2022/10/01 Armstrong & Brooks Consulting Engineers Inc (19)StateFarm STATE FARU GENERAL INSUBANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON, ILLINOIS
E?"H3/0t 8f, .t ?* r t o t s. t t r s
Addl lnsured-Sectlon ll Only
rvr-23-0555-FACE F U002479 3123CITY OF IIEN I F EE29844 HAUN RD
t{EN I FEE CA 92546-6539
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DECLARATIONS oOVERAGE SUMMAHY AUG 17 20D
Policyl{umber 92-CV-K206-3
Polhy Pe od Elloclivo Da!. Exoiralion Dalc
12 Mbnrhs ocr 12022 ocT 1 2023
fhe oolicv period begins and ends at 12:01 am standardtme at the premlses Tocaton.
Named lnsured
ARTSTRONG & EROOKS CONSULTING
EIGII{EERS INC
&
V*LL{E.A
3s
5
Aubmalic R.newal - lf the policy period is shown as 12 monlhs , dris policy
forms in effect for each succeeding policy period. lf dris policy is terminated
compliance witr fre policy provisions or as required by law.
will be renewed automatically subjectm $e premiums, rules and
we willgive you and t're Mortgagee/Lienholder written notice in
Entity: Corporation
R€qu€stod By:Policyholder
Policy Premium
Discounts Applied:
Protective Devices
Claim Record
$ 1,492.00
Pre p ared
AUG 17 2022
cMP-4000
02a704 290 Al
N
O Co[yrioht Stlto Ftrm Muturl Automobilo Inrurlnc! comp!ny,2m
lncludr. copvri0hbd m!t6ri.l oI lnsurcnc! Slrvicat ofiicr, lnc., with hs psrmission
Continusd on Ravorse Side ol Pags Page 1 ol 6
5i0 6e0 ! 2 05 ll ?011 lolll?llcl
Olfice Policy
DECLARATIONS (CONTINUEO)
Ollice Policv lor CITY OF MENIFEEPolicy Num6er 92-CV-K20F3
sFeTtoN I - pPopF RTY SCHFDI II F
Location
Number Location olDescrlb6dPremis€s
Limit of lnsurance*
Coveraoe A -
Bulldi-ngs
Llmit o, lnsurancs'
Coveaaoe B -
Business Fersonal
Property
Seasonallncrease-Business
PersonalProperty
001 1350 E CHASE DRcoRoNAcA 92881-4001
No Coverage $ 84,100 25%
- As of the effective date of rs po Limit of lnsurance as s own inclu es any increase in the lirnit duo to lnflation Coverage,cy, t
SECTION I - INFLA ON COVERAGE INDEX{ES}
Cov A - lnflatron Coverage lndex:
Cov B - Consumer Price lndex:
N/A
292.3
SECTION I - DEDU TIBLES
Basic Deductible
Special Deductibles:
Money and Securities
Equipment Breakdown
$1 ,000
$250
$1,000
Employee Dishonesty $250
Other deductibles may apply - reler to policy
Prepared
AUG 17 2022
cMP-4000
020704
O Copyrigh! St.te F.rm Mutu.l Automobile lnsurance Comprny, 2t[E
lnclud.s copyrightsd m0terinl of lnsur.ncs Ssrvicas 0ffic0, lnc., with its psrmissron.
Continued on Next page Page 2ol 6
StateFarm
ErrrEt#
DECLARATIONS (CONTINUED)
Offico Pollcv lor CITY OF MENIFEEPolicy Num6er 92-CV-K20&3
SECTION I . EXTENSIONS OF COVEFAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES
D
E
63
The covoragss and corresponding llmlts shown below apply separatoly to each described premls€s shown in thgss
oeclarations, unless indicatod by "Seo Schodule." lt a coverage does not have a corespondlng llmit shown below,
but has "lncluded" indicated, please reter to that policy provision for an explanatlon of that cov€rage.
