2022/09/23 CMS Mobile Glass Shop, LLC (5)StateFann STATE FAFM GENERAL INSURA CE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?olPlntr?Ji L a, tor.re,s
Addl lnsured-Sectlon ll Only
M-23-163A-FA41 F N
002570 3123CITY OF IIENIFEE & ITS OFFICERS
EHPLOYEES AGENTS & AUTHORIZED
VOLUNTEERS29E44 HAUN RD
t{E N I FEE CA 92586-6559
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Auto Services Policy
DECLARATIONS AMEN0ED SEP 28 2022
Named lnsured
CI,IS MOBILE GLASS SHOP LLC
(-)oo
p.+*
h-+-i
Y,E
Policy umber 92-GR-O228-7
Policv Period
1 2 Mbnths
Etleclive Date
sEP 23 2022
Exoiralion DatesEP 23 2023
Ihe polipy penod begtns qnd ends at l2:01 am standardtme at the Premlses locaEon
Aubmalic Ronewal - lf tre policy period is shown as 12 months , tris policy will be renewed automatically subiect to the premiums, rules and
forms in eflect for each sucLeedinb policy period. ll $is policV is terminated. we will give you and tte Mortgagee/Lienholder written notice in
com pliance wi$ the olicy provisions or as required by lawp
Entity: Limited Liability Company
Reason tor Doclarations: Your policy
BUSINESS
is amended SEP 28 2022
PEBS PBOP COVERAGE CHANGED
Endorsement Premium
lncrease $ 151 .84
Discounts Applied
Renewal Year
Claim Record
Prepared
NOV 10 2022
cMP-4000
021192 290 At
N
O Copvrioht Stlt€ t.rm Mutu.l Automobilo lnsur!ncr Company, 2mo
lncludr! copyriohtsd mslsri!l of lnlirrtncr Sorvic0s olfica, lnc.. with its pormission
Continued on Reverse Side of Page Page 1of 6
oEcLARATtONS (CONTTNUEO)
Auto gorvlces Policy lor CIW OF MENIFEE & tTS OFFTCEFSPollcy l{umb€r 92-cR{,228-7
sFcTtoN I - p PERTY SCHEDULE
Locstlon
Number Location olDesc.ibed
Premises
Llmit ot lnsuranco*
Coveraoe A -
Bulldlngs
Limlt ot lnsurance'
Covoraoe B -Buslnoss PersonalProperty
Saasonallncrease-BusinessPersonalProperty
001 4351 BROOKSIDE DR
HE|\4ET CA 92545-8988
No Coverage s 2s,400 25./"
' As of the ve teoft rs po cy, t
sEcTtoN I . tN
imit ol lnsurance as shown in U es any ncrease n the limit due lo ln atio n veragec
FLATION COVERAGE INDEX/ES}
Cov A - Inf lation Coverage Index
Cov B - Consumer Price lndex:
N/A
z:ro. t
SECTION I. D DUCTIBLES
Basic O€duclibl€$1,000
Speclal Deductlbles:
Money and Securities
Garagekeepers - Comprehensive
Equipment Breakdown
$250
$2so
$1,000
Garagekeepers - Collision
Employee Dishonesty
$500
$250
Other deductibles may apply - relor to policy
Prepared
NOV 10 2022
cMP-4000
021192
O Copyrigh! Sllt8 F!rm Mut!!l Autompbtl0 lnsurlncB Complny,2008
lnoludo! copyri0htsd mltori.l of lnsur!nc0 SBryicaJ Offica, lnc, with itr prrmissjon.
Continued on Next Page Page 2 of 6
6)@
ffi
DECLAAATTONS (CONnNUED)
Auto Services Policv lor CITY OF MENIFEE & ITS OFFICERSPolicy Numb€r 92-GR-O228-7
SECTION I - EXTENSIONS OF COVEFAGE - LIMIT OF INSURANCE. EACH OESCHIBED REMISES
E
E
The cov€rag€s and corr€sponding llmlts shown below apply separately to each describod prlamisos shown in these
Declaratlona, unless lndlcated by"S6e Schedule." It a coverage does nol have a corresponding llmlt shown below,
but has "lncluded" indlcated, please refer to that policy provlsion fo. an oxplanatlon of that cov€rage.
COVERAGE
Accounts Receivable
On Premises
Ofl Premises
Arson Reward
Back-Up Ol Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thelt, Burglary Or Robbery
Debris Removal
Employge Tools (applies only to those premises provided Coverage B - Business
Personal Property)
Per Occurrence
Per Employee
Equipment Breakdown
Fire Department Service Charge
Fire Extlnguisher Systems Recharge Expense
Forgery Or Alteration
Garagekeeper's lnsurance - Comprehensive And Collision
Glass Expenses
Increased Cost Of Construction And Domolition Costs (applies only when buildings are
insured on a replacement cosl basis)
Money And Securities (o,f Premises)
Monsy And Securities (On Premisos)
LIMIT OF
INSUHANCE
$10,000
$5,000
$s,000
$15,000
lncluded
Coverage B Limit
25olo of covered loss
$2,soo
$5oo
lncluded
$5,ooo
$s,000
$10,000
$25,000
Included
10y.
