2022/10/01 Armstrong & Brooks Consulting Engineers Inc (15)StateFarm STATE FAFI' GENERAL INSUBANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
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Addl lnsured-Section ll Only
^12 00.,916 3 r 2UM-23-0555-FACE F U
CITY OF I.IEI'I I FEE29844 HAUN RD
IIEN I FEE CA 92586-6539
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RENEWAL DECLAFATIONS
Policyl{umber 92-CV.K206-3
Namgd lnsured
ARI'ISTRONG & BROOKS CONSULTIT{G
ENGINEERS INC
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ffi
II
Office Policy
Aubmatic Renewal .lf trepolicypo od is shown as l2 monlhs , titis policy will be renewed automatically subiectto the premiums,rules and
forms in effect for each suc Leeding policy period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wi*r the policy provisions or as required by law
Entity: Corporation
NOTICE: lnformation concernlng changes in your policy language is included. Please call youragent
if you have any questions.
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Claim Record
$ 1,492.00
Prepared
JUL 21 2022
cMP-4000
013300 294 At
N
O Copyrioht St6to F6rm irltu rl Automobilo lnsurrnre Comp6ny, 2008
lncludes copyrighted materirl of lnsurrnce Services office, lno , with its pBrmission
Continued on Reverse Side of Page Page 1of 7
530 6i6 ! 2 0! 31 ?0ll lolr323lcl
Policv Period Etleclive Data Exoiration Oab
12 Mbnrhs OCr 12022 ocT 1 2023
Ihe polipv period begins qnd ends at I2:01 am standard!me at trle premlses locaton.
POLICY PREI\4IUM
RENEWAL DECLARATIONS (CONTINUED)
Orlice Policv for CITY OF MENIFEEPolicy Num6or 92-CV-K206-3
sEcTtoN I - p OPERTY SCHEDULE
Location
Number Location of
D6scribed
Pr€mises
Limit of lnsurance*
Coveiaoe A -
Buildi-ngs
Limit o, lnsurance'
Coveraoe B -
Businoss PersonalProperly
Seasonal
lncroase-Business
PeasonalProperty
001 1350 E CHASE DR
coHoNA cA 92881-4001
No Coverage s 84,100 25'/"
-Asofthee VE te rh spo cy. the Limit of nsurance as shown inclu es any ncrease nt mit due to lnfla overage.
sEcTtoN I - I LATION COVERAGE INDEXI ES'I
Cov A - lnflation Coverage lndex:
Cov B - Consumer Price lndex:
N/A
292.3
SECTION I . D DUCNBLES
Basic Doductlble
Special Oeductibles:
Money and Securities
Equipment Breakdown
$1,000
$2s0
$1,000
Employee Dishonesty $250
Other deductibles may apply - refer to policy.
Prepared
JUL21 2022
cMP-4000
013300
@ Copyri0h( St6to t.rm Mqtu!l Auromobilo ln!ur!nre Compiny,2008
lncludes copyrighted m.tori6l of ln6ur!nce Seruicas otfice, lnc, with its psrmisrion
Continued on Next Page Page zot 7
StateFarm(DOD
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RENEWAL DECLAFATIONS (CONTINUED)
Oflice Policv lor CITY OF MENIFEE
Policy Num6€r 92-CV-K20&3
SECTION I . EXTENSIONS OF COVEHAGE . LIMIT OF INSUBANCE. EACH OESCRIBED PBEMISES
E ,n"
"or"ragos
and corr€spondlng limlts shown below apply seperately to each descrlbed premlses shown in thoseh Oeclarations, unless indicated by "Soo Schedule." l, a coverage does not have a correspondlng llmit shown below,E but has "lncluded" indlcated, plgase.efer to that policy provlsion tor an oxplanation ol that coverage.
LIMIT OF
INSURANCECOVERAGE
Accounts Receivable
On Premises
Off Premises
Arson Fleward
Back-Up Ol Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thefl, Burglary Or Robb€ry
Debris Removal
Equipment Breakdown
Fire Department Seruica ChargE
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Expensos
lncreas€d Cost Ot Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Olf Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
Newly Acquired Business Personal Property (applies only if this policy provides
Coverage B - Business Porsonal Property)
N€wly Acquired Or Constructed Buildings (applies only il this policy provides
Coverage A - Buildings)
$s0,000
$1s,000
$5,000
$15,000
lncluded
Coverage B Limit
25% of covered loss
lncluded
$5,ooo
$s,000
$10,000
lncluded
10%
Prepared
JUL21 2022
cMP-4000
013301 294
N
O Copyri0h! stite frrm Muturl Automobih lnturrncr Comp!ny,2008
lncludss copylightod mlt8ri!l ot lnsurunca Ssrvics! offic€, lnc., with ils permi!sion
Continued on Reverse Side ol Page
$s,000
$10,000
$1,000
$100,000
$250.000
Page 3 of 7
!