LIMIT OF
INSURANCECOVEBAGE
Accounts Receivable
On Premises
Off Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debrls Removal
Equipment Breakdown
Fire Dspartmont Service Charge
Fire Extinguisher Systems Becharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Of Construction And DEmolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Ofl Pr€misss)
Money And Securities (On Pr€mises)
Money Orders And Counterleit Money
Newly Acquired Business Personal PropErty (applies only if this policy provides
Coverage B - Business Personal Prop€rty)
Newly Acquired Or Constructed Buildings (applies only il this policy provides
Coverage A - Buildings)
$50,000
$15,000
$5,000
$15,000
lncluded
Coverage B Limil
25% of covered loss
lnclud€d
$5,000
$s,000
$10,000
lncluded
10%
Prepared
AUG 17 2022
cMP-4000
020705 290
N
@ Copyri0h! StltB Frrm Muturl Automobil0 lniur!n6r Conplny, 2m
lncludai copyri0htsd mltorirl o,l ln!urrncs S0rvicai offic0, lnc., rdlh i$ p€rmiSlion
Continued on Beverse Side ol Page
$5,000
$10,000
$1,000
$100,000
$250,000
Page 3 of 6
&
DECLARATIONS (CONTINUED)
Oflice Pollcv lor CITY OF MENIFEEPolicy Num6er 92-CV-K2083
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Ellscts (applies only to those premises provided Coverage B - Business
Psrsonal Properly)
Personal Property Off Prgmises
Pollutant Clean Up And Removal
Presorvation Of Property
Property Ol Others (applies only to those premises provided Coverage B - Busin6ss
Personal Property)
Signs
Unauthorized Business Card Use
Valuablo Papers And Records
On Premises
Off Premises
lncluded
$5,000
$5,ooo
$1s,000
$10,000
30 Days
$2,500
$2,s00
$s,000
$50,000
$15,000
SECTION I - EXTENSIONS OF COVERAGE . LIMIT OF INSUBANCE - PEB POLICY
The covorages and corresponding limlts shown below are lhe most we will pay rogardless of the number oldescrlbod premises shown in thes€ Declarations.
COVERAGE
Dependent Property - Loss Of lncome
Employee Dishonesty
Utility lnterruption - Loss Of Income
Loss Of lncome And Extra Expense
O Copyri0h! St0t0 F6rm lvutu !l AutomobilB lnsur!nc6 Comp.ny, 2008
lncludes copyri0hted mltEri.l of lnsur!nce S.rvicss ofllco, lnc., witi it! psrmrision
Continued on Next Page
LIMIT OF
INSUEANCE
$5'ooo
s10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
AUG 17 2022
cMP-4000
020705 Page 4 ol 6
StateFarm&
ffi*
DECLARATTONS (CONnNUED)
Ot ice Pollcv for CITY OF MENIFEE
Policy Num6er 92-CV-K20&3
SECTION II . LIABILITY
!
E
g
a8
COVERAGE
Coverage L - Business Liability
Coverage llil - Medical Expenses (Any One Person)
Damage To Premises Renled To You
AGGBEGATE LIMITS
Productycompleted Operations Aggregate
General Aggregate
LIMIT OF
INSUHANCE
$3,000,000
$5,000
$300,000
LIMIT OF
INSURANCE
Excluded
$6,000,000
Your policy consists of lhese Declarations, tho BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as w€ll as those issued subsequent to the
issuance ol this policy.
