2022/02/04 Craig, Gary DBA Bob & Gary'sStateFarm STATE FARU GENEHAL INSURANCE COMPA Y
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"F3io93i! ?* r s o e' - " rs
Addl lnsured.Sectlon ll Only
Alz M-12-39C9-FAC7 F N002517 3125CITY OF HENIFEE
29 714 HAUN RDsuN CITY CA 92546-6540
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Distributors Policy
RENEWAL DECLABATIONS
Policyl{umber 90-EH-U284-6
Policv Period Elloclive Date Exoiration Date
12 Mbnrhs FEB 4 2022 FEB 4 2023
Ihe polipv period begins and ends at 12:01 am standard
0me atthe premlses locaE0n.
Named lnsuledCRAIG, GARYDBA XOB & GARY I S
&
tr*lBirl.X
I
9
Aubmatic Re nowal - lf the policy period is shown as 12 months , ftis policy
forms in effect for each succeeding 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 the Nlortgagee/Lienholder written notice in
Entity: lndividual
NOTICE: lnformation concerning changes in your policy language is included. Please call your agent
if you have any questions.
POLICY PREMIUM $ 928.00
Discounts Applied:
Flenewal Year
Years in Business
Claim Record
Prepared
NOV 22 2021
cMP-4000
015577 294 Al
N
O Copyri0h! Stlt' Flrm Mutuil Automobih lnsurlnco Compnny, 2t)08
lncludes copyriohtgd mrbrirl of ln$ursnco Servicrs olfico, lnc., with its p6rmission
Continued on Fleverse Side of Page Page 1 of 7
RENEWAL DECLABATIONS (CONTINUED)
Distributors Policv lor CITY OF MENIFEEPolicy Number 90-EH-U28+6
sFcTtoN I -PROPERTY SCHFDIII E
LocationNumber Location ofDescribedPremises
Limit ot lnsurance'
Coveraoe A -
Buildfngs
Limit ol lnsurance'
Coveraoe B -Business Fersonal
Propsrty
Seasonallncrease-BusinessPersonal
Propsrly
001 39610 MEDINA CT
N4URRtETA CA 92562-451 4
No Coverage $ s,7oo 25%
'Aso the effective date of this policy, t e Limit of lnsurance as s own inclu es any Increase in the limit e to lnf lation Coverage
sEcTtoN I -INFLATION COVERAG E INDEX{ES}
Cov A - Inflation Coverage lndex
Cov B - Consumer Price lndex:
NiA
276.6
Baslc Deductible
Speclal D€ductibles:
Money and Securities
Equipment Breakdown
$1.000
$250
$1,000
Employee Dishonesty s250
Other deductibles may apply - refer to policy.
Prepared
NOV 222021
ct\4P-4000
015577
O Copyflohl SrrE Frrm lvluxr!l Automohb lnsur.nc0 Comp.ny, 2008
lncludss copyrightod matefl!l of lnsuruncB Sorvico! oflic., lnc., wth it! oermi3sion
Continued on Next Page Page zot 7
sEcTtoN I -
StateFarm(D6JO
ffi
BENEWAL DECLARATIONS (CONTINUED)
Oistributors Policv lor CITY OF MENIFEE
Policy Number ' 9O-EH-U28+6
SECTION I . EXTENSIONS OF COVERAGE - LIMIT OF INSU RANCE . EACH DESCRIBED PREMISES
38 The coverages and corresponding limlts shown below apply separatsly to oach doscrlbed premises shown in thgse? Oeclaratlons, unless indicated by "See Schedule." ll a coverago doss not have a corrospondlng llmlt shown below,E but has "lncluded" indicated, please reler to that pollcy provislon lor an explanation o, that coverage.
COVERAGE
Accounts Receivable
On Premises
Off Premises
Arson R€ward
Brands And Labels
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
lncreassd Cost Ol Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Off Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
Newly Acquired Business Personal Properly (applies only if this policy provides
Coverage B - Business Personal Proporty)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
LIMIT OF
INSUBANCE
$5,ooo
925,000
lncluded
Coverage B Limit
2596 of covered loss
lncluded
92,500
$5,000
$10,000
lncluded
10/.
