2022/10/31 Western A/V, Inc. (18)StateFann STATE FAFM GENERAL INSUNANCE COIIPAI{Y
A STOCK COMPANY WITH HOME OFFICES IN SLOOMINGTON, ILLINOIS
E?oEPi,fi?Ji L u, z o r. rs,s
Addl lnsured-Sectlon ll Only
M-23-61F8-FB8A F Z
002168 3123CITY OF I,IEN I FEE
AND ITS OFFICERS, EIIPLOYEES,
AGENTS & AUTHORIZED VOLUNTEERS29844 HAUi{ RD
I'iEN IFEE CA 9?546- 6539
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Home Product Sales Policy
DECLAFAIONS At\,lENoEo oEC 1 2022
Named lnsured
TIESTERN A/V INC
&
ffi
e
H
Policyltlumber 92-GY-O812-0
Po
he oolme'at
2
ipy penod beme premrses
EflDctlve Dsle Eroiralion Daieocr 31 2022 OcT 31 2023
oins and ends at 12:01 am standardlocaton.
licy
Mo
Psriod
nths1ItI
Aulomatic Ronewal - lf the policy period is shown as 12 months , fris policy will be renewed automatically subiect to the premiums, rules and
forms in effect for each sucieedihi policy period. lf this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wifi the policy provisions or as required by law
Entity: Corporation
Beason lor Declarations:Your policy is amended DEC 1 2022
ADDITIONAL INSURED ADDED
PBEMIUM ADJUSTMENT
FORM CMP-4786.1 ADDED
Endorsement Premium
lncreasa
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Prolective Devices
Sprinkler
Claim Becord
$ ,14.00
Prepared
DEC 30 2022
Cl\ilP-4000
@ Copyrioln, St.ts Firm Mututl Automobils ln!!rlnco Complny,2008
lncludes copyrighhd mltsri!l of ln!ur.ncs S€rvicss 0flic0, lnc., wilt it! p8rmission
Continued on Reverse Sido ol Page018711 290
N
Page 1of 7
I !
Home Product Sales Pollcv
Policy Number 92-G
DECLABATIONS (CONTINUED)
IoT CITY OF MENIFEE
Y-D812-0
sEcTtoN I -OPERTY SCHEDTII F
Location
Number Limit ol lnsuranc€'
Coveraoe A -Buildings
Limit of lnsurance'
Coveraoe B -
Business Fersonal
Prop€rty
Seasonallncrease-
Business
Peasonal
Property
001
002
1592 N BATAVIA ST STE 2
oHANGE CA 92867-3554
1590 N BATAVIA ST STE 4
oBANGE CA 92867-3534
No Coverage
No Coverage
$ 141 .100
$ 140,900
25%
25./.
' As of the ive date ol this policy, t e Limit of lnsurance as shown nc es any increase in the limit due to n atton
sEcTtoN I - r FLATION COVERAGE INDEX ESI
overa9e
Cov A
Cov B
- lnflation Coverage lndex
- Consumer Price lndex:
N/A
ZVO,J
sEcrtoN r -DEDUCTIBLES
Basic Deductible
Speclal Deductibles:
Money and Securities
$2,500
s250 Data Compromise
@ Copyrighl Stste F!rm Mutu!l Automobile lnsur!ncE Comp6ny, 2t)0g
lncludes cogyrilhtsd msterial of lnsur!nc0 Servicss ollice, lnc., wrth its termrssron
Continued on Next Page
$1,000
Prepared
DEC 30 2022
cMP-4000
018711 Page 2ol 7
I
Location o,Described
Promises
StateFarm !(-@
ffi
Home Product Sales PolicvPolicy Number 92-G
DECLAFATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-O
Employee Dishonesty $250 Equipment Breakdown $2,s00
SECTION I . EXTENSIONS OF COVEBAGE - LIMIT OF INSU BANCE - EACH DESCFIBED PREMISES8a
The cov€rages and correspondlng llmits shown below apply separately to each described premisos shown in these
Declarations, unless indlceted by "Soe Schedule." lf a coverage does not have a corresponding limit shown below,
bul has "lncluded" indicaled, ploase reler to that policy provision lor an explanation ol that coverage.
COVERAGE
Accounts Receivable
On Premisesofl Premises
Arson Reward
Back-Up Ot Sewer Or Draln
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 Alteralion
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applios only when buildings are
insured on a replacement cost basis)
Money And Securities (Otl Premises)
Money And Securities (On Premises)
I\,lon€y Orders And Countedoit Money
LIMIT OF
INSURANCE
See Schedule
See Schodulo
$s,000
See Schedule
lncluded
Coverage B Limit
25% ol covered loss
lnclud6d
$2,500
$s,000
$10,000
lncluded
100h
See Schedule
See Schedule
$1,000
Prepared
DEC 30 2022
ctvlP-4000
O Copyri0hL Shte t!rm Mutu!l Automobile lnsur6ncE Compiny, 2008
lnclud.3 copyrighted mrtoriil ol lnsur!nco Services officr, lnc., with its p9rmission
Continued on Reverse Side of Page018712 290
N
Page 3 of 7
Other deductibles may apply - refer to policy.
Home Producl Sales PolicvPollcy Number 92-G
DECLARATIONS (CONTINUED)
,o. CITY OF MENIFEE
Y-D812-0
Netvly Acquired Business Personal Property (applies only if this policy provides
Cwerage B - Business Personal Property)
Newly Acquired Or Constructad Buildings (applies only if this policy provides
Cov€rage A - Buildings)
Ordinance Or Law - Equipmant Coverage
Outdoor Property
Pergonal Effects (applies only to those premises provided Coverage B - Businoss
Personal Property)
Personal Property Off Premises
Pollulant Clean Up And Removal
Preservalion Of Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers And Becords
On Premises
Otl Premises
qF(:lnN I . FYTF
$100.000
$2s0.000
lncluded
See Schedule
$2,500
$25,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
loNs oF covFPAGF - r rlflT r)F rNqr RANCF . S(:HFDIII F
The coverages and corr€sponding limits shown below apply only to the descrlbed pr€misgs as shown.