FORMS ANO ENDOBSEMENTS
cMP-4101
FE-6999.3
cMP-4705.2
cMP-4710
cMP-4260.1
cMP-4698
cMP-4709
cMP-4704.1
cMP-4703.1
cMP-4819,1
cMP-4261
cMP-4845
cMP-4859
Businessowners Coverage Form
Terrorism lnsurance Cov Notice
Loss ol lncome & Extra Expense
Employee Dishonesty
Amendatory Endorsement-CA
Back-Up of Sewer or Drain
Money and Securities
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
Unauthorized Business Card Use
Amendatory Endorsoment
Excl Product Comp Operatn Liab
Al Engineer Architect Survey
Prepared
AUG 17 2022
cMP-4000
020706 290
N
O Copyright, Stlto Flrm Mutu!l Automobilg ln.ur.nco Comptny,200t
lncludss copyriohted mlbriil o,f lnsurrnc0 Ssrvic0! Olfics, lnc.. with it! p0rmission
Continued on Revorse Side ot Page Page 5 of 6
Each paid claim for Liability Coverage reduces the amount ol insurance we provide during the applicable
annual period. Please reler to Section ll - Liability in the Coverage Form and any attached endorsements.
DECLARATIONS (CONTINUED)
O,lrlca Pollcv for CITY OF MENTFEEPolicy Number 92-CV-KT&3
cMP-4787
cMP-4786.1
cMP-4870.1
FD-6007
Waiver of Trans Flgt of Recov
Addl lnsd Owners Lessee Sched
Addl lnsd Primary Non Contrib
lnland Marine Attach Dec
This policy is issued by the State Farm General Insurance Company.
Participating Policy
You are entitled to parucipale in a distribution of the earnings of the company as determined by our Board of Diractors in
accordanoe with lhe Company's Artioles of lncorporalion, as amended.
ln Witness Whereor, the Stale Farm General lnsurance Company has caused lhis policy to be signed by its President andSecretary at Bloomington, lllinois.
fiu,--nl"-*
Secr€tary
-il-r" M4
President
IMPORTANT NOTICE:
Calliomls hw reqJlEt u3.lo provlde you wfth inlormatlon tor llllng complolmg whh lhs sftte lneutsnc€ Depa mem regardlng tlE
coverage and ssrvico provldod undor this policy.
You, sgent's name snd contrct inlormatbn are providod on the lrori ol lhls documed, Anothar option ig to leach out bymallor phono direc{ly lo:
Slile Frrma Erecutlve CudomeJ slrvioo
PO Box 2320
Bloomlnglon lL 61702
Phone t 1€oo€TATEFARII ('l -90G782-8332)
O,gp!runent-of lnsurance complrlnts shouH be liled only art€l you and Stale Fam or your agbr or other companyroprogontrtfuo hivc lalsd to roocfi r g€tislactory €glgemotrt on s probbm.
CElilomi8 Depanment ol ln rrunco
Consumer Sorylcas Dklsbn
t00 South Sp ng $]tel
Lo8 Angcles, CA 9{1013
Phone t'l€{D-927-HELP (4354 ol ybit rww.insunnce.cr,qoy/ot-coEmera
Prepared
AUG 't7 2022
cMP-4000
020706 2S0
N
@ Copyright, Stots t6rm lvluir al Automobil6 Insurance Comp6ny, 2008
lncluds! copyraghted mrtorillof lnsur!ncE Sorvicos ofiice, lnc., with its osrmission
Page 5 of 6
I
StateFarm STATE FABM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MAFINE ATTACHING DECLARANONJ]
Policy umber 92-CV-K206-3
Policv Pedod Etleclivr Date Erolration Dale
12 Mbnrhs OCT 1 2O?2 OCT 1 2023
Ihe polipv period begins 4nd ends at 12 0'l am standardtme at tie premlses Iocaton.
&
E?"E?io€*ff ?*, u o r t. t t r t
Named lnsured
rvr-23-0555-FACE F U
ffi
8I'raa3
ATTACHING INLAND MARINE
Aubmslic Renowal - lf the policy period is shown as 12 rnonlhs , dris policy will be renewed automatically subject to the premiums, rules and
forms in effect for each succeeding policy period. lf fiis policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wi$ the policy provisions or as required by law.
