2022/01/01 Santolucito Dore Group, Inc. (13)StateFarm STATE FABM GENENAL INSUFAT{CE COIIPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"F?ir1lf,! ?*, u o, u -' n, u
Addl lnsured-Sectlon ll Only
l\il-23-372c-FA71 F U
002478 3123CITY OF I{EN I FEE
29 714 HAUN RD
HEIIFEE CA 925A6-65qO
lrlllIr,,,,t,,rlhr,rl,,thrillill'tl"lltltll'tllillllrl,tllltl
DECLARATIONS AI\,4ENDED JUN 22 2022
Policy umber 92-E$R381-4
Pollcv Period Elfuclivo Dat ExDiration Dnls
r 2 Mbnths JAN 1 2022 JAN 1 2023
The oolicv oeriod beoins and ends at 12 01 am standard
time at 66 premise s lo c aton.
Named lnsur€d
SANTOLUCITO DORE GROUP INC
D&
ffi
I
E.3aE
Ottice Policy
Aubmatic Benowal . lf tlre policy poriod is shown as 12 months , tris policy will be renewed automatically subject to the premiums, rules and
forms in effect for each sucleedi'nl policv period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written notce in
compliance wifr the policy provisions or as required by law
Entity: Corporation
Reason lor Oeclarations:Your oolicv is amended JUN 22 2022
SECiIONiI COVERAGE LIMITS CHANGED
Endorsement Premium
lncrease
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Sprinkler
CIaim Record
$ 23.81
Prepared
JUt 14 2022
cMP-4000
020050 290 At
N
Page 1ol 6
53l,8tl { ? 05 31 20ll lol,lz3lcl
O Copyrigh( Strte t!rm Muturl Automobilo ln!ur!ncs Complny. 2m8
lnclude3 copyriohlod m.t9ri.l of ln.ur!ncs Sorvicsi offica, lnc., witi its p0rmission
Continued on Beverse Side of Page
OECLARATIONS (CONTINUED)
Ofrice Policy ,or CITY OF MENIFEEPolicy Number 92-E98381-4
SECTION I .PROPERTY SCHEDUL E
Location
Number Location ofOescribedPromises
Limit ol lnsurance'
Coveraoe A -Buildlngs
Limit o, lnsurance*
Coveraoe B -
Business Fersonal
Property
S€asonallnctease.Busin€ssPersonalProperty
001 STE 1OO.L
31600 RAILROAD CANYON RD
CANYON LAKE CA 92587.9461
No Coverage $ 11,600 ?5./"
. As of tFe date of this policy, the tm ol lnsurance as shown inc s any increase in the lim e to lnfla overage.
SECT I . INFLATION VERAGE IN ES)
N/A
z/J.o
SECTIO I . DEOUCTIBL S
Basic Oeductible
Sp€cial Deductibles:
s1,000
Money and Securities
Equipment Breakdown
Other deductibles may apply - refer to policy
$250
$1,000
Employee Djshonesty $250
Prepared
JUL 14 2022
c[,tP-4000
020050
O Copyri0h! St6t6 Farm lvlutu!lAutomobilB lnsur0nce Comp.ny, 2008
lncludos coEyrighted mlteri!l of lnsur!nc0 S€rvicBs Offics, lnc., with its p0rmis!ion
Continued on Next Page Page 2 of 6
Cov A - lnflation Coveraoe lndex:
Cov B - Consumer Pricdlndex:
StateFarm(Dco
r#
DECLARATIONS (CONTINUED)
Oflice Policv lor CITY OF MENIFEE
Policy Num6er 92-E$H3814
SF(:TIr)N I. FXTFNSIONS OF nFi qFs
: The coverages and corresponding limits shown below apply s€perately to each d€scribed promlses shown in lheseF Declaratloni, unless indicated by-'See Schedule." lf a coverago does not have a corresponding limlt shown below,
5E but has "lncluded" indicated, pliase reter to that policy provlslon lor an explanation of that coverage.