$5,000
$10,000
Prepared
NOV 10 2022
cMP-4000
021193 290
N
@ Copyrigh! St!10 Frrm Mutual Aulomobil€ lnsuruncs Comp!ny, 2m
ln.ludlr copyriohtsd m.trrill of lnsurrncr Ssrvicss oflica, lnc., widl its permitlioo
Continued on Reverse Side ol Page Page 3 ol 6
StateFarm
DECLARATIONS (CONTINUED)
Auto Sorvicos Policy lor CITY OF MENIFEE & ITS OFFTCERSPolicy Numbor t2-cR-O228-7
Money Orders And Counterfeit Money
Newly Acguired Business Personal Property (appties only if this policy provides
Coverage B - Business P€rsonal Property)
Newly Acquirod Or.Construct€d Buildings (applies only il this poticy provides
Coverage A - Buildings)
Ordinance Or Law - Equipment Co/erage
Outdoor Property
Personal Elrects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up AM Rsmoval
Presorvation Of Prop€rty
Property.Ol Otherg (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers And Records
On Premises
Ofl Premises
$1,000
$100,000
s250,000
lncluded
$s,000
$2,500
$15,000
$20,000
30 Days
$2,500
$5.000
$10,000
$s,000
SECTION I - E NSIONS OF COVEFAGE .LIMIT OF INSUBANCE . PER POLICY
The covsrages and corlesponding limits shov/n bslow are the most we will pay regardless ol the number o,descrlb€d promises shown in those Declarations.
COVERAGE
Employee Dishonesty
Loss Of lncome And Extra Expens€
O Copyright St0te Frrm Mutu rl Automobi16 lhsur6flcs Comp.ny, Zom
hcludgs cogyrightod mrtsrial of lnruronca Services offics, lnc., with its oermission
Continued on Next Page
LIMIT OF
INSURANCE
$10,000
Actual Loss Sustained - 12 Months
Prepared
NOV 10 2022
cMP-4000
021 193 Page 4 of 6
I
StateFarm(l-@
ffi
OECLARATIONS (CONTINUED)
Aulo Services Policv ror CITY OF MENIFEE & ITS OFFICEBS
Policy Numbor ' 92-GR-O228-7
SECTION II - DED1ICTIBLES
8aj
6A
Business Liability - Proparty Damage $250
Other deductibles may apply - refer to policy.
SECTION II . LIABILITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Renled To You
AGGREGATE LIHITS
Products/Completed Operations AggrBgate
General Aggregate
Each paid claim for Liabilily Goverage reduces the amount ol insurance we
annual psriod. Please refer to Section ll - Liability in the Coverage Form an
LIMIT OF
INSURANCE
$1 ,000,000
s5,000
$300,000
LIMIT OF
INSURANCE
$2,000,000
$2,000,000
provide during the applicable
d any attached endorsements
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
lorms and-endorsements that apply, including those shown below as well as those issued subsequent to the
issuance of this policy.
FORMS AND ENDORSEM
cMP-4101
cMP-4412
cMP-4827.1
FE-6999.3
cMP-4260.1
cMP-4261
Businessowners Coverage Form
Operation ol Customers Auto
Employee Tool Coverage
Terrorism lnsurance Cov Notice
Amendatory Endorsement-CA
Amendatory Endorsement
Prepared
NOV 10 2022
cMP-4000
021194 290
N
O Copyrioht, St.ts F!rm Mulu!l Automobile lnsurlncs Comp!ny.2008
lnclud€s copyrilhtgd mrterial ol lnsuronce Servic.! 0ffic6, lnc., with its psrmission
Continued on Reverse Side of Page Page 5 of 6
DECLARATIONS (CONTINUED)
Auto Sorvlces Pollcv lor CITY OF MENIFEE & ITS OFFTCEBSPollcy Numbor 92-GA-Q228-7
cMP-4705.2
cMP-4710
cMP-4709
cMP-4470
cMP-4698
cMP-4786.1
cMP4787
cMP-4875
FD-6007
Loss of lncome & Extra Expense
Employee Dishonesty
Money and Securities
Garagekeepers Direct Coverage
Back-Up of Sewer or Drain
Addl lnsd Owners Lessee Sched
Waiver of Trans Rgt of Recov
Loss Payable
lnland Marine Attach Dec
This policy is issued by th€ State Farm General Insurance Company.
