2022/09/23 CMS Mobile Glass Shop, LLCStateFenn STATE FARM GENEBAL INSUHANCE COMPANY
A S|ACK COMPANY WITH HOME OFFICES IN SLOOMINGTON, ILLINOIS
E?"F?/a€lf,! 1* r s oa s. e' r s
Addl lnsured€ectlon ll Only
^rz M-23-163A-FA41 F N004347 3125CITY OF IIENIFEE E ITS OFFICERS
EI,IPLOYEES AGENTS & AUTHORIZED
VOLUI{TEERS29044 HAUN RD
]{EN I FEE CA 92546-5539
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Auto Services Policy
RENEWAL DECLAFATIONS
Policyilumber 92-GR-Q228-7
Policv Perlod E{leclive Dato Exoiration Date
12 Mbnths SEP 23 2022 SEP 23 2023
Ihe poltpy pertod begins qnd ends at 12.01 am standardtme atme premlses locat0n.
Namsd lnsured
CI'IS TIOBILE GLASS SHOP LLC
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Aubmotic Rcncwal - lf fre pollcy period is shown as 12 month , this policy will be renewed automatically su bject to the premiums, rules and
forms in effect for each succeeding policy period. lf dris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance witr dre policy provisions or as required by law.
Entity: Limited Liability Company
NOTICE: lnformation concerning changes in your policy language is included. Please call your agent
if you havs any quostions.
POLICY PREMIUM
Discounts Applied:
Renewal Year
Claim Record
$ 431.00
Prepared
JUL 11 2022
cMP-4000
Page 1ol 7028771 294
N 530 tl[ r 2 0t 31 1011 roll3?llcl
!
O Copyrigh! St.t. Frrm Mutu!l Automobile ln.ur!nce Compiny,2008
lncludss copyri0htod mltorial of lnsur.nco S0ruices oflic., lnc., wilh its permissron.
Continued on Revers€ Sido ol Page
RENEWAL DECLAFATIONS (CONTINUED)
Auto Services Policy lor CITY OF MENIFEE & ITS OFFICEBSPolicy Number 92-GR-O228-7
sEcTloN I - PROp BTY SCHEDULE
LocationNumber Location of
D€scribed
Premises
Limit ol lnsurance'
Coveraoe A -
Buildings
Limil oI lnsurance*
Covereoe B -
Busine$9 FersonalProperly
Seasonallncrease-
Business
Personal
Properly
001 4351 BROOKSIDE DR
HEMETCA 92545.8988
No Coverage S 1,,too 25%
t As of the effecttve ate of this policy,e Limit of lnsurance as shown rnc udes any increase tn m ue to lnrlation overage
SECTION I - INFLATION COV E INDEX(ES)
Cov A
Cov B
- lnf lation Coverage Index
- Consumer Price lndex:
N/A
292.3
SECTION I . DEDUCNBLES
Basic Oeductible $1,000
Speclal Deductibles:
Money and Securities
Garagekeepers - Comprehensive
Equipmont Breakdown
$250
$250
$1,000
Garagekeepers - Collision
Employee Dishonesty
00
50
$5
$2
Other deductibles may apply - refer to policy
Prepared
JUL 11 2022
cMP-4000
028771
O Copyrighl St.t. F,rm Mutu6l Automobtlo lnsur!nci Complny,2OO8
lncludrs copyrighted m.tsrirl ol lnsur!nce Servicas olfico, lnc., with its Dormislioo
Continued on Next Page Page 2ol 7
StateFarma
H',ifiu&
FENEWAL DECLAHATIONS (CONTINUED)
Auto Services Policv for CITY OF MENIFEE & ITS OFFICERSPolicy Number 92-GR-O228-7
SECTION I - EXTENSIONS OF COVEBAGE . LIMIT OF INSUBANCE . EACH DESCFIBED PREMISES
tl
E The coverages and corresponding limits shown below apply separately lo oach doscrlbod premises shown ln these4 Doclarations, unless lndlcated by "See Schedulo." It a coverage doos nol have a correspondlng llmlt shown below,! but has "lncluded" indicated, ploase reter to that pollcy provision lor an oxplanation ot that covsrage.
