2022/10/31 Western A/V, Inc. (16)StateFarm STATE FARII GENERAL INSUNA CE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
Po Box 2915Bloottinglon lL 61 702-291 5
Addl lnsured-Section ll Only
M-23-61F8-FB8A F Z003506 3123CITY OF }IEI{ I FEE
AI,ID ITS OFFICERS, €lIPLOYEES ,AGENTS & AUTHORIZED VOL UTTEERS?9A(q HAUII RDMENIFEE CA 925A5_6559
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Home Product Sales Policy
DECLARATIONS AI,4ENDED NOV 1 2022
PolicyNumber 92-GY-D812-0
Policv Period Ellective Date Exoiralion Dab
12 Mbnrhs OCT 31 2022 ocT 31 2023
Ihe polpy penod be0tns and ends at ]2 0l am standardtme at the premrses locaton
Named lnsursd
WESTERN A/V INC
u(D<xD
E{-#i
EEE
-E
Aubm.lic Reltewal - lf the policy period is shown as l2 monlhs , ttris policy
f orms in effect for each suc ceeding policy period. lf fiis policy is term inated
compliance witr ttre policy provisions or as required by law.
will be renewed automatically subjectto the premiums, rules and
we will give you and the Mortgagee/Lienholder writEn notice in
Entlty: Corporation
Beason ror Declarations:Your policy is amended NOV 1 2022
ADDITIONAL INSUBED ADDED
PREMIUM ADJUSTMENT
FORM CMP-4786.1 ADDED
Endorsement Premium
lncrease
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective D6vicas
Sprinkler
Claim Record
$ 88.00
Prepared
DEC 05 2022
cMP-4000
030827 290 At
N
O Copyricht, Strto frrm Mutual Automobilo lnrurinc€ Company,2008
lnclud.s cogyrightrd mrterirl of lnsuranco Sorvices officr, lnc., whh i$ psrni!!ion
Continued on Reverse Side of Page Page 1of 7
5L 616 i7 0511 ?0ll iolllllltl
Hom€ Product Sales Policv
Pollcy Number 92-C
DECLARATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
SECTION I. PROPEBTY SCHEDULE
Location
Number Locatlon of
Described
Premises
Limit ol lnsuranco'
Coveraoe A -
Buildlngs
Llmit of lnsurance'
Coverao€ B -
Buslnoss Fersonal
Property
Seasonallncrease-Business
PersonalProperty
001
002
1592 N BATAVIA ST STE 2
oBANGE CA 92867-3554
1590 N BATAVIA ST STE 4
oBANGE CA 92867-3534
No Coverage
No Coverage
$ 141 ,100
$ 140,900
25%
-Aso e date of this po tcy,e mit of nsurance as s own n any ncroase n the limit due to lnf la on overage
SECTION I. INFLATION COV AGE INDEX(ES)
Cov A - lnflatron Coveraoe lndex:
Cov B - Consumer Price-lndex:
N/A
296.3
SECTION I . DEDUCTIBLES
Basic Doduclible
Spcclal Doductibles
Money and Securities
$2,500
$250 Data Compromise
O Copyri!h! St6ts F.rm l\4utu.l AutomobilB lnsuranc6 Comp.ny, 2008
lnclud0s copyrightBd mlteri!l of lnrurance Seryicos offico, lnc.. wdr its pormisiiofl
Continued on Next Page
$1,000
Prepared
oEc0s2022
cMP-4000
030827 Page 2 ol 7
StateFarm(DdD
Home Product Sales PolicvPolicy Number 92-G
DECLABATIONS (CONTINUEO)
Ior CITY OF MENIFEE
Y-D812-0
Employee Dishonesty $250 Equipment Breakdown $2,500
H+Other deductibles may apply - reler to policy
SECTION I. EXTENSIONS OF COVEBAGE. LIMIT OF INSU BANCE . EACH OESCRIBED PREMISES8
63 The coverages and corresponding limlts shown below apply separat6ly to each describe<l premlses shown in these
Declarations, unless indlcated by "Se€ Schedule." lla coverage does not havea correspondlng limit shown below,
but has "lncluded" lndlcated, please reler to that policy provision lor an explanation ol thal coverage.
COVEFAGE
Accounls Receivable
On Premises
Ott Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thett, Burglary Or Robbery
Debris Bemoval
Equipment Breakdown
Fire Department Service Chargo
Fire E)dnguisher Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Of Construction And Demolition Costs (applies only when buildings aro
insured on a rsplacemsnt cost basis)
Money And Securities (Off Premisos)
Money And Securities (On Premises)
Money Orders And Counterleil Money
LIMIT OF
INSUHANCE
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Coverage B Limit
2570 of covered loss
lncluded
$2,soo
$s,000
$10,000
lncluded
100/o
See Schedule
See Schedule
91,000
Prepared
DEC 05 202?
crvrP-4000
@ Copyrichl Strt€ t6rm Mutu6l AutomDbil0 lnsur!nce Complny,20m
lncludos copvrighbd mlterirl ol lnsur!nc. S.rvic.s offiEo. lnc., with its pElmirsion
Continued on Beverse Side of Pag€030828 290
N
Page 3 ol 7
Home Product SalesPolicy Number
DECLARATIONS (CONTINUEO)
,oT CITY OF MENIFEE
Y-D812-0
Policv
92-G
$100,000
$250.000
lncluded
See Schedule
$2,500
$25,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
Valuable Papers Ard Racords
On Premises
Olf Premises
SECTION I. EXTENSIONS OF COVEBAGE . LIMIT OF INSURANCE - SCHEDULE
The coverages and corrssponding limits shown below apply only to the described premises as shown.
