2022/10/31 Western A/V, Inc. (26)StateFarm STATE FARM GENERAL INSURANCE COMPANY
A STOCK COMPANY MTH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?#Pi&\Li,, u, ror-r', u
Addl lnsured-Section ll Only
M-23-61F8-FB8A F Z
002675 3123CITY OF l{EN I FEE
AND ITS OFFICERS, EI4PLOYEES,
AGEITS & AUTHORIZEI' VO LUNTEERS29844 HAUN RD
t{EN I FEE CA 9?586-6559
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Home Product Sales Policy
oECLARATIONS AI/ENDED OCr 1 2022
Policyllumber 92-GY-D812{)
Policv Period Elleclive Datc Exoiration Dab
12 Mbnths OCf 31 2022 OCT 31 2023
The polipy period begins qnd ends at12:01 am standard
0me a he premrses loca00n.
Named lnsured
9ESTERN A/V INC
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Aubmlic Rcnewal - lf ttre policy pedod is shown as 12 monlhs , ttis policy will be renewed automatically su blect to the premiums. rules and
forms in effectfor each sucieeding policy period. lf tris policy is terminated, we will give you and $e Mortgagee/Lienholder written notce in
compliance witr the policy provisions or as required by law
Entity: Corporation
Feason lor Oeclarations:Your policy is amended OCI 1 2022
ADDITIONAL INSURED ADDED
PBEMIUM ADJUSTMENT
FORM CIVIP.4786.1 ADDED
Olher items shown are ellective
with the policy's 2022 @newal
Endorsement Premium
lncrease $ 88.00
Prepared
ocr 182022
cMP-4000
022986 290 Ar
N
Page 1of 7
\T 6ri r, [rt 1l rn11 rD1t3731el
O CoEyright Stltg Flrm Mutu.lAutomobih lnturlncr Comprny,200B
lncludrr copyright0d mltsrirl of lnsur!nci Sirvices ffico, lnc., with its petmission.
Continued on Beverse Side of Page
Home Ptoduct Sales PolicvPolicy Number 92-G
DECLABATIONS (CONTINUED)
IoT CITY OF MENIFEE
Y-D812-0
SECTION I - PROP BTY SCHEDULE
Locatlon
Number Location ol
Described
Premises
Limit o, lnsuranc€'
Coveraoe A -
Buildings
Llmlt of lnsurance*
Coveraoe B -Buslness FersonalProperty
Seasonallncrease-BusinessPersonalProperty
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92867-3554
1590 N BATAVIA ST STE 4
oBANGE CA 92867-3534
No Coverage
No Coverage
$ 141,100
$ 140,900 25%
'As lve date ol t rs po cy, the lnsurance as own nc udes any increase in the limo eto nflation Coverage
sEcTroN r - I FLATION COVERAGE INDEX.ES)
Cov A - Inllation Coveraoe lndex
Cov B - Consumer Pricdlndex:
N/A
296.3
SECTION I - O UCTIBLES
Basic Oeductible
Speclol Deductibles:
Money and Securities
$2,500
$250 Data Compromise
O Copyrigh! Stlte tirm Mltu6l Automobilo lnsur0nca Comp!ny,2OO8
lncludrs cogyriohted mltsn.l gf ln!uranca Sorvrc0s Offic€, lnc, with it5 pErmis3ion.
Continued on Next Page
$1,000
Prepared
oc't 182022
cMP-4000
022986 Page 2 ol 7
StateFarm u(-)@
El:triH*
Home Product Salss Pollcv
Policy Numbsr 92-G
Employee Dishonesty
Other deductibles may apply - reler to policy.
DECLABATIONS (CONNNUED)
lor CITY OF MENIFEE
Y-D812{)
$250 Equipment Breakdown $2,500
SECTION I . EXTENSIONS OF COVERAGE . LIMIT OF INSU RANCE . EACH DESCRIBED PREMISEc
;R
The coverages and corresponding limits shown below apply separately to€ach described premises shown in these
DeclarationE, unless indicated by-"S€e Schedule." It a coverage does not have a coiresponding llmlt shown below,
but has "lncluded" indicated, please refer to that policy provision tor an explanation ot that coverage.