COVERAGE
Accounts Beceivable
On Premises
Otf Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Ovvned Buildings From Thett, Burglary Or Robbery
Debris Rsmoval
Employee Tools (applies only to those premises provided Coverage B - Business
Personal Property)
Per Occurrence
Per Employee
Equipment Breakdown
Fire Dopartment SeMco Chargs
Fire Extlnguisher Systems Recharge Expense
Forgery Or Alteration
Garagekeeper's Insurancs - Comprehensive And Collision
Glass Expenses
lncreased Cost Of Construclion And Demolition Costs (applies only wh6n buildings are
insursd on a replacement cost basis)
Money And Securities (Olf Promises)
Money And Securities (On Premises)
$10,000
$5'ooo
$5,000
$15,000
lncluded
Coverage B Limit
25% of covered loss
$2,s00
$500
lncluded
$5,ooo
$s,000
$10,000
$25,000
lncluded
10%
$5,000
$10,000
Prepared
JUL 11 2022
cMP-4000
028n2 294
N
O Copyr ioht Stltr F! rn Mutu 0l Automobils ln !u rln c. Comp! ny, 20m
lncludas copyrioht!d m!t0ri!l ol lnsur0ncs S.rvicBs oflicr, lnc , with its p8rmisrion
Continued on Reverse Side ol Page Page 3 of 7
LIMIT OF
INSUBANCE
RENEWAL DECLARATIONS (CONTINUED)
Auto Sorvices Policy lor CITY OF MENIFEE & ITS OFFICERSPollcy Numbor 92-GR-O228-7
Money Orders And Counterleil Money
Newly Acquired Business Personal Property (applies only if this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
Ordinance Or Law - EquipmEnt Coyerage
Outdoor Property
Personal Eflects (applies only to those premises provided Coverage B - Businoss
Personal Property)
Personal Property Oll Premises
Pollutant Clean Up And Bemoval
Preservation Ol Propsrty
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers And Records
On Premises
OfI Premises
$1,000
$100,000
$250.000
lncluded
$s,000
$2,soo
$15,000
$20,000
30 Days
$2,s00
$5.000
$10,000
$5,000
SECTION I - EXTE IONS OF COVERAGE . LIMIT OF INS BANCE . PEB POLICY
The coverag€s and corresponding limlts shown below are the most we wlll pay regardless ol the number oldescribed premises shown in these Declarations.
COVEHAGE
Employee Dishonesty
Loss Of lncome And Extra Expense
O Copyn!ht Stito trrm Mutu.l Automobtl0 ln!ur!nco Complny,2OO8
lnclude! coPylightsd m6tori.l ol lnsur!fl00 Servic€s officE, lnc , with iB permirsion
Continued on Next Page
LIMIT OF
INSURANCE
$10.000
Actual Loss Sustained - 12 Months
Prepared
JUt 11 2022
cMP-4000
028772 Page 4 of 7
StateFarm !a
ffi
RENEWAL DECLAHATIONS (CONTINUED)
Auto Servlcrs Pollcv tor CITY OF MENIFEE & ITS OFFICERS
Policy Number 92-GR-O228-7
SECTION II - DEDUCTIBLES
Bi
3
Business Liability - Property 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 Rented To You
Each paid claim for Liability Coverage reduces the amount of insurance ws provide during the applicable
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached endorsements
LIMIT OF
INSURANCE
$1,000,000
$5,000
$300,000
LIMIT OF
INSURANCE
$2,000,000
$2,000,000
Your policy consists ol these Declarations, the BUSINESSOWNEBS COVEBAGE FOBM shown b€low, and any other
forms and endorssments that apply, including those shown below as well as those issuod subsequent to the
issuance ot this policy.
FOBMS AND ENDOBSEMENTS
cMP-4101
FE-6999.3
cMP-4412
cMP-4527.1
cMP-4260.1
cMP-4261
Businessowners Coverage FormtTerrorism lnsurance Cov Notice
Operation of Customers Auto
Employee Tool Coverage
Amendatory Endorsemenl-CA
Amendatory Endorsement
Prepared
JUL 11 2022
cMP-4000
O Copy[ioht strtB Flrm Mutual Automobil. lnsurlncs Conprny, 20m
lncludss copvricht d mlteri!l o,f ln!ur!ncs Srrvic0t oflico, lnc.. wib rts ptrmittion
Continued on Rovers€ Sids ol Pageo2an3 294
N
Page 5 ol 7
AGGREGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
RENEWAL DECLABATIONS (CONTINUED)
Auto Servlces Policy lor CITY OF MENIFEE & ITS OFFTCERSPolicy Number 92-GR-O22&7
cMP-4705.2
cMP -4710
cMP.4709
cMP-4470
cNIP.4698
clvP-4786.1
cMP-4787
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 ol Trans Rgt of Becov
lnland Marine Attach Dec. New Form Attached
This policy is issued by he State Farm General lnsurance Company.
Participating Policy
You are entitled to participate in a distribution of the earnings of the company as deterrnined by our Board of Directors inaccordance with tfre Company's Articles of lncorporation, as amended.
ln Wtness Whereor, the Stale Fam General lnsurance Company has caused this policy to be signed by its President and
Secr€tary at Bloomingtrcn, lllinois.Sr-nl'-*
secr€tary
-il-r," C-/q
IMPOBTANT NOTICE:
Colltomls hw requlres tB.to provlde you whh lnlormatlon tor llllno complahe whh the State lnrur.nco Deponmem regrrdln0 tl?cowIlgg and srvar provkbd undsr this polcy.
Your 8gefll's name lnd cor act lnlomation are provided on tlE lrod ol lhis documed. Another optbn lr to rolch out bym.ilor phooe dhsclt lo:
Slats Frrm@ Eiecutiv. Cu3lomor Servlce
PO Bor 2320
Bloominglon lL 617o2
Phone t I €o(r-STATEFARX (l "8@782-8332)
Depaiment of lnlur.nce comphlnE should be liled only arter you rnd State Frm or your ag5nt or olhor co prrryroprsssrt€tive hrve lslod to rorch a sstlgr€ctory agreom6nt on s problgm.
Califomio Deparunent of lnEUr!nce
consumer ssrvlce3 Dklslon
300 Sodh SpIlng Slreet
Lo3 Angpbs, CA goo'13
Phoru f l€0O-927-HELP (41t54 or vbit rww.iosu[ance,ca,oov/o1-cortEunera
President
@ Copyrighl Stats Farm l\4utucl Automobile lnsur!ncs Comp!ny,2mB
lnclud0s copyrighted mst€ri!l ot ln!u16ncB Servics! otfico, lnc., with its pormisrio0
Continued on Next Page
Prepared
JUI 1 1 2022
cMP-4000
028773 Page 6 of 7
(5dD RENEWAL DECLARATIONS (CONTINUED)
Auto Servie,es Pollcv lor CITY OF MENIFEE & ITS OFFICERS
Policy Number 92-GR-O228-7
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e
NOTICE TO POLICYTIOLDER:
For a comprehensive description of coverages and forms, please reler to your policy.
Policy changes requesled before the'Date Prepared'', which appear on this notice, are effective on the Renewal Date
of this policy unless otherwise indicaled by a separate sndolsement, binder, or amended declarations. Any coverage
lorms attached to this notic€ ars also elfective on he Renewal Date of this policy.
Policy changes r€queslsd atler lhe "Dat€ Pr6par6d" will be sent to you as an amended declarations or as an
endors€ment to your policy. Billing lor any addilional premium for such changes will be mailed al a later date.
ll, during fre past year, you'vg acquired any valuable property items, made any improvaments to insured property,
or have any questions about your insuranc€ coverage, contract your State Farm agent.
Plaase keep this with your policy.
Prepared
JtL 11 2022
cMP-4000
02877 4 294
N
Page 7 ol 7
StateFarm !
@ Copyright St6t6 Frrm Mutual Automobile ln.ur!nce Comprny, zom
lncludas copyrighted moterirl of ln3ur!nce Services oftic6, lnc., with its p€rmis$on.
StaleFarm STATE FARM GENEFAL INSUBANCE COUPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINCTON, ILLINOIS
E?"H?/#ie ?* r s o u s - s s r s
Named lnsured
M-23-163A-FA41 F N
CIIS IIOBILE GLASS SHOP LLC
ATTACHING INLAND MARINE
!
INLAND MARINE ATTACHING DECLARATIONS
Policy umber 92-GR-O228-7
Pollcv Perlod Elhclive Dats Exoiralion Dato
12 M'onths SEP 23 2022 SEP 23 2023
The oolicv oeriod beoins and ends at 12.01 am standard
time at hb premises To c aton.
&
ffi
B
B
Aubnralic Renewrl - lf tfre policy period is shown as 12 months . this policy will be renewed automatically subject to the premiums. rules and
forms in effect for each sucLeedin! policy period. lf $is policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance witr tre policy provisions or as required by law
Annual Policy Premium lncluded
The above Premium Amount is included in he Policy Premium shown on $e Declarations
Your policy consists of these Oeclarations. fre INLAND MARINE C0NDITI0NS shown below, and any other forms and endorsements that
apply. including 6ose shown below as well as ftose issued subsequentto fie issuance of ttis policy.
Foms, 0ptions, and Endorssmenb
FE-8739
FE-6271
FE-87 45
I nland l\,,larine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page witr Limir
Prepared
JUt 11 2022
FD-6007
028775
O CoEyrigh! Strto Frrm Mutu6l Automobils lniurrncs Complny,2008
lncludss cogvright d mrtorirl of lnsur!nct S0rvic0t oltics, lnc.. wilh its pormis3ion
!!0 t&rz 05ll r0ll lolBrUcl
92-GB-Q228-7
ATTACHINO INTAND MARI E
ATTACHING INTAND MARINE SCHEDULE PAGE
ENDORSEI\4ENT
NUIVIBEB
FE-8745
COVERAG E
lnland Marine Computer Prop
Loss ol lncome and Extra Expense
LIIVIIT OF
INSURANC F
DEDUCTIBLE
AMOUNI
ANNUAL
P RE I\4IU I\4
OTHTR LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUB POLICY
@ Copynghl St0tE F.rm Mutu0l Automobils lnsur!nc0 Comp!ny, 2mg
lnclud€s ropyright0d mrtori6l of ln!ur.nce Seruicos olfic0, Inc , with its Dsrmsgtoo.
$ 500 Included
Included
$
$
25,000
25,000
Prepared
JUL 11 2022
FD-6007
o2a775
530 6rta 2 0! ll ?0ll lotr32i3cl