2022/10/31 Western A/V, Inc. (17)StateFarm STATE FARM GENEBAL INSURANCE COMPANY
A STOCK COMPANY WfH HOME OFFICES IN BLOOMINGTON, ILLINOIS
Po Box 15Bloorr,i ngion I L 6 I 702 - 29 1 5
Addl lnsured-S€ction ll Only
M-23-61F8-FB8A F Z003086 3123CITY OF I,IENIFEEANI' ITS OFFICERS, EI{PLOYEES,
AGENTS & AUTHORIZEII VO L UNTEERS
29844 HAUN RD
l{EN r FEE CA 92566-6539
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Home Product Sales Policy
DECLARATIONS AuENDED oEC 1 2022
Named lnsurgd
I{ESTERtI A,/V INC
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PolicyJ{umbsr 92-GY-D812.0
Policv Period
1 2 Mbnths
Etlective Dateocr 31 2a22
Exoiration DalsocT 31 2023
Ihe polipy period begins qnd ends at 12:01 am standard0me a he premlses locaton.
Aubmatic Rsrewal - lf the pollcy poriod is shown as 12 months , tlris policy will be renewed automatcally subjectto the premiums, rules and
form s in effect for each suc ceeding policy period. lf fiis policy is termin ated, we will give you and the M ortgagee/Lienholder written notice in
compliance wifi tre policy provisions or as required by law
Entlty: Corporation
Beason lor Declaratlons:Your policy is amended DEC 1 2022
AODITIONAL INSURED ADDED
PREMIUM ADJUSTMENT
FORM CMP-4785,1 ADDED
Endorsement Premium
lncrease
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Prolective Devices
Sprinkler
Claim Record
$ 44.00
Prepared
JAN 03 2023
cMP-4000
027123 2e0 At
N
O Copyrigh! Stlto Frrm Mutusl Automobilo lnrurroc! Complny, 2m
lncludes copyrioht.d mltgri!l of lnsursnc0 Ssrvic€s oflica, lnc.. wifi its p6rmisiion
Continued on Reverse Sids o, Page Page I of 7
Homs Product Sales Policv
Policy Number 92-G
DECLARATTONS (CONTTNUED)
tor CITY OF MENIFEE
Y-D812-O
SECTIONI.PBOPEBTYSC DULE
Locatlon
Number Locatlon ofDescribedPremiges
Limit of lnsurance*
Coveraos A -Bulldings
Llmit ol lnsurance.
Coveraoe B -
Buslngss Fersonal
Propony
Seasonallncrease-Business
PersonalProperty
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92867-3s54
1590 N BATAVIA ST STE 4
oRANGE CA 92867-3534
No Coverage
No Coverage
$ 141,100
$ 140,900 25%
AS e te ol th spo cy, I m lnsurance as s own rnc es any ncrease rn m t due to lnflation Coverageee
SECTION I . INFLATION COV AGE INDEX(ES}
Cov A - lnfhtion Coverage lndex
Cov B - Consumer Price lndex:
N/A
296.3
SECTION I. OEDUCTIBLES
Baslc D€ductible
Special D€ductibles:
Money and Securities
$2,500
$250 Data Compromise
O Copyri!h! SGt€ tlrm Mutu!l Automohl0 lnsur.noo Complny.2008
lnclud€s cogyrightsd mrtori!l ol lnsur!nc0 Servicos oflico, lnc., with its psrmission
Continued on Next Page
$1,000
Prepared
JAN 03 2023
cMP4000
027123 Page zot 7
rl
StateFarm6)@
ffi
Home Product Ssles Pollcv
Policy Number 92-G
oEcLARATTONS (CONTTNUED)
tor CITY OF MENIFEE
Y-D812.{)
$2so Equipment Breakdown
SECTION I - EXTENSIONS OF COVEBAGE. LIMIT OF INSU BANCE . EACH DESCFIBED PBEMISES
;8 The coverages and corresponding llmits shown below apply separately to each describsd pr€mises shown in these
Declarations, unle3s lndlcated by "Soe Schedule." ll a coverage does not have a corr€spondlng llmlt shown below,
but has "lncluded" tndicated, please rerer to that policy provlslon tor an explanation ol that coverago.
COVEBAGE
Accounts Receivable
On Premises
Ofl Premises
Arson Reward
Back-Up O,l Sewer Or Drain
Collapse
Damage To Non-Ownsd Buildings Fram Thotl, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Departmont Service Charge
Fire Extinguisher Systems Bechargs Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Socurities (Otl Premis€s)
Money And Securities (On Premis6s)
Money Ordoc And Counterleil Money
LIMIT OF
INSURANCE
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Coverage B Limil
25% ot covered loss
lncluded
$2,500
$5,000
$10,000
lncluded
10.h
See Schedule
See Schedule
$1,000
Pre pared
JAN 03 2023
cMP-4000
027124 290
N
O Copyrighl Stlt trrm Mutu!l Altomobils lnsurrnc€ Conplny,2m
lncludqs copyrightrd miteriol of lnsunnco SBrvicBs offir0, lnc., r,rith itr psrmis3ion.