LIMIT OF
INSURANCECOVERAGE
Accounts Receivable
On Premises
Otf Premises
Arson Roward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguish€r Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ot Construclion 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 Counterteit Money
Newly Acquirsd Business Personal Property (applies only if this policy provid€s
Coverage B - Business Personal Properly)
N€wly Acquirod Or Constructed Buildings (applies only if this policy providos
Coverage A - Buildings)
$50,000
915,000
$5,000
$1s,000
lncluded
Coverage B Limit
25olo of covered loss
lncluded
$5,000
$5,000
$10,000
lncluded
10%
Prepared
JtL 14 2022
cMP-4000
o Cop'/right St.to Frrm Mutu0l Automobile ln!ur!nc€ Company.2008
l0clud.s coryrightsd mlterial of lnsurance Servicer offico, lnc., wifi its permission
Continued on Reverso Side of Page
$5,000
$10,000
$1,000
$100,000
$250,000
020051 290
N
Page 3 ol 6
n
.:.)VFFIAGF - I Ii'IT OF INSIIFANCF. FACH DESCRIBED
oEcLARATTONS (CONTTNUED)
Olrice Policy for CITY OF MENIFEEPolicy Number 92-ESR381-4
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Eflects (applies only to those premises provided Coverage B - Business
Personal Property)
Personal Property Ofl Premises
Pollutant Clean Up And Removal
Preservation Of Properly
Property.Of Others (applies only to those premises provided Coverage B - BusinessPersonal Property)
Signs
Unauthorized Business Card Use
Valuable Pagers And Records
On Premis€s
Olf Premises
SECTION
Included
$5.000
$s,ooo
$1s,000
$10,000
30 Days
$2,soo
$2,500
$s,000
$s0,000
$15,000
I . EXTENSIONS OF COVERAGE . LIMIT OF INSURANCE - PER POLICY
The coverages and corrospondlng limits shown below ar€ the most we will pay rogardloss o, the number otdescribed premises shown h thes€ Declarations.
COVEFAGE
Dependent Property - Loss Ol lncome
Employee Dishonesty
Ulility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
O Copyrigh! Stato F.rm Mutu !l Automobile ln3ur6nc€ Compnny, 2008
lncludes 6opyri0hted mdtsrial of l.su16nce Sorujoos Oftice, lnc , with its DBrmrssion
Continued on Next page
LIMIT OF
INSUHANCE
$5'000
$10,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
JUL 14 2022
cMP-4000
020051 Page 4 of 6
StateFam
h"i#iffit
DECLABATIONS (CONTINUED)
Ollice Pollcv lor CITY OF MENIFEE
Policy Num6er 92-ES-8381-4
!
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGBEGATE LIMITS
Products/Completed Operalions Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces the amount of insurance we p
annudl pEriod. Please refei to Section ll - Liability in the Coverage Form and
LIMIT OF
INSURANCE
$2,000,000
$5,000
$s00,000
LIMIT OF
INSUHANCE
$4,000,000
$4,000,000
rovide during tho applicable
any attached endorsements.
Your oolicv consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any olher
forms and'endorsements that apply, including those shown below as well as those issued subsequont to the
issuance ol this policy.
FOBMS AND DORSEMENTS
cMP-4101
cMP-4819.1
FE-6999.3
cMP-4705.2
cMP-4710
cMP-4709
c[/P-4698
Ct\rP-4704.1
cMP-4703.1
cMP-4788.1
cMP-4786.1
cMP-4787
cMP-4260.1
Businessowners Coverage Form
Unauthorized Business Card Use
Terrorism lnsurance Cov Notice
Loss of lncome & Extra Expense
Employee Dishonesty
Money and Securities
Back-Up ol Sewer or Drain
Dependent Prop Loss of Income
Utility lnterruption Loss lncm
Addl Insd Mgrs Lessor ol Prem
Addl lnsd Owners Lessee Sched
Waiver of Trans Rgt of Recov
Amendatory Endorsement-CA
Prepared
JUL 14 2022
cMP-4000
020052 290
N
O Copyrilht Stlte trrm Muturl Automobilo lnsurlncB Comp!ny, 2008
lncludes copyrightsd mston!l of lnsurrnco Seryicos offico. lnc., with its pBrmirsion
Continued on Reverse Side of Page Page 5 of 6
&
SFCTION II . I IABII ITY
DECLAHATIONS (CONTINUEO)
Oflice Policv lor CITY OF MENIFEEPolicy Number 92-E$R381-4
Cl\ilP-4251
FD-6007
Amendatory Endorsement
lnland l\4arine Attach Dec
This policy is issued by the State Farm General lnsurance Company.