LOCATION
0001
0002
LIMIT OF
INSURANCECOVERAGE
Signs
Back-Up Of Sewer Or Drain
lVloney And Securities (On Premises)
Money And Securities (Off Premises)
Propsny Of Othsrs (applies only to those premises provided Coverage B - Business
Personal Property)
Accounls Receivable (On Premises)
Accounts Receivable (Of f Premises)
Outdoor Property
Valuabl€ Papers and Becords (On Premises)
Valuable Papers and Becords (Off Premises)
Accounls Receivable (On Premises)
O CopyriOhl Ststo tarm l\rlutu!lAutomobilo Insur0nc0 Compony, 200€
lncludos copyriohtsd motsri0l of lnsur0nc0 Sorvices Office, lnc., with its permission
Continued on Next Page
$s,000
$15,000
$10,000
$5,ooo
$2,s00
$10,000
$5,000
$5,000
$10,000
$s,000
$10,000
Prepared
DEC 0s 2022
cMP-4000
030828 Page 4 ol 7
Newly Acquired Businoss Porsonal 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 - Equipmenl Coverage
Ouldoor Property
Personal Etfects (appliss only to those premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Hemoval
Preservation Of Property
Property O, Others (applies only lo those premises provided Coverage B - Business
Personal Property)
Signs
StateFarm !&
H-,-d.;s+
Home Product Sales PolicvPolicy Number 92-G
DECLABATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D8r2-0
II
;8
Accounts R€ceivabl€ (Of f Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Off Premises)
Money And Securitiss (On Premises)
Ouldoor Properly
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuabl€ Pap€rs and R€cords (On Premises)
Valuable Papers and Becords (Off Premises)
$5,000
$15,000
$5,ooo
$10,000
$s,000
$2,500
$5.000
$10,000
$s.000
SECTION I. EXTENSIONS OF COVERAGE - LIMIT OF INSUBANCE - PER POLICY
The coverages and correspondlng limlts shown below are the most we will pay regardless ot the number ol
describod premises shown ln thffie Doclarallons.
COVEBAGE
Data Compromise
Legal And Forensic lnlormation Technology Review
Per Occurrence
Dependent Property - Loss Of lncome
Employee Dishonesty
ldentity Restoration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncome
Loss Ol lncomo And Eritra Expense
LIMIT OF
INSURANCE
$5,000
$50,000
$5,000
$10,000
$1,000
I 2 months
$35,000
$s,000
Prepared
DEC 05 2022
cMP-4000
030829 290
N
$10,000
Actual Loss Sustained - 12 Months
Page 5 of 7
@ Copyright St6to Farm l\4utu6l Automobile lnsuranco Comp.ny, 2008
lnclod0s copyri0hted mEterirl of lnsurrncs SBrvicBs oflics, hc., wth its psrmissiDn.
Continued on Reverse Side of Page
Home Product Sales PolicvPolicy ilumber 92-6
DECLABATIONS (CONTINUED)
IoT CITY OF MENIFEEY-O8r2-0
SECTION II . LIABILITY
COVERAGE
Covetage L - Business Liability
Cwerage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE UUITS
Productyoompleted Operations Aggregate
General Aggregate
LIMIT OF
INSURANCE
$2,000,000
$5,000
ss00,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable
annual poriod. Please refer to Section ll - Liability in the Coverage Form and any attached endorsements
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and endorsements that apply, including those shown below as well as those issued subsequent to the
issuance ol lhis policy.
FORMS ANO ENDORSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
cMP-4260.1
cMP-4261
cM?-4705.2
cMP{710
cMP,4709
cMP4698
cMP-4704.1
cMP-4703.1
cMP-4610
cMP-4746.1
Businessowners Coverage Form
'Addl lnsd Owners Lessee Sched.Waiver of Trans Rgt ol Recov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss of lncome & Extra Exp€nse
Employee Dishonesty
Money and Securities
Back-Up ol Sewer or Drain
Dependent Prop Loss ol lncome
Utility lnterruption Loss lncm
General Agg Limit Per Proj
Hired Auto Liability
Prepared
DEC 05 2022
cMP-4000
030829
O Copyri0ht, SEto Firm Mltudl Automobrl0 lnrurrnce Comp!ny.2oo8
lnclud€s copyrighlod matorial of lnsur0nco Sorvic€s oflice, lnc., with its pormission
Continued on Next Page Page 6 of 7
SlateFarm
ffi
Home Product Seles Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
'or
CITY OF MENIFEE
Y-D812-O
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
Terrorism lnsurance Cov Nolice
Al State Politcal Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Anach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY QUESTIONS.