Annual Policy Premium $ 373.00
The above Premium Amountis included in the Policy Premium shown on fre Declarations
Your policy consrsts of these Declarations, tre INLAND MARINE C0NDITI0NS shown below, and any other forms and endorsemenb 6at
a pply, including frose shown below as well as fiose issued subsequentto the issuance ol tltis policy.
Forms, 0plions, and Endorsomanb
FE-8745
FE-8739
FE-8760
FE-6271
lnland
lnland
Mobile
l\rlarine Computer Prop
lvlarine Conditions
Equipment Form
Amendatory Endorsement
See Reverse for Schedule Page witr Limib
O Co0/righ! Strto Frrm Muturl Automobils l0surlnco Comp.ny, 20(E
lncl!des cofyri0htsd mrterirl ol lnsur!rco Ssrvior3 officr, lnc., wilh iti pirmitsion
tlo 880r.2 Dt lt 20ll lo1lU3zcl
ARTISTRONG & BROOKS CONSUTTING
ENGINEERS INC
Prepared
AUG 17 2022
FD-6007
020707
92-CV-K206-3
ATTACHII{G INLAND MABINE
AITACHI]'IG IT'ILAND MABINE SGHEDUTE PAGE
ENDORSEMENT
NUI\4BER
FE-8745
FE-8760
COVERAGE
LIIVI IT OF
INS URANC E
DEDUCIIBLE
AMOUNT
ANNUAL
PREM IU I\4
lnland N4arine Computer Prop
Loss ol lncome and Extra Exoense
Mobile Equipment Form
25,000
25,00037,000
I 500
$ 1,000
Included
IncludedI 373.00
$
s
Prepared
AUG 17 2022
FD-6007
020707
OTHER LIMITS AND EXCLUSIONS MAY APPLY . REFER TO YOUR POLICY
@ Cogyrighl Stlte Flrm lvlutu rl Automobils lnsuranco Comprny,2()OS
lncludos cogyrightsd m!t.ri!l ol lnr!rrnce S€rvicrs oflice, hc., with its p0rmisrion.
530 633s7 Dt:ll2 1 lol,32ll3r
StateFarm 92-CV-K206-3 020708
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
CMP4786.I ADDITIONAL INSURED _ OWNERS, LESSEES, OR CONTRACTORS
(Scheduled)
D(D@
cMP-4786.1
Page 1of2
ffi
E
-H
Thrs endorsement modifies insurance provided under the followng
BUSINESSOWNERS COVERAGE FORM
1. SECTION ll - WHO lS AN INSURED of
SECTION ll - LIABILITY is amended to in-
clude, as an additronal insured, any person or
organization shown in the Schedule, but onlywith respect to liability for "bodily injury",
"property damage", or "personal and advertis-
ing injury" caused, in whole or in part, by:
a. Ongoing Operations
(1) Your acts or omissions, or
(2) The acts or omissions of those acting
on your behalf,
in the performance of your ongoing opera-
tions for that additional insured; or
b. Products - Completed Operations
"Your work" performed for that additional
insured and included in the "products-
com pleted operations hazard".
However, Paragraph 1. above is subject to the
following:
a. The insurance afiorded to the addrtional
insured only applies to the extent permit-
ted by law;
Policy Number: 92-cv-K206-s
Named lnsured:
ARMSTRONG & BROOKS CONSULTING
Name And Address Of Additional lnsured Person Or Organization:
CITY OF MENIFEE
29844 HAUN RD
MENTFEE CA 92s86-6539
b. lf coverage provided to the additional in-
sured is required by a contract or agree-
ment, the insurance provided to the
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such addition-
al insured: and
c. lf the contract or agreement between you
and the additional insured is governed by
California Civil Code Section 2782 or
2782.05, the insurance provided to the
additional insured is the lesser of that
which:
(1) ls allowed for the satisfaction of a de-
fense or indemnity obligation by Cali-
fornia Civil Code Section 2782 or
2782.05 tor your sole liability; or
(2) You are required by contract or
agreement to provide for such addi
tional insured.