COVERAGE
Accounts Receivable
On Premises
Oll Prgmises
Arson Roward
Back-Up Ol Sewer Or Drain
Collapss
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire D€partm€nl Service Charg€
Fire Extinguisher Systems Hecharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Of Construction And Demolition Costs (applies only when buildings are
insured on a replacoment cost basis)
Money And Securitiss (Oll Premisos)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
LIMIT OF
INSURANCE
See Schedule
Sse Schedule
$5,000
See Schedule
Included
Coverage B Limit
257o ol covered loss
lncluded
$2,500
$s,ooo
$10,000
lncluded
100/o
See Schedule
See Schedule
$1,000
Prepare d
ocr 18 2022
ct\4P-4000
@ Copyright Stlls Flrm Muturl Automobilo lniu.rnc0 Corp.ny,20(E
lncludg! copyrightod mlterial of lnsurance Servicss offics, lnc.. tYith it! pormi!tion
Continued on Reverse Side of Page022987 290
N
Page 3 of 7
Home Product Sales PolicvPolicy Number 92-G
Valuable Papers And Records
On Premises
Off Premises
DECLARATIONS (CONTINUED)
fo. CITY OF MENIFEE
Y-D812-0
Newly Acquired Businsss Personal Property (appties only if this policy provides
Coverage B - Business Personal Properly)
Newly Acquire! Or.Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
Ordinance Or Law - Equlpmenl Coverage
Outdoor Properly
Personal Elfects (applias only to lhose premises provided Coverage B - BusinessPersonal Property)
Personal Property Off Premises
Pollutant Clean Up And Bemoval
Preservation Of Property
Property.Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
$100,000
$2s0,000
lncluded
See Schedule
$2,s00
See Schedule
SECTION I . EXTENSIONS OF COV RAGE - LIMIT OF INSURANCE. SCHEDULE
The coverages and corresPonding limits shown below apply only to the described premises as shown.
LOCATION
0001
0002
Prepared
ocT 18 2022
cMP-4000
022997
COVERAGE
O CopyrighL St e trrm lvlutu rl Automobila lnsurancs Comp!ny, ZtJ08
lncludsi copyraOhted m6tsri6l ot ln.ur!nco Seryicss offics, lnc., wittl its osrmission
Continued on Next Page
LIMIT OF
INSUHANCE
Signs
Back-Up Ol Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Ofl Premises)
Properly Of Others (applies only to those premises provided Coverage B - BusinessPersonal Property)
Accounls Receivable (On Premises)
Accounts Receivable (Off Premises)
Outdoor Property
Valuable Papers and Records (On Premises)
Valuabl€ Papers and Flecords (Off Premises)
Accounls Floceivable (On Premises)
$5,000
$1s,000
$10,000
$s,000
$2,500
$10,000
$s,ooo
$s,ooo
$10,000
$s,ooo
$10,000
Page 4 ot 7
$25,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
StateFarm E6r@
E#
Home Product Ssles Policv
Policy Number 92-G
DECLARATIONS (CONIINUED)
fo] CITY OF MENIFEE
Y-O812-O
88
Accounts Receivable (Olf Premises)
Back-Up Ol Sewer Or Drain
Mon€y And Securilies (Ofl Premises)
Monoy And Securities (On Premises)
Outdoor Property
Property Ot Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Olf Premises)
$5,000
$15,000
$s,ooo
$10,000
$s,000
$2,500
$5,000
$10,000
$s,000
SECTION I - EXTENSIONS OF COVEBAGE . LIMIT OF INSU RANCE . PEF POLICY
The cove.ages and corespondlng limlts shown below are the most we will pay regardless o, the number o,
described premlsos shown ln thes€ Declarations.
COVERAGE
Data Compromise
Legal And Forensic Information Technology Review
Per Occurrence
Dopendent Property - Loss O, lncome
Employee Dishonesty
LIMIT OF
INSURANCE
$5,000
$10,000
000
000
$5
$50
$1,000
12 months
$35,000
$s,000
Prepared
ocT 18 2022
cMP-4000
@ Copy gh! Strts Frrm Mutual Automobils lnsurlncs Comp!ny, 2m
lncludos copyrightsd m.tori.l ol ln!urrnco Ssrvic€s offica, lnc., tvith iR psrmiBsion
Continued on Beverse Side of Page
$10,000
Actual Loss Sustained - '12 Months
022988 290
N
Page 5 of 7
ldentity Restoration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utilily lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
Homo Product Sales PolicvPollcy Number 92-G
DECLABATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
SECTION II . LIABILITY
COVERAGE
Coverage L- Business Liability
Cwerage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE LIMITS
Productsicompleted Operations Aggregate
General Aggregate
LIMIT OF
INSURANCE
$2,000,000
$s.000
$500.000
LIMIT OF
INSURANCE
s4,000,000
$4,000.000
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable
annual peliod, Please refer to Section ll - Liability in the Coverage Form and any attached endoidements
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any otherlorms and endorsements that apply, including those shown below as well as those issued subsequent to theissuance of this policy.
FORMS AND ENDO RSEMENTS
cMP.4101
cMP.4786.1
cMP-4787
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.1
cMP.4703.1
cMP.4610
cMP.4746.1
Businessowners Coverage Form
'Addl lnsd Owners Lessee Sched
'Waiver of Trans Rgt of Recov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss of lncome & Extra Expense
Employee Dishonesty
Monoy and Securities
Back-Up of Sewer or Drain
Dependent Prop Loss ol lncome
Utility lnterruption Loss lncm
General Agg Limit Per Proj
Hired Auto Liability
Prepared
ocT 182022
cMP-4000
022988
O Cogyriohl St.te F6rm i,Iutu.l Automoh lB lnsurlncs Comp.ny, 2()OB
lnclud€s copyri0ht0d mrt€rial ol lnsur!nc€ Sorvic€r office, lnc., with its p.rmtssron
Continued on Next Page Page 6 ol 7
StateFarm
Home Product Ssles PolicvPolicy Numb€r 92-G
DECLARATTONS (CONINUED)
Io. CITY OF MENIFEE
Y-D812{)
l.:rr-'rY[
8fl4
E
63
cMP-4990.1
cMP-4994
cMP-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD-6007
ldentity Restoration Coverage
Data Compromise
Loss Payable
Tenorism lnsurance Cov Nolice
Al State Political Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.
