 2320
Bloomln$on lL 6,l702
Phone # 1€oo-STATEFARI (1.80G782-8332)
Depaflment-ot lnaur.nca comphht3 should be ,lled only slter you 8nd StEls Farm or your agam or olhet companyloproaontativo hoyo lalsd lo rcoch I aatisladory agresmetrt on r probl€m.
Californir Department ot lnsuflnce
Conaumer S€rylcer DMsbn
300 South gprlru Srleer
Loe Angolss, CA so0'13
Phons * I {O0-927-HELP (,(,54 ot viril rww,insurEnce.ca.qov/o1-corl!{rnera
Prepared
AUG 19 2022
Cl\ilP-4000
020170 290
N
O Copyright, St6ts Frrm lvl{ttu.lAutomobil6 lnsur.noB Comprny,20()B
lncludos copyrightod matBri6l of lnsu16nce SBrvio€s office, lnc., with its D€rmission
Page 6 of 6
cMP-4260.1
cMP-4261
cMP-4786.1
FD-6007
STATE FARM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
Po Box 2915Aloominglon lL 61 702-291 5
Nemed lnsured
M-23-0555-FACE F U
ATTACHING INLAND MARINE
INLAND MAHINE ATTACHING DECLARATIONS
Policyl{umbor 92-CV.K206-3
Policv Period Elleclivc Date Eroiralion Dab
12 Mbnlhs OCl 12022 ocT 1 2023
The policv period beqins 4nd ends at l2:01 am standardtme at the premtses Iocaton.
&
ffi
8e.j
Aubmalic Benewal - ll the policy poriod is shown as 12 months , this policy will be renewed automatcally subject to $e
forms in effect for each suc ceeding policy period. lf tris policy is terminated, we will give you and the Ir4ortgagee/Lienhol
compliance wi$ the policy provisions or as required by law.
premiums, rules and
der written notce in
Annual Policy Prcmium $ 373.00
The above Premium Amount is included in fie Policy Premium shown on $e Declarations
Your policy consists of tirese Declarations, fie INLAND IVIARINE C ONDlTl0NS shown below, and any other form s and endorsemenE frat
a pply, including fiose shown below as well as fi ose issued subsequent to dre issuance of tris policy.
Forms, 0plions, and Endorsoments
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 Limis
Prepared
AUG 19 2022
FD-6007
020171
O Copyri0h! Stale Farm lvluur !l Autornobils lnrurlnce Comprny,20m
lncludas copyrighted materialof lnsur.nco Sorvice! olfics, lnc., with its psrmis.ion
530 600 ! 2 05 31 20ll lollll2S2cl
StateFarm
ART.ISTRONG & EROOKS CONSU LT I NG
ENGINEERS INC
92-CV-K206-3
ATTACHII'IG INLAND MARINE
ATTACI{ING INtAt{D MABINE SCHEDUTE PAGE
ENDORSEMENT
NUMBER
FE-87 45
FE-8760
COVEBAGE
LIMIT OF
INS URANC E
DEDUCTIBLE
AMOUNT
ANNUAL
P REMIUM
IncludedIncludeds 575.00
lnland lvlarine Computer Prop
Loss ol Income and Extra Exoense
Mobile Equipment Form
s
$I
25,000
25,00037,000
I 500
s I,000
Prepared
AUG 1920?2
FD-6007
020171
OTHEB LIMITS AND EXCLUSIONS MAY APPLY . REFER TO YOUR PO
O CoFyri0h! Strto F!rm l\4 ulu !l Automobil€ lnsur!nc6 Comp.ny, zmg
lncludr! coPyri0htsd mrtsriil of lfl3ur.nc. Soruicss offic€, lnc.. with it! p€rmissiofl
!10 [8!!.? 05 3l ?0ll (o1rUl3.l