" New Form Atached
a
E
This policy is issued by the State Farm General lnsurance Company.
Participaing Policy
You are entited to participats in a distibution of the earnings of th€ company as determined by our Board of Directors in
accordance with the Company's Articles ol lncorporation, as amended.
ln Witness Whereof, he State Farm General lnsuranoe Company has caused thls policy to be signed by its President and
Secretary at Bloomingtrcn, lllinois
ff7"^.tny*n
secretary
-il-'," b/ry
President
IMPORTANT NOTICE;
Colllomls hw requlreg us to provire you ulth lnlomotlon tor llllng complslrns whh the Stsle lngurance Oeportmerlt reOoldlng tlt
coveragc and oewice ptoviLd uodo, rhio policy.
Your aqe l nrm€ rnd conlact lllformtlbn are provided on ttE trol ol thl! documenl. Alothe] optbn ls lo reach out by
mallor phono dhoctly to!
State FarIIP Exocutlvo Cuslomor S.rvi,or
PO Bor 2320
Bloominglon lL 61702
Phone # lSOO-STATEFAFL (l €OG782-8gl2)
Diepartnent o, lnrulance comphhs shoub be llled only altel you rnd St.te Fam or your agent or dher compstryropllgr atfue havo lalod lo Etcl't ! $tHrclory agEement on a problom,
calilomi8 Deprnment o, lnalrnca
consumet Ealvlcaa Ohlslon
300 gourh gprlng Slreet
Loo Angs l6s, c A 9oo i 3
Phqne # I to0-927-HELP (lul54 or vbil rxw.in8urEnce.cs,qoy/01-consrmera
Prepared
oEc 05 2022
cMP-4000
030830 290
N
@ Copyrioh! Stcto trrm Mutu6l Automobils ln3ur!nc6 Comprny,2fiE
lncludes copyri0ht0d matori!l ol lnsur!nrs S6rvicsr olfrc0. lnc., wilh its psrmisrior
Page 7 ol 7
&!
StateFarm STATE FAFTI GENERAL INSUHAI{CE COTIPANY
A STOCK COMPANY WITH HOME trFICES IN BLOOMINGTON, ILLINOIS
E?83i &?Jfr ,, u, ro,-,', u
Named lnsured
M-23-61F8-FB8A F Z
UESTERN A/V INC
ATTACHING INLAND MARINE
INLAND MAFINE ATTACHING OECLARATIONS
Policyllumber 92-GY-D812{
Policv Psriod Elloctive Date Exoiration Dab'! 2 Mbnrhs OCr 31 2022 ocT 31 2023
Ihe polipv period begtns and ends at 12 01 am standardtme at me premlses locaton
(D@
Et*hf+
8I
TE
Aubmalic Rerowal - ll the policy pedod is shown as 12 monlhs , Sris policy
forms rn effect for each succeeding policy period. lf trls policy is terminated
compliance wifi $e policy provisions or as required by law.
will be renewed automatlcally subjectto the premiums, rules and
we will give you and the ltlortgagee/Lienholder written notjce in
AnnualPolicy Premium lncluded
The above Premium Amountis included in $e Policy Premium shown on $e Declaralions
Your oolicv consists of hese Declarations, the INLAN0 MABINE CONDITI0NS shown below, and any other forms and endorsemenB that
a pply, inclirding $ose shown below as well as frose issued subsequent to 6e issuance ol dtis policy
Forms, 0ptions, and Endorsemenb
FE-8739
FE-6271
FE-8745
See Reverse for Schedule Page witr Limis
530 6[6d.2 05 l1 2 l loll12S?t)
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
Prepared
DEC 05 2022
FD-6007
030831
O Corrri0ht, St.to Flrm l\4uNtl Automobilg lnsurtncr Comprny,2mS
lncludss copyri0htsd mlbri!i of lnsursnco Sorvic0s 0flicB, lnc.. wi$ its pormis!ion.
92-GY-D812-0
ATTACHIXG IiltAND MARII{E
ATTACHING INTAND MARINE SCHEOUTE PAGE
ENDOBSEMENT
NUMBER
FE-87 45
COVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
LIIVIIT OF
INS URANC E
DEDUCTIBLE
AMOUNT
ANNUAL
P REM IUM
OTHER LIMITS AND EXCLUSIONS MAY APPLY . REFER TO YOUR POLICY
@ Copyri0h! Strts Flrm lVutu rl Automohls lnsur!nce Compnny, Zm€
lnclud6s copyrightad mlt8rinl ot ln3ur!nco Ssrvic€s offic0, lnc., whh its pqrmisrion.
$ 500 Included
Included
$25,000
25,000
Prepared
oEc052022
FD-6007
030831
530 606d2 05 31 2011 lorlilz33cl