Continued on Reverse Side of Page Page 3 of 7
Employee Dishonesty $2,500
Other deductibles may apply - refer to polacy.
Home Product Sales PolicvPolicy Number gz-G
Valuable Papers Ard Records
On Premises
Olf Premises
DECLABATIONS (CONTINUED)
IOr CITY OF MENIFEE
Y-D812-O
Newly Acquired Businsss Personal Property (applies only if this poticy provides
Covorage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only il this policy provides
Coverage A - Buildings)
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (appli6s only to those premises provided Coverage B - Business
Personal Property)
Personal Property Ofl Premises
Pollutant Clean Up And Removal
Preservation Of Prop€rty
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Properly)
Signs
$100.000
$2s0,000
lncluded
See Schedule
$2,500
$25,ooo
$10,000
30 Days
Se6 Schedule
See Schedule
See Schedule
See Schedule
SECTION I - FXTF SIONS OF COVERAGE - LIMIT OF INSI FANCE - SCHEDULE
Th€ coverages and corrosponding limits shown below apply only to the described pr€mises as shown.
LOCATION
0001
Prepared
JAN 03 2023
cMP-4000
027124
Signs
Back-Up Ol Sewer Or Drain
Money And Securilies (On Premises)
Money And Securilies (Off Premises)
Prop€rty Ot Others (applies only to lhose premises provided Coverage B - Business
Personal Property)
Accounls Receivable (On Premises)
Accounts Receivable (Of f Premises)
Outdoor Property
Valuable Papers and Records (On Premises)
Valuabls Papers and Becords (Off Premises)
0002 Accounts Beceivable (On Premises)
000
000
000
000
500
$5
$1s
$10OA
OZ
LIMIT OF
INSURANCE
$10,000
$10,000
$5,000
$5,000
$10,000
$5,000
O CoWrighl St6le FErm Mut!!l Automobil€ lnsurancs Colnpsny,2()O8
lncluds! copyraohtsd m6terialof lns!rrnc€ SeruicEs otficE, 1n.., with rts ,srmission
Continued on Next Page Page 4 ot 7
COVERAGE
StateFarm&
Iti!:+;H#
Home Product Sales Policv
Policy Number 92-G
OECLARATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D8t2-0
Accounts Receivablo (Otf Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Ofl Premises)
Money And Socuritiss (On Premisss)
Outdoor Properly
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Promises)
Valuable Papers and Records (Off Premises)
$5,000
$15,000
a
E
$s,000
$10,000
$5,000
$2,500
$5,000
$10,000
$5,ooo
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY
The coverages and correspondlng limits shown below are the most we will pay regardless of the number ol
described premises shown ln lhes6 Declaratlons.
Data Compromise
Legal And Forensic lntormalion Tschnology Review
Per Occurrence
Dependent Property - Loss Ol lncome
Employee Dishonesty
COVEBAG E
ldentity Restoration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Ulility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
o copyrighL Strt€ t!rm Muturl Automobil€ lnsur![cE Comp!nv.2008
lncludos copyrightrd mcterial oI lnrurence Servic.s olfios, lnc., with its pormis!ion
Continued on Reverse Side ol Page
LIMIT OF
INSU RANCE
$5,000
$50,000
$5,000
$10,000
$1,000'12 months
$3s,ooo
$5,000
$10,000
Pre p ared
JAN 03 2023
cMP-4000
027125 290
N
Page 5 of 7
!
Actual Loss Sustained - 12 Months
Hom€ Product Sales PolicvPolicy Number 92-G
DECLARATIONS (CONTINUED)
for CITY OF MENIFEE
Y-O812-O
SECTION II . LIABILITY
COVEHAGE
Cwerage L - Business Liability
Coverage M - lvledical Expenses (Any One Person)
Damage To Premises Ronted To You
AGGREGATE LIMITS
Productyoompleted Operations Aggregate
General Aggregate
LIMIT OF
INSURANCE
$2,000,000
$s.000
$s00,000
LIMIT OF
INSUBANCE
$4,000,000
$4,000,000
Each paid claim for Liabilily Co^vsrage reduces the amount of insurance we provide during the applicableannual poriod. Please reler to Seclion ll - Liability in the Coverage Form and any attached endorsements
Your policy mnsists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any otherforms and endorsements that apply, including those shown below as well as those issued subsequent to theissuance ol this policy.
FORMS AND ENDO RSEMENTS
cMP-4101
cMP-4786.1
cMP4787
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.',|
cMP-4703.1
cMP-4610
cMP-4746.1
Prepared
JAN 03 2023
cMP-4000
027125
Businessowners Coverage Form
'Addl Insd Owners Lessee Sched.Waiver of Trans Rgt of Becov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss of lncome & Exlra Expense
Employee Dishonesty
Money and Securities
Back-Up ol Sewer or Drain
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
General Agg Limit Per Proj
Hired Auto Liability
@ CowriOh! St!t6 F.rm lMutual Automobile lnsurince Comp!ny,2()()B
lncludss copyrighted mniori.l of lnsur!nco Soruio0s 0ffice, lnc., with it! pormisiion
Continued on Next Page Page 6 ol 7
StateFarm6)oo
Iti;ifiEH
Home Product Sales Policv
Pollcy Number 92-G
oEcLARATTONS (CONTTNUED)
for 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 Notice
Al State Political 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 Atlached
I
B
This policy is issued by the State Farm Cieneral lnsurance Company.