RENEWAL DECLARATIONS (CONTINUED)
Otlice Policv ,or CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
Ordinance Or Law - Equipment Coverage
Outdoor Proporty
Personal Effects (applies only to those premlses provid€d Coveragg B - Business
Personal Property)
Personal Property C[f Premises
Pollutant Clean Up And Removal
Preservation Of Proporty
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Business Card Use
Valuable Papers And Records
On Premises
Off Premises
lncluded
$s,000
$5,000
$15,000
$10,000
30 Days
$2,500
$2,s00
$5,000
$50,000
$15,000
SECTION I - EXTE SIONS OF COVERAGE . LIMIT OF INS RANCE - PEH POLICY
The coverag€s and corr€spondlng limits sho$rn below are lhe most we will pay rogardloEs of tho number oldescribed premises shown In th6se Doclaratlons.
COVERAGE
Dependent Property - Loss Of lncome
Employee Dishonesty
Utility lnterruption - Loss Ot lncome
Loss Of lncome And Extra Expense
O Copyriohl Stals F!rm Mutu rl Automobilo lnsur!ncs Complny, ZCOS
lncludos copyrightod m.te.inlot lnruruncr SrrvicBs oflics, lno., with its osrmis!ion
Continued on Next Page
LIMIT OF
INSURANCE
$5'000
$10,000
$10,000
Actual Loss Sustain€d - 12 Months
Prepared
JUL 21 2022
cMP-4000
013301 Page 4 ol 7
&RENEWAL OECLABATIONS (CONTINUED)
Offlce Policv lor CITY OF MENIFEE
Pollcy Num6or 92-CV-K20&3
BITirfl**
!
SFCTION II . I IAEILITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE LIMITS
Products/Completed Operations Aggregate
Genoral Aggregate
Each oaid claim for Liability Covsrage reduces the amount of insurance we
annudl period. Please refei to Section ll - Liability in the Coverage Form an
LIMIT OF
INSUHANCE
$3,000,000
$s,000
$300,000
LIMIT OF
INSURANCE
Excluded
s6,000,000
provide during the applicable
d any attached endorsements
Your oolicv consists ol 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 subsequent to the
issuance of this policy.
FONi'S AND FNOO RqFMFNTS
Cl\ilP-4101
FE-6999.3
cMP-4845
cMP-4819.1
cMP4698
cMP-4704.1
cMP-4710
cMP-4709
cMP-4703.1
cMP-4705.2
cMP-4260.1
cMP-4261
cMP-4859
Businessowners Coverage Form
"Terrorism Insurance 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
Amendatory Endorsement-CA
Amendatory Endorsement
Al Engineer Architect Survey
Prepared
Jll21 2022
cMP-4000
O Copyri0h! StltE Flrm Mutu!lAutomobile lnturtncs Comptny,20(E
lncludos copyri0ht6d mrtsri.l of ln!ur.nco S.ruico5 offics, lnc.. '/Yith its pormission
Continued on Reverse Side of Page013302 294
N
Page 5 of 7
StateFam
RENEWAL DECLARATIONS (CONTINUED)
Otflce Policv for CITY OF MENIFEEPollcy Num6er 92-CV-K20G3
cMP-4787
cMP-4785.1
FD-6007
Waiver ot Trans Rgt of Recov
Addl lnsd Owners Lessee Sched
lnland lvlarine Attach Dec
' New Form Attached
This policy is issued by the State Farm General Insurance Company.
Participating Policy
You ar€ entitlsd lo participate in a distribution of the earnings of the company as determined by our Board of Directors inaccordance with the Company's Articles of lncorporation, a! amended. '
ln Witness W}ereof, he State Farm General lnsurance Company has caused this policy to be signed by its prasidenl andSecretary at Bloomingtrcn, lllinois.
ff ,--nl6"ltr-
secr€tary
-{Ail" C-/ry
President
IMPORTANT NOTICE:
Callfomlo lotY rsqullDe ue.to plovlde you w.hh lnform8tlon for llllng comptalms wlth the gr.te lngursnco Depdrtment regErdlng tlEcoveragc and rwice prcviled under thie potcy,
Your agert'! nane and contsct lnlomallon are provided on the lront ol thls docume , Another op on ls to reach out bymailor phooe dhectly to:
Stste F$mo Exocrllvs Curtomer gcrvlca
PO Box 23itr
Bloomington lL 61702
Pho ne , 1 SO0 -STATEFARiI (1 -80G782-8gl]2)
Depsltment ot lnsursnce complaints thouH be liled only altet you snd Stste Farm or your agEnl or olhet companyIepregoflatfus hovo lsilod lo reacfi o 9€ti8lEclory tgaeomorn on a problom.
Cslifomia Deprnment ol lnsurance
Consumsr 8€rylcer OM3bn
300 South Spllng $rser
Los AnqoleE, CA 9OOl3
Phone t 1€00-927-HELP (4it54 or ybit ;rw.inEurEnc€.ca.soy/ot-clrErmefs
PreparedJutzl 2022
cMP-4000
013302
O CopyrilhL SEt€ t!rm Mutu!l Automobllo hsurlrc0 Comprnv, Z@g
lncludsi copyrioht8d moteri!l of lnsu16nce Servicas Office, lnc., wilh its p6rmission
Continued on Next Page Page 6 of 7
StateFarm !
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(-C(D BENEWAL DECLARATIONS (CONTINUED)
Otlice Policv for CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
NOTIGE TO POLICYHOLDER:
For a comprehensive description of ooverages and Iorms, please reler to your policy.
Policy changes requesled before fre 'Dale Prepared", which appear on this notice, are effective on the Renewal Date
of lhis policy unless oherwise indicated by a separate endorsernent, binder, or amended declarations. Any coverage
forms aflached to lhis notice are also elfective on th6 Flenewal Date of this policy.
Policy chang€s requ€sled atler lh€ "Dat6 Propared" will be senl to you as an amended declarations or as an
endorsement to your policy. Billing lor any addilional premium for such changes will be mailed al a laler date.
lf, during the past year, youle acquired any valuable property items, made any improvements to insur€d property,
or have any questions about your insurance coverage, contact your Stat€ Farm agent.
Please keep this with your policy.
q
Prepared
JUL 21 2022
cMP-4000
@ Copyrigh! Stlto Frrm Mutu!lAutomobib ln!ur.nco Comp!ny, 2008
l.|clud€! copyri0htod mrlori!l ol lnsurancr Sorvi.r! ofiic.. lnc., with its psrmi!sion.
013303 294
N
Page 7 ol 7
StateFarm STATE FAFM GEI{EAAL INSUAANCE COT'PANY
A STOCK COMPANY WITH HOME OFFICES N ALOOMINGTON, ILLINOIS
E?"F8 ir€*ff ?* r' o t u - r t, u
Named lnsured
M-23-0555-FACE F U
ARIISTRONG & BROOKS CONSUI.TING
ENGINEERS INC
ATTACHING INLAND MARINE
TNLAND MARTNE arrAcHrNG oacto^or,o*d l
Policyllumber 92-CV.K206-3
Policv Period Etlectivr Dale Exoiralion Date12lvlbnths OCr 12022 OCT 1 2023
The poliov period begins 4nd ends at 12:01 am standardtme at the premlses locaton.
&
ffi
I
3
Aubmatic Rorowal - lf the policy period is shown as l2 monlhs , ttis policy will be renewed automatically su bject to the
forms in effect for each succeeding policy period. lf $is policy is terminated, we will give you and the Mortgagee/Lienhol
compliance wi$ the policy provisions or as required by law.
premiums, rules and
der written notice in
Your policy consists of these Declarations, $e INLAND MARINE C 0NDlTl0NS shown below, and any o$er form s and endorsements ttat
apply. rncluding trose shown below as well as fiose issued subsequent to the issuance of t'ris policy.
Foms, 0ptions, and Endorsomont6
FE
FE
8739
ozt I
8745
8760
FE
FE
lnland Marine Conditions
Amendatory Endorsemenl
lnland Marine Computer Prop
lvlobile Equipment Form
See Reverse for Schedule Page witr Limis
Prepared
JUL21 2022
FD-6007
013304
O Copyricht Stat€ Flrm lvluturl Automobils l0surrnca Comp!ny,2008
lnclud€s copyrightod mrt€rial of lnsu16nc0 ServicBs otfics, lnc.. with it! pormission
!3{ 006r ? 0! lI ?0lr lollS?3?c
AnnualPolicy Premium $ 373.00
The above Premium Amount is included in the Policy Premium shown on fie Declaratjons.
92-CV-K206-3
ATTACHII{G II'ILAND MARII{E
ATTACHING INLAND MARINE SCHEDUTE PAGE
ENDOBSEMENT
NUMBER
FE-8745
FE-8760
COVERAG E
Ltt\4tT 0F
INS URANC E
DEDUCTIBLE
AMOUNT
ANNUAL
PREMIUM
Included
IncludedI 575.00
lnland Marine Computer Prop
Loss of lncome and Extra ExoenseMobile Equipment Form
$
$
s
25,000
25,00037,000
I 500
I 1,000
Prepared
tuL 21 2022
FD-6007
0r 3304
OTHEB LIMITS AND EXCLUSIONS MAY APPLY . REFER TO YOUR POLICY
O CopyriohL Sllt€ F!rm lvlutu6l Automobil0 Insur6nc€ Comp!ny.2008
lnclud6s copyri!htod m!t6ri!l ol ln.ur!n0s ServicBr 0ffi0s, lnc., with it. pgrmi!sion
tlo 65.2 0l!l l0ll lo,rl?&l