Participating Policy
You are entitled to padicipate ln a dlsHbution of the earnings of th6 company as determined by our Board of Directors inaccordance with the Company's Articles of lncorporation, ai amended. '
ln Whess Whereof, he State Farm
Secretary at Eo^omington, lllinois.
{.r,^_nlpn
secr€iary
IMPOBTANT NOTICE:
-il*t" C"rh
General lnsurance Company has caused this policy to be signed by its President and
Cafornla hw lequlres ue.to plovldo you wlth lnlormctlon for llllng complolnts wlth th€ Stste lnsurance Deportm€t regotdlng thecov.rEgo rnd sorvico provi&d under thie policy,
YouJ sged'3 namo cnd sont ct ill'omalbn are provided on the ,rom ol thb documeri. AnottEr optlon ls to leach out bym.il or phono dlroctly to:
Slde Farmo Executlye Cugtomor gerylco
PO Box 2320
Bloomln$on lL 61702
Phone * 1€oo-STATEFAB (t€00702-8332)
Dspartnent o, lnsurqnce comPhlnts shouH b€ liled only atter you and Stsle Farm ot youl aged or other companyrapDsntativs havo le llod lo isach I $tlslaclory .gr€emont on e probbm.
Crllornir Dep8rtment ol h r8ncg
Concur€1 3€rvlcei Dtulilon
300 Sornh Sprlng Strs€tLo Angobs, CA go0l3
Phorp r 1{o0-927-HELP (ril57) or vbil rrw.ir8u rEnce.cs.ooy/O t.co rE(me ra
Pregared
NOV 10 2022
cMP-4000
021194 290
N
President
O CogyrighL StltB Frrm lVIutu!l Automobtle lnsur.ncs Complny,2()0E
lncludsi cogyri!ht6d mltgrrrl ol lnsur!nco Ssryicss oftice, hc., with rts psrmis3ion
Page 6 ol 6
StateFaIm STATE FARM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HO'IE OFFICES IN BLOOMINGTON, ILLINOIS
Po Box 2915Bloominglon lL 61702 2915
Named lnsured
M-23-1634-FA4'1 F N
C]'IS ].IOBILE GLASS SHOP LLC
ATTACHING INLAND MABINE
INLANO MARINE ATTACHING DECLARANON#
Policyfiumber 92-GR-O228-7
Policv Period Ellective Date Exoiralion Dala
12 Mbnths SEP 23 2022 SEP 23 2023
The polipy period beqins and ends at 12:01 am standardtme atthe premlses locaton
&
ffi
Ej
G3
Aubmatic Renewal - lf the policy pedod is shown as 12 monlhs , tris policy will be renewed automatically subjectto fre premiums, rules and
forms in effect for each suc Leeding policy period. lf tris policy is terminated, we will give you and fie l\4ortgagee/Lienholder written notice in
compliance wi$ $e policy provisions or as required by law.
Annual Policy Premium lncluded
The above Premium Amount is included in dre Policy Premium shown on tte Declarations
Your policy consists of these Declarations, fie INLAND l\4ARlNE C 0NDlTl0NS shown below, and any otter forms and endorsements that
apply, including hose shown below as well as $ose issued subsequent to the assuance of t'tis policy.
Forms, 0ptions, and Endorsoments
FE-8739
FE-6271
FE-8745
lnland Marine Conditions
Amendalory Endorsement
lnland l\,larine Computer Prop
See Beverse for Schedule Page wi$ Limis
Prepared
NOV 10 2022
FD-6007
021195
@ Copyrighl, Stite Fsrm lvlutu al Automobils ln.ursnce Compiny, 20m
lnclude! copyrightod materi6l of lhsur0nc0 Sorvic6s offics, lnc., widr its psrmission
!10 680r2 0! !l l01l lo1l323?cl
92-GR-Q228-7
ATTACHI'{G II{LANO MARI E
ATTACHING lNtAliID MARINE SCHEDUTE PAGE
ENDOBSEMENT
NUMBEB
FE-8745
C OVEBAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
L \4 tT 0F
INSURANCE
DEDUCIIBLE
A|\iIOUNT
ANNUAL
PREM IUM
OTHER LIMITS AND EXCLUSIONS IVAY APPLY- BEFER TO YOUR POLICY
@ Copyrigh! Stit6 F.rm lvlutualAutomobilB lnsurdnce Comp6ny, ?008
lncludos copyrightsd mat8rirl of lnsur!nco SEryic03 otlics, lnc., with its p0rmission.
$ 500 Included
Included
I
$
25,000
25,000
Prepared
NOV t0 2022
FO-6007
021195
t30 6E6 ! ? oi 3t l0l1 loll3?l3cl