$5,ooo
$10,000
$1,000
$100,000
$2s0,000
$000
000
10
QE
Pre p ared
NOV ?2 2021
cMP-4000
015578 294
N
O Copyri0h! Strte F.rm Mutu.l Automobile lngurince Comp!ny, 2008
lncludes copyriohtod mntirirl ol lnsu.!nce S6rvices offic6, lnc., with its permission
Continued on Beverse Side of Page Page 3 of 7
RENEWAL DECLABATIONS (CONTINUED)
Oistributors Policv lor CITY OF MENIFEEPolicy Number 90-EH-U28+6
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Elfects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property ol, Premises
Pollutant Clean Up And Removal
Preservation Ol Property
Property Of Others (applies only to those pramises provided Covsrago B - Business
Personal Property)
Signs
Valuable Papers And Records
On Premises
Off Premises
Included
$s,ooo
$2,500
$15,000
$10,000
30 Days
$2,soo
$2,500
$10,000
$5,ooo
SECTION I - EXTE ONS OF COVEBAGE . LIMIT OF INSU RANCE - PER POLICY
The coverages and coaresponding llmits shown below are the most we wlll pay regardless ol the number oldescribed premises shown in these Oeclatalions.
COVEBAGE
Dependent Property - Loss Of lncome
Employee Dishonesty
Utility lnterruption - Loss Of lncome
Loss Ol lncome And Extra Expense
O Copyri!h! St!t. t!rm MlU!lAutomohl6 lngurrn0s Comp!ny,2m8
lncludes copyrioht€d m6tsri€l of lnsur!ncs S€rvicsr oflics, lnc., with its permis.ion
Continued on Next Page
LIMIT OF
INSUBANCE
$10,000
910,000
910,000
Actual Loss Sustained - 12 [/onths
Prepared
NOV 22 2021
cMP-4000
015578 Page 4 of 7
StateFarm(-@
Ft#IE]ET
RENEWAL OECLARATIONS (CONTINUED)
Distribulors Policv for CITY OF MENIFEE
Policy Number 9O-EH-U284-5
SECTION II . LIABILITY
eI
COVERAGE
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 amount ol insurance we provide during the applicable
annual period. Please retor to Section ll - Liability in ths Coverage Form and any attached endorsements.
LIMIT OF
INSURANCE
$2,000,000
$5,000
$300,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FOFTM shown below, and any other
forms and'endorsements that apply, including those shown b€low as well as those issued subsequent to the
issuance of this policy.
FORi/ls AND ENDORSEMEN
Businessowners Coverage Form
'Terrorism lnsurance Cov Notice
Brands and Labels
Amendatory Endorsement-CA
Loss of lncome & Extra Expense
Employee Dishonesty
Money and Securities
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
Amendatory Endorsement
Addl lnsd Owners Lessee Sched
Al Design Person Org
lnland Marine Attach Dec
Prepared
NOV 222021
cMP-4000
015579 294
N
O Copyrigh! State F!rm lvlutu6lAutomobilB Ins!ronco Comp!ny, 2008
lncludes copyrighted mrtorisl of lnsuran60 S6rvices oftic0, lnc , wth its permission
Continued on Reverse Side ol Page Page 5 of 7
!
cMP-4101
FE-6999.3
cMP-4825
cMP-4260,1
cMP-4705.2
cMP-4710
cMP-4709
cMP-4704.1
cMP-4703.1
cMP-4261
cMP-4786.1
cMP-4860.1
FD-6007
RENEWAL DECLARATIONS (CONTINUED)
Dislrlbutors Policv for CITY OF MENTFEEPolicy Number 9O-EH-U28.1-6
' New Form Attached
This policy is issued by the State Farm General lnsurance Company,
Participating Policy
You are entitled to participato in a distribution of th€ €arnings of lhe company as determined by our Board ot Directors inaccordance with the Company's Articles of lncorporation, as amendsd.
ln Wtness Wftereof, Ule Stat€ Farm General lnsurance Company has caused this policy to be signed by its President andSecretary at Bloomington, lllinois.
ff*n\",-rt
sec16tary
-il-eMq
President
IMPORTANT NOTICE:
callfomla hw rsqulles ue-to plovlde you w_hh lntormollon for llllng complalrit3 whh the State lnsuronce tleponmsm regardlng thecoverEgE and sorvics provilsd undar this policy.
YouI sgedb name a-nd contact lnlomrtlon are provided on ttE trori ol thls documenl, Anothar op on ls to teach out bymqllor phon€ dlroctly toi
Slrtg Falmo Execulivg CuStomst Sorvice
PO Box 2320
Bloomington lL 61702
Phone * 1-8oo-STATEFARX (1 -80G782-83112)
OeprIt snt_of lnsurance complslnts ghould be liled only slter you rnd Slate Frm or your rgott or othet companyreprE$ntrtfue havo |rilod to rsach o sstislactory agroomqtt on. probbm.