Parlicipating Policy
You are sntitlsd to participate in a-distribution of the earnings of th6 company as det6rmin6d by our Board ol Directors inaccordance with the Company's Articles of lncorporation, a! amended.
ln Witness Whereof, he State Fam General lnsurance Company has caused this policy to be signed by lts prestdent andSecrstary at Bloomington, lllinois.
ffX,, -tny*n
s9Cretary
-il*e Mq
IMPOBTANT NOTICE:
Calfomlr hu reqllres u3.to provlde you whh lnrormotlon lor fllhg cornplalmg whh the State lnsurtnce Dep.nmem regardlng t tcovoragG and srvb€ p.ovidEd undor this policy.
Your agent'! name and coriact lnlomatlon al. provided on the trori ol thls documem. Another op on is to reach out bymailor phonG dlrsctly to:
State Farmo Erccutive Curtomel Seryico
PO Box 2320
Bloomlngton lL 61702
Phone * l€m-STATEFARH (1 €00762-8332)
O'epartment ot lnsurance comphlnts shouH be llhd only alter you snd State Farm or your agent or olhet comparryrepresrirtivo have lstod lo tDrch a gatlslactory aEleemern on o problom.
Califomia Depanment of lnaurance
Consumer SerYlceg Dlylelon
300 Souh Sp.lm SrlEer
Loa Ang€les, CA 9o013
Phone * 'l€00-927-HELP (4357) or visit xrw.in8u rarce.ca.ooy/O t.ca r|E(me ia
President
O Copyri!h! SEte F!rm Mutu6l Automobtle lnsuranc6 Comprny, 2OOo
hrludes copyrighted mntEri0l of lnsurrncs SsrvicBs OffioB, lnc.. with rb permis3ion
Prepared
JUL't4 2022
cMP-4000
020052 290
N Page 6 of 6
StateFam STATE FAR]II GENERAL INSUEANCE COHPAI{Y
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"F3la?1fr! ?* z' o's. r s z s
Named lnsured
M-23-372C-FA71 F U
SANTOLUCITO DORE GROUP INC
ATTACHING INLAND MARINE
L]INLAND MAHINE ATTACHING DECLARATIONS
Policyllumter 92-ES-8381-4
Policv Period Ellective Dalo Exoiralion Date
12 Mbnths JAN 1 2022 JAN 1 2023
Ihe polipy penod begins and ends at 12:01 am standardtme at the premrses locaton.
(D@
[t-fiEh:ElEirEi
a
.8
Aubmalic Ronowal - lf the pollcy pe riod is shown as 12 monlhs , fiis policy will be renewed automatic_ally subject.to fie premiums, rules and
forms in effect for each sucieedin! policy period. lf tris policy is terminated, we will give you and fte Mortgagee/Lienholder written notice in
compliance witr fre policy provisions or as required by law
Annual Policy Premium lncluded
The above Premium Amount is included in the Policy Premium shown on fie Declarations
Your oolicv consists of these Declarations. dre INLAND MARINE C0NDITI0NS shown below, and any other forms and endorsements that
a pply. incl;dins hose shown below as well as $ose issued subsequentto ttre issuance of dris policy.
Foms, 0ptions, and Endor6omenb
FE-8739
FE-6271
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Compuler Prop
See Reverse for Schedule Page witt Limis
Prepared
JUL 14 2022
FD-6007
020053
@ Copyri0ht, Strts t!rm Muturl Automobile lnsuranc. Comp!ny, 2008
lncludes copyrightod mrtsi!l of lnsur![c0 Sorvicr! otfic8, lnc., with its permisrion
530 686 r ? 05 31 2 I toll3232cl
92-ES-8381-4
ATTACHIT'IG INLAND MASIIIE
ATTACHING !NTAttID MARINE SCHEDUTE PAGE
ENDORSEMENT
NUM BER
FE-8745
COVERAGE
lnland Marine Computer Prop
Loss ol lncome and Extra Expense
Lil\4tT 0F
INSUBANCE
DEDUCTIBLE
AMOUNT
ANNUAL
P RE IVI IU IVI
OTHER LIMITS AND EXCLUSIONS MAY APPLY. REFEB TO YOUB POLICY
O Copyrighl Stare t6rm lvutu.l Automobil0 lnsur.nco Compsny, 20m
lncludes copyrighted matErial of lnruronce Sen/icBs offico, lnc., with its DBrmrssion.
$ 500 Included
Included
$
s
25,000
25,000
Prepared
JUL 14 2022
FD-6007
020053
530 616..2 05 3l ?0ll lolt323l.l