Parlicipating Policy
You are entitled to participats in a distibulion of the earnings ol the company as determined by our Board of Directors in
accordance with the Company's Artioles of lncorporation, as amended.
ln Witness Whereof, he State Farm General lnsuranoe Company has caused this policy to b€ signed by its President and
Secretary al Bloomington, lllinois.
ff'-nl4"""tt
secr€tary
-il*t" b,4
President
IMPORTANT NOTIGE:
Callfomla bw reSilres ur to ptovlde you yth lnloma on tor llllng coanplalms wlth the Srsle lNuranoe lloponmem regardlng the
covGrsgc rnd Ervice provild uode, ltis policy.
Your ager l nrme snd contact lnlormrtbn rte prorrlded on tlE lronl ol lhlr documed. AnottEr optlon ir to ]elch out by
mellor phono diroctly to:
3tat9 F.r o Erccuttve Cuglom.r golYlc€
PO Bor 2320
Bloomlngton lL 61702phone * i-EOO€TATEFAFL (l {lx>7l2€33i1)
Departlent o, lnru]anco comphb aho0ld bo llbd only slter you snd Slale Fsm or your .gpnt or ollEl complny
r€prDErtatlvo havo hled lo r..ch a sliglaclory rglBdtlor* on a problgm.
Cslitomio Depriment ol lnallrn s
coniumer SelYloeg Dlvlslon
300 South gprlng Slteet
Los AngDh!, CA sool3
PhorF f l{oo-927-HELP (ail57) or ybil wr.inrur8nc".ca,qoy/01-conamera
Prepared
JAN 03 2023
cMP-4000
027126 290
N
Page 7 of 7
lt !
O Copyrighl Stir€ F.rm Mut!rlAutomobih lnsurince Comp!ny, 2008
lncludes cogyriohmd m.tsri!l of lnsu16nc€ Sorvicss olfico, lnc., wiih its p0rmissiofl
StateFarm STATE FASM GENEBAL IN9URANCE COMPANY
A STOCK COMPANY WTH HOME OFFICES IN ELOOMINGTON. ILLINOIS
E?#Pi,!r?Ii,, u,, 0,., n,,
Named lnsured
M-23-61 F8-FB8A F Z
WESTERN A/V INC
ATTACHING INLAND MARINE
INLAND MARINE ATTACHING O'"'O'O''O*J
Policyl{umber 92-GY-D812{
Policv Period Etleclive Date Exoiration Dale
'12 M'onths OCT 31 2022 OCT 31 2023
Ihe polipy period begins and ends at 12:01 am standardume a he premlses loca[on.
(-@
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E
l;g
Aubm.tic RetrswEl - lt the policv pe;lod is shown as 12 months , tttis policy will be renewed automatically subiect to the
forms in effect for each sucieeding policy period. lf tris policy is terminated. we will give you and the Mortgagee/Lienhol
compliance witr tre policy provisions or as required by law.
premiums. rules and
der written notice in
AnnualPolicy Promium lncluded
The a bove Premium Amount is included in fie Policy Premium shown on $e Declarations
Your policy c onsists of drese Declarations, tre INLAND MARINE C 0NDlTl0NS shown below, and any other forms and endorsements that
apply, includin g $ose shown below as well as trose issued subsequent to the issuance of tris policy.
Forms, 0plions, and Elldo]sernonb
FE-8739
FE-6271
FE-87 45
lnland lvtarine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page widr Limit
Prepared
JAN 03 2023
FD-6007
o27127
O Copyri0h! St.te F.rm Mutual Automobil0 l0!ur!0ce Compiny, 2008
lnclud€s copyrightsd material of lnsu16nco Sorvicos 0flicB, lnc, with its p€rmi.sion
530 686 ! ? 05 3l ?0lr loll3232cl
92-GY-D812-0
ATTACHIIIG ITITAI'IO MARINE
ATTACHING INLAND MARINE SCHEDUTE PAGE
ENDORSEMENT
NUMBER
FE-8745
LIMIT OF
INSURANCE
DEDUCTIBLE
AIVI O U NT
ANNUAT
PREI\4IUIVIC OVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
s
$
25,000
25,000
s 500 Included
Included
Prepared
JAN 03 2023
FD-6007
027127
OTHER LIMITS AND EXCLUSIONS IVAY APPTY " REFER TO YOUR PO
O Copyri[hL St6ts Fifm lV]ut!dlAutomobilB lnsurance Comp.ny,2008
lnclud€s copyriohtsd matorinl of lnsurEnco Servico! 0ffire, lnc., with its pormission
530 t0ta2 0t 3l ?011 loltuSSct