' New Form Attached
This policy is issued by th€ State Farm General lnsurance Company.
Parlicipating Policy
You are entitled to participale in a distribution of the earnings ol th€ company as determined by our Board ol Directors in
accordance with the Company's Articles of tncorporalion, as amended.
ln Witness Wher€of, he State Farm General lnsurance Company has caused lhis policy to be signed by its President and
Secretary at Bloomington, lllinois
ffy^.tnl;-,rrt
Secreta"ry
-il*r" Mry
P16sident
IMPORTANT NOTIGE:
Colltomla law requlree u9 to provlde you wlth lnlomatlon fot llllng complolm3 wlth the Slote lneursncs DBpanmer regrrdln0 tlE
covGrEgo and srvhe provkLd undor thie policy.
Your Egeri'e name 6nd conlact idomatlon are provided on the lrofl ol lhb documeri. Another option is to reach oul by
mailor phons dlrectly to:
State Farmo Executlve Curtomor S€ryica
PO Box 2320
Bloomingilon lL 81702
Pho.E * l-SoOSTATEFARr (1 -Eoc782-8el2)
Depsrtsnent ot lnlurance compLl,ts should be llled only atter you snd Stale F!]m o] your agent or olhct compsny
roprosntltfuo havo lrllgd lo ]3acfi 8 !€tlslaqloly rgrEemer on I problom.
Cslitomis Dep.rtnent ot lnxr]Bncc
consumsr ssrvlcoe Dlvl!lon
300 Sotnh Eprlng 8lr€et
LoE Angoles, CA go0l3
Phone f 1€Go-927-HELP (/*157) or vbit f,ww,inlurs nce,co.qoy/o1-colllune ra
Preparedocr 18 2022
cMP-4000
O Copyri0h! Strto t0rm Mutu!l Automobils lnsur.nce Conpany, 2008
lncludes cogyrioht€d mltori!l ol lnsu16nco Ssrvicer oftico, lnc., wiih its psrmission
022989 290
N
Page 7 ot 7
!(5
COiO)
StateFatm STATE FAHM GETIEFAL INSUFANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?$Pi "?dJi L a, tor"re,s
Named lnsured
M-23-61F8-FB8A F Z
t{ESTERN A/V I }IC
ATTACHING INLAND MARINE
INLAND MARINE ATTACHING DECLAHATION9
Policyl{umber 92-GY-D812{
Policv Period Elleclive Date Exoiration Dab
12 Mbnrhs ocl 31 2022 ocT 31 2023
The polipy period begins and ends at 12:01 am standardtme at the premlses locaton.
(-@
l-r_.lytE#
g
E
Aubmatic Remwal - lf the policy poriod is shown as 12 months , dris policy will be renewed automatcally subjectto the premiums, rules and
forms in effect for each suc ceeding policy period. lf t'ris policy is terminated. we will give you and the Mortgagee/Lienholder written notjce in
compliance witr *re policy provisions or as required by law
Annual Policy Premium lncluded
The above Premium Amount ts included in t're Policy Premium shown on fie Declarations
Your policy consists of these Declarations. tre INLAND MARINE C 0NDlTl0NS shown below, and any otrer forms and endorsemenB that
apply. including trose shown below as well as fiose issued subsequentto the issuance oftris policy.
Forms, 0ptions. and Endorssments
FE-8739
FE-6271
FE-87 45
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page wi$ Limis
Prepared
ocT 18 2022
FD-6007
022990
o cogyright Stlts trrm Muturl Automobils lnsurrnc0 Comproy, 2(m
lncludsg cooylightsd mrtsri!l of lnsur.ncs Soruicss officE, lnc., with iti p€rmission
t30 68682 05 312011 lull3232cl
92€Y-D812-0
ATTACHIIIG I1{LAIID MAB II'IE
ATTACHING INLAND MARINE SCHEDUTE PAGE
ENDORSEMENT
NUMBER
FE-8745
LIIUIT OF
INS URANC E
D EDUC TIBLE
AMOUNTCOVEB46E
lnland Marine Computer Prop
Loss of lncome and Extra Expense
$
$
25,000
25,000
$ 500 Included
Included
Pregared
ocl 182022
FD-6007
022990
OTHER LIMITS AND EXCLUSIONS I\iIAY APPLY, REFER TO YOUR POLICY-
O Copyri0h( Strte Flrm Mutu!l Automobile lnsurrfloo Comp!ny,2008
lncl!dss cogyriohted lnlteri6l ot lnsur!ncs Soryic6s offica, lnc., with it! permission
530 68682 05 3l ?0ll loll3233u
ANNUAL
PREMIUM