We have no duty to defend or indemnify the
additional insured under this endorsement un-
til a claim or "suit" is tendered to us.
O, Copyright, State Farm Mutual Automobila ln8urance Company, 2013
lncludes copyrighted materialof lnsurance SeMc6 Ofrica, lnc., with its permission
CONTINUED
SCHEDULE
2
92-CV-K206€ 020708
Any insurance provided to the additional in-
sured shall only apply with respect to a claim
made or a "surt' brought for damages for
which you are providod coverage.
With respect to the insurance afforded to the
additional insured, the following is added to
SECTION II _ LIMITS OF INSURANCE:
lf coverage provided to the additional insured
is required by contract or agreement, the most
we will pay on behalf of the additional insured
will be the lesser of the amount of insurance:
a. Required bythe contract or agreement; or
b. Available under the applicable Limits Of
lnsurance shown in the Declarations.
This endorsement shall not increase the ap-plicable Limits Of lnsurance shown rn the
Declarations.
With respect to the insurance afforded to the
additional insured, the following is added to
Paragraph 3. Duties ln The Event Of Occur-
rence, Offense, Chim Or Suit of SECTION
II _ GENERAL CONDTTIONS:
The addrtional insured must:
a. See to it that we are notfied as soon as
practicable of an 'occurrence" or an of-
fense which may result in a claim. To the
extent possible, notce should include:
(1) How, when and where the "occur-
rence'' or offense took place;
(2) The names and addresses of any in-jured persons and witnesses; and
CMP.47B6 I
"#?'J'1?l
(3) The nature and location of any injuryor damage arising out of the "occur-
rence" or offense;
b. Tender the defense and indemnity of any
claim or "suit' to us and to all other insur-ers who may have insurance potentially
available to the additional insured; and
c. Agree to make available any other insur
ance the additional insured has for de-fense or damages for which we wouldprovide coverage under SECTION ll -LIABILITY,
5. With respect to the insurance afforded the ad-
ditional insured, the following replaces SEC-
TION ll -LIABILITY of Paragraph 7. Otherlnsuran@ of SECTION I AND SECTTON ll -COMMON POLICY CONDITIONS:
a. This insurance is primary to and will not
seek contribution from any other insurance
available to the additional lnsured, provided
that the additional insured is a ndmed in-
sured under such other insurance.
b. Regardless of any agreement betweenyou and the additional insured, this insur-
ance is excess over any other insurance
whether primary, excess, conttngent or on
any other basis for which the additional in-
sured has been added as an additional in-sured on othor policies.
There will be no refund of premium in the event
this endorsement is cancelled
3
4.
All other policy provisions apply.
O, Copyright, State Farm Mutual Automobile lnsurance Company. 2013
lncludes copynglted material of lnsurance Services Ofice, lnc. with its pBrmbsion
StateFam 92-CV-K206-3 020709
THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY
CMP.,.0787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST
OTHERS TO US
!&ctvP-4787
Page 1 ol 1
ffi
8
E
I
This endorsement modifies insurance provided under the followrng
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number: 92-CV-K206-3
Named lnsured:
ARMSTFONG & BROOKS CONSULTING
CITY OF MENIFEE
29844 HAUN RD
MENTFEE CA 92586-6s39
The following is added to Paragraph 10.b. of SECTION I AND SEGTION ll - COMMON POLICY
CONDITIONS:
We waive any right of recovery we may have against the person or organization shown in the Schedule
because of payments we make for injury or damage arising out of:
a. Your ongoing operations; or
b. "Your work" done under contract with that person or organaation and included in the "products-
com pleted operations hazard".
This waiver applies only to the person or organization shown in the Schedule.
All other policy provisions apply.
ctvP-4787
O, Copyright, State Farm l\4 utual Automobile lnsurance Company, 2008
lncludes copyrighted material of lnsurance Services ofiice, lnc , wth iE permiSsion
Name And Address Of Person Or Organization: