2022/10/01 Armstrong & Brooks Consulting Engineers Inc (16)StateFarm STATE FAFII GE}'IEBAL INSURA CECO PAT{Y
A STOCK COMPANY WTH HOTIE OFFICES IN ELOOMINGTON, ILLINOIS
E?#Pl{ &11i,, u,, o,- r', u
Addl lnsured.Sectlon ll Only
M.23.O555.FACE F U002518 3123CITY OF I.IEN I F EE29844 HAUN RD
t{El{r FEE CA 92586-6539
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OECLARATIONS AIV1ENDED OCT 12 2022
Policy umber 92-CV-K206-3
Policv Period Ellective Date Exoiralion Drls
12 Mbnths OCl 1 2022 ocT 1 2023
Ihe polipv period be0ins and ends at 12:01 am standardtme at the premrses locaton.
Named lnsured
ARI{STRONG & EROOKS CONSULTING
Et{GINEERS INC
(-)GD
FJeEL&
ai
Otfice Policy
Aubmatic Ronowal - lf fte policy pedod is shown as 12 months , tlris policy
forms in effect for each suc ceeding policy period. lf tris policy is terminated
compliance witr the policy provisions or as required by law.
will be renewed automatically subjectto the premiums, rules and
we will give you and dre Mofigagee/Lienholder written notice in
Entlty: Corporation
Beason lor Declarations:Your policy is amended OCT 12 2022
ADDITIONAL INSURED ADDED
PFIEMIUM ADJUSTMENT
FORM CMP-4785.1 ADDED
Endorsement Premium
lncrease $ 44.00
Discounts Applied:
Renewal Year
Years in Busin6ss
Protective Devices
Claim Record
Prepared
NOV 01 2022
cMP-4000
O Copyrioh! Strt6 Farm Mutu!l Automobilo lnrur.noE Conpiny, lm
l0cludes copyrightod mrt€rial of lnsu16nc0 srrvicos offics, lnc., wi6 its p0rmirsion
Continued on Reverse Side of Page020630 290
N
Page 1of 6
DECLARATIONS (CONTINUED)
Office Policv tor CITY OF MENIFEEPolicy Numbe, 92€V-K20&3
sEcTloN I . PROp RTY SCHEDULE
LocationNumber Location oloescribedPremises
Limit ot lnsuranc6'
Covoraoe A -
Bulldlngs
Limit of lnsurance'
Coveraoe B -
Business FersonalProporty
Seasonallncreaso-BuslnessPe.sonalProperty
001 No Coverage $ 84,100 25./"
.Aso the date of this policy,e m nsurance as shown in udes any increase rn e m ue to lnf lation overage,
SECTION I . INFLA ON COVERAGE INDEX(ES)
Cov A - lnf lalion Coverage lndex
Cov B - Consumer Price lndex:
N/A
292.3
SECTION I - DEDU BLES
Basic Deductlble
Speclal Deductibles:
lVloney and Securities
Equipment Breakdown
$1.000
$250
$1 ,000
Employee Dishonesty $2s0
Other deductibles may apply - reler to policy
Prepared
NOV 01 2022
cMP-4000
020630
O Copyrighl Stats Ffim Mutual Automobrl€ lnsurancE Compony,2008
lnclud0. copyriohtod mat€ri.l of lnsurnnce Service$ officB, lnc., with its p0rmission
Continued on Next Page Page 2 of 6
1350 E CHASE DR
coRoNA cA 92881-4001
StateFarma
ft*
Otlice Policv tor CITY OF MENIFEEPolicy Num5er 92-CV-K2063
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSUBANCE. EACH OESCBIBED PBEMISES
!
g
,ja3
Th6 coveragss and correspondlng limlts shown bolow apply separately to gach described premlses shown in these
Declarations, unless lndlcated by "Soe Schedule." ll a coverage does not have a corresponding llmit shown below,
but has "lncluded" indicated, please.efor to that policy provlsion for an explanation of that coverage.