Crlitomis Department oI lnatrance
Consumer Seff lces Dlvlsbn
300 South gprln0 Srreet
Loe Angele8, CA 900r3
Phqne f 1€00-927-HELP (4354 or vilit nwv{.insutanq€.ca,aoy/ot-conlunera
Prepared
NOV 22 2021
Cl\ilP-4000
015579
C Copyrioht St6to F.rm Mutu.l Automobils lnsurrnoe Comp!ny, l()Oo
lncludBs copyrlOht€d mrtsflll of lnsur!nc€ Ssrvices Office, lnc., with its permission
Continuod on Next Page Page 6 of 7
StateFarm(-oo
ffi-ft,ta{fl
RENEWAL DECLARATIONS (CONTINUED)
Olstribulors Policv lor CITY OF MENIFEE
Policy Number ' 9O-EH-U28+6
NONCE TO POLICYTIOLDER:
For a comprehensive description of coverages and lorms, please reler lo your policy.
Policy changes requesled belora he "Dale Prepared", which appear on this notice, are effective on the Renewal Date
of lhis policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage
forms attached to lhis notice are also elfective on he Renewal Date of this policy.
Policy changos r€quosted atler th€ "Dat6 Prepared" will be s€nl 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.
ll, during the past year, you've acquirod any valuable property items, made any improvements to insured property,
or have any questions about your insurance coverage, contact your State Farm agent.
Please keep this with your policy.
Ia
Prepared
NOV 22 2021
cMP-4000
015580 294
N
O Copyrioht Stlta F!rm Mutu.l Automobilo ln!ur.nce Comprny,2008
lncludes 6opyrioht€d m.t8rirl ol lnsu16nco SgrvicBs offici, lnc., with ils psrmission
Page 7 ol 7
StateFarm STATE FARI' GENEBAL INSUFANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN SLOOMINGTON, ILLINOIS
E?"F3ir93i! ffi , u o, u. t n, u
Named lnsured
M-12-39C9-FAC7 F N
CRAI
DBA
G,
BO
GARYE & GARY I S
ATTACHING INLAND MARINE
INLANO MABINE ATTACHING O'"'-O'O''O*J
Policyl{umber 90-EH-U284-6
Policv Poriod Elleclive Date Exoiration Date
12 M'onths FEB 4 2022 FEB 4 2023
The polipy periofl begins and ends at I2:01 am standardtme at the premlses l0calon.
(-)oo
ffi
E
I
Aubmalic Ronowal - lf the policy period is shown as 12 months , this policy will be renewed automatic-ally su bject to fie premiums, rules and
forms in effect for each suc Leedin! policy period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written notce in
compliance witr tfre policy provisions or as required by law
Annual Policy Prumium $ 276.00
The above Premium Amount is included in tlre Policy Premium shown on fie Declarations.
Your policy consists of tlrese Oeclarations. tre INLAND MARINE C 0NDlTlONS shown below, and any other forms and endorsemenB tlat
apply, including trose shown below as well as fiose issued subsequentto he issuance of tris policy.
Forms, 0plions, and Endorsomonb
FE-8739
FE-6271
FE-8745
FE-8761
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
[,totor Truck Cargo Form
See Reverse for Schedule Page widr Limis
Prepared
NOV 22 2021
FD-6007
015581
@ Copt/righ( St6ts F.rm irltu.l Automobil0 lnsurinc€ Comp!ny.2008
lncludo. copyriohtrd mrtsri6l ol lnsur!nc€ Ssrvice! olfi.€, lnc., with its permirsion
53I606a 2 05 3l ?011 loll3z!?cl
90-EH-U284-6
ATTACHING II'ILANO MARINE
ATTACHING INLAND MARINE SCHEOUTE PAGE
ENDOBSEMENT
NUIvIBER
FE-8745
FE-8761
COVERAGE
LIIVIIT t]F
INSURANCE
DEDUCTIBLE
AMOUNT
ANNUAL
PREMIUM
Included
Includeds 276.00
lnland Marine Computer Prop
Loss of lncome and Extra Exoenselvlotor Truck Cargo Form
sISee
25,000
25 , 0 0 0Below
$ 500
$ 1,000
DESCBIPTION OF CARGO: FRUIT
CARGO LIMIT FOR VEHICLE: S1s.000
RADIUS OF OPERATION:50 l\,4lLES
VEHICLE YEAR, MAKE, MODEL: 2017 HINO 195 HYBRID BOXVIN NUMBER : JHHSPI\il2H7HK001 884
Prepared
NOV 22 2021
FD-6007
015581
oTHER Ll[4lTS AND EXCLUSI0NS I'itAy AppLy _ REFER T0 y0UR p0LtCy
-
O Copyrigh! Stlto F6rm lvlut!!l AutomobilB lnsuriflc€ Comp.ny, Z00B
lnrludes copyrighted m.teri!l of lnsurnncB SsrvicBs 0fli6B, lnc., with its pormis!ion
!30 D36i 2 05ll l0ll (oll3z3Xcl