LIMIT OF
INSURANCECOVERAGE
Accounts Receivable
On Premises
Off Premises
Arson Rsward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Orvned Buildings From Theft, Burglary Or Robbsry
Debris Flemoval
Equipment Breakdown
Fire D€parlment S€rvice Charg€
Fke Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applies only when buildings are
insured on a replacement @st basis)
Money And Securities (Ofl Premises)
Mon6y And Securities (On Premises)
Money Orders And Counterfeit Mon€y
Newly Acquired Business Perconal Property (applies only il this policy provides
Coverage B - Business Personal Property)
Newly Aoquired Or Construclod Buildings (applies only if this policy provides
Coverage A - Buildings)
$s0,000
$15,000
$5,000
$1s,000
lncluded
Coverage B Limit
25% of covered loss
lncluded
$s,000
$5'000
s10,000
lncluded
l Oo/"
Prepared
NOV 01 2022
cMP-4000
O Cowrigh! Stlts Flrm Mutu.lAutomobil0 ln!ur.noa Comprny,2ffi
lncludos copyrithtod mltEri6l of ln!urancr Soruicss oflicB, lnr., with it! p€rmislion
Continued on Rsverse Side of Page
$5,000
$10,000
$1,000
$100,000
$250,000
020631 290
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Page 3 of 6
DECLAFATIONS (CONTINUED)
DECLARATIONS (CONTINUED)
Olllca Policv tor CITY OF MENIFEEPollcy Num6er 92-CV-K20F3
Ordinance Or Law - Equipment Coverage
Outdoor Propeny
Pe6onal Effects (applies only lo those premises provided Coverage B - Business
Personal Property)
Personal Property Olf Premises
Follutant Cloan Up And Removal
Presorvation Ot Property
Property Of Others (applies only to those premis€s provided Coverage B - Businass
Personal Property)
Signs
Unauthorized Business Card Use
Vabable Papers And Records
On Premises
Ofl Premises
lncluded
$s,ooo
$5,000
$15,000
$10,000
30 Days
$2,500
$2,500
$5,000
$50,000
$15,000
SECTION I - EXTE IONS OF COVERAGE - LIMIT OF INS1 RANCE - PEB POLICY
The covarages and corresponding limlts shown below are the most we will pay rogardless ot the number old,gscrlbed promises shown in these Decla.ations.
COVERAGE
Dependent Property - Loss Of lncome
Employee Oishonesty
Utility lnterruption - Loss Of lncome
Loss Ol lncome And Extra Expense
@ Copyri!ht, Stste fsrm Mutu!l Automobils lnlut!ncs Comprny.2tDS
lncludgr cofyriohtsd mlteri.l ol lnsur!ncB S€rvtcss oftico, lflc., t/ith its p0rmission.
Continued on Next Page
LIMIT OF
INSUBANCE
$5'ooo
$10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
NOV 01 2022
cMP-4000
020631 Page 4 of 6
StateFarm
6D@
ffi
DECLARATIONS (CONTINUED)
Oflice Policv lor CITY OF MENIFEE
Policy Num6er 92-CV-K2OG3
!
SECTION II - LIABILITY
E COVEBAGE
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 amounl of insurance we provide during the applicable
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached endorsements
LIMIT OF
INSURANCE
$3,000,000
$5,000
$300,000
LIMIT OF
INSUBANCE
Excluded
$6,000,000
Your policy consists ol these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequent to tha
issuance ol this policy.
FOHTI,IS AND ENDORSEMENTS
cMP-4101
cMP-4786,1
cMP-4787
FE-6999.3
cMP-4845
cMP-4819.1
CNiIP-4698
cMP-4704.1
cMP-4710
cMP-4709
cMP-4703.1
cMP-4705.2
cMP-4260.1
BusinessowneE Coverage Form
'Addl lnsd Oivners Lessee Sched
'Waiver ot Trans Bgt of Recov
Terrorism lnsurance Cov Notice
Excl Product Comp Operatn Liab
Unauthorized Business Card Use
Back-Up of Sewer or Drain
Dependent Prop Loss of lncome
Employee Dishonesty
Money and Securities
Utility lnterruplion Loss lncm
Loss of lncome & Extra Expense
Amendatory Endorsement-CA
Prepared
NOV 01 2022
cMP-4000
O Copyrigh! Stlte Flrm Muturl Automobilo lnsurlnc0 Complny, 2m
lflclud0s cog'/rilhtod mltsrial of lnsurancr Sorvico! officE, lnr., with i$ psrmit!ion
Continued on Reverse Sido of Page020632 290
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Page 5 of 6
DECLARATIONS (CONTTNUEO)
Otfice Policy to. CITY OF MENIFEEPolicy Number 92-CV-K20&3
cMP-4261
cMP-4859
cMP-4870.
'FD-6007
Amendatory Endorsement
Al Engineer Architect Survey
Addl lnsd Primary Non Contrib
lnland Marine Attach Dec
NOTICE: INFORMATION CONCERNINc
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED, PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.. Nsw Form Attached
This polioy is issued by tre State Farm General lnsurance Company.
Parlhipating Policy
You are entitled to participate in a distribution of the €arnings of the company as determined by our Board of Directors inaccordance with the Company's Artioles of lncorporation, as amended.
ln Witness Wtrereof, ho Stal6 Farm General lnsurance Company has caused this policy to be signed by its President andSecretary at Bloomington, lllinois.
ffr""*'rnll",,rn
Secretd
-{/r*e b/4
P re sident
IMPOBTANT NOTICE:
Callfomla lsw rsq*eo us-to provlde you whh lnlormatlon lor llllng complalme wfth the gtote lneurance Dapanment regordlng ttEcoversge and sorviqa proviled undsr thir policy.
Your agojt't nsmo rnd co act It omrtlon .re provided on the lronl ot thlg documem. Another oplbn i9 to ieach out bymailor phone dlroctly lo:
St8to FanP Exsculva Cudomer Scrvico
PO Bor 2320
Bloominglon lL 81702
Phone tr 1-8oo-STATE FARI (r '80G782-8$2)
Depadment_ol ln'rtr!nco complalnt! should b€ liled only aft4r you and Stale Fam ol your agonl ot other companytoprBsent{tfue hsyo lslod lo rEoofi a 3rtlslEctory agrsemqnt on a problom,
Cslifornia Depanment ol lnqrrarce
Conaumer Bervlcag Dlvl3lon
300 Soulh gprlng Elre€r
Los Angpleo, CA eool3
Phons # l{00.927-HELP (4354 ot vbit rrwjnsurancec€,qov/01-cortlrmera
Prepared
NOV 01 2022
ctvlP-4000
@ Copyrigh! Stote Frrm Mutu!l Automobtls lnsur6ncs Comprny,2008
lncludss copvrightod materi!l of ln!ur!nc. SErvic€s 0flico, lnc., with its Ds.mi!sion
020632 290
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Page 6 of 6
StateFarm STATE FARM GENEFAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?oEPi&?Ji ,, u, ror"r',u
Named lnsured
M-23-0555-FACE F U
ARI{STRONG & EROOKS COT{SULTING
ENGINEERS INC
INLAND MARINE ATTACHING DECLABATIONS
Policyltlumber 92-CV-K206-3
Policv Period Eflrctive Dale Exoiration Dab
12 Mbnths OCI 12022 OcT 1 2023
The oolicv oeriod beoins and ends at 12.01 am standardtime'at h6 frremises Iocation
ffi
8
3+
ATTACHING INLAND MARINE
Aubmatic Renewal - lf the policy period is shown as 12 months , this policy will be renewed automatically subiectto the
forms in etfectfor each succeeding policy period. lf tris policy is terminated, we will give you and the lr4ortgagee/Lienhol
compliance wifi dre policy provisions or as required by law.
premiums. rules and
der written notce in
Annual Policy Premium $ 373.00
The above Premium Amountis included in tre Policy Premium shown on tte Declarations
Your policy consists of t'rese Declarations, he INLAND MARINE C ONDlTl0NS shown below, and any other forms and endorsemens hat
apply, including *rose shown below as well as fiose issued subsequent to $e issuance of fris policy.
Forms, 0plions, and Endorsoments
FE.8
FE.6
FE-8
FE.8
739
271
745
760
lnland Marane Conditions
Amendatory Endorsemenl
lnland Marine Computer Prop
l\,lobile Equipment Form
See Reverse lor Schedule Page witr Limib
Prepared
NOV 01 2022
FD-6007
020633
@ Copyrilht, Stite F!rm l\.4ulu !l Autoraobilg lnEUrtncr Comp.ry, 200t
lncludas copyright€d m.torirl of ln!u16nco SorvicBs oflic0, lno , with it! p€rmission
510 686r.2 05 3l 20ll lo1ll232cl
&
92-CV-K206-3
ATTACHIIIG II{LAND MARINE
ATTACHIIIG INLAND MARINE SCHEDULE PAGE
ENDORSE[4 ENT
NUMBER
FE-8745
FE.8760
C OVERA6E
Lil\4tT 0F
INS URANC E
DEDUCTIBLE
AMOUNT
ANNUAL
PREM IUIM
lnland Marine Computer Prop
Loss of lncome and Exlra ExDense
Mobile Equipment Form
I
$
s
25,000
25,00037,000
I 500
6 I,000
Included
Includeds 575,00
Prepared
NOV 01 2022
FD-6007
020633
OTHER LIMITS AND EXCLUSIONS IVIAY APPLY, REFER T(] YOUR PO
O Copyri0ht Strt€ t!rm Mutu!l Automobilo lnsur.ncB Comp!nv,2000
lncl!do5 copyright.d m!t0ri!l ol lnsur!nc0 S vicrs offica, lnc., with itr psrmis!ion
!!0 [8[ r.2 0t 3l ?01I lollSlS3cl