LOCANON
0001
0002
Prepared
oEc302022
cMP-4000
018712
COVERAGE
LIMIT OF
INSURANCE
Signs
Back-Up Ol Sower Or Drain
Money And Sacurities (On Premises)
Money And S6curities (Off Premises)
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Accounls Receivable (On Premises)
Accounls Receivable (Off Premises)
Outdoor Proporty
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
Accounts Receivable (On Premises)
O Copyrilht Stlts F!rm l\4utu.l Automobils lnsursnce Comp!ny,2008
lnoluds! copyrighted msteri0l of ln5ur!ncs Serylcss ofiice, lnc., with it3 p0rmi3rion
Continued on Next Page
$5,ooo
$1s,000
$10,000
$5,000
$2,500
$10,000
$s,000
$s,000
$10,000
$s,ooo
$10,000
Page 4 ol 7
(-@
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Home Product Sales Policv
Policy Number 92-G
DECLARATIONS (CONTINUEO)
for CITY OF MENIFEE
Y-D812-{)
E
AB
Accounls Receivable (Of I Premises)
Back-Up Ol Sewer Or Drain
Money And Securities (Olf Premises)
Money And Securities (On Premises)
Outdoor Property
Property Of Othsrs (applies only to those premises provided Coverage B - Business
Personal Properly)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
$5,000
$1s,000
$s,000
$10,000
$5,ooo
$2,500
$s,000
$10,000
$5,000
SECTION I - EXTENSIONS OF COVEHAGE . LIMIT OF INSURANCE. PEB POLICY
The coverages and corresponding limits shown below are ths most we will pay regardless ol the numb€r of
described p.emlses shown in these Declarations.
Data Compromise
Legal And Forensic lnformation Technology Beview
Per Occurrence
Dependent Proporty - Lo6s Of lncome
Employee Dishonesty
COVEBAGE
ldentity Restoration
Olher Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
O Cofyrioht, St t. frrm Mutudl Automobils lnsurlncs Complny.2008
lncludos copyrilhtad m.t0rirl ol ln.urlnco Sorvicss oflic8, lnc.,wi$ iti psrmis.aon
Continugd on Revgrse Side of Paoe
LIMIT OF
INSUHANCE
$5,000
$50,000
$5,000
$10,000
$1,000
12 monlhs
$35,000
$s,000
$10,000
Actual Loss Sustained - 12 Months
Prepared
DEC30 2022
cMP-4000
018713 290
N
Page 5 of 7
StateFarm
Home Product Sales PollcvPolicy Number 92-G
DECLABATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
SECTION II - LIABI ITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Exponses (Any One Person)
Damage To Premises Benled To You
AGGBEGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces the amount of insurance we provide durjno the aDDlicableannual period. Please refer to Section ll - Liability in the Coverage Form and any attached endoidements
LIMIT OF
INSURANCE
s2,000,000
$5,000
$s00,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
19910_o]i9V 99,1s1s1s of these.Declarations, the BUSINESSOWNERS COVERAGE FOBM shown betow, and any otherforms and endorsements that apply, including those shown below as well as those issugd subsequenl to theissuancs of this policy.
FOFII/IS AND ENDOFSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
cMP-4260,1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
cMP-4598
cMP-4704.1
cMP-4703.1
cMP-4610
cMP-4746.1
Businessowners Coverage Forn
'Addl lnsd Owners Lessee Sched.Waiver ol Trans Rgt of Becov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss of lncome & Extra Expense
Employee Dishonesty
Money and Securities
Back-Up of Sewer or Drain
Depsndent Prop Loss ol lncome
Utility lnterruption Loss Incm
General Agg Limit Per Proj
Hired Auto Liability
Prepared
DEC 30 2022
cMP-4000
018713
@ Copyri0hL Stat6 F,rm Mutual Automobi16 lnsursnc0 CompEny, Z0Og
lncludes cogyrightsd m8terirl of lnsurs0ce Ssrvic6s office, lnc , w$ its pErmissjon
Continued on Next Page Page 6 ol 7
StateFarm(D@
ffi
Home Product Sales Pollcv
Policy Number 92-G
DECLARATIONS (CONNNUED)
Ior CITY OF MENIFEE
Y-D812-0
cMP-4990.1
cMP-4994
cMP-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD-6007
ldentily Restoration Coverage
Data Compromise
Loss Payable
Terrorism lnsurance Cov Notice
Al State Political Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marino Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.
' Naw Form Attached
g
u
This policy is issued by he State Farm General lnsurance Company.
Participating Policy
You are entitled to participate in a dlstibulion of the earnings of the company as determined by our Board of Directors in
accordance with the Company's Articles of lncorporation, as amended.
ln Witness Whereof, the State Farm General lnsurance Company has caused this policy to be signed by its President and
Secretary at Bloomington, lllinois
fi*n:{",'tt
secr€tary
-lteb,h
IMPORTANT NOTICE:
CallfomlE bw leqdres ur to provlde you whh lntomi on for llllng compl.lrns wlth lhe gtote lmulonce Dep8nmern regsrdlng tlE
coverago and aervice provued undet this policy.
your Egerlt's nsms .nd co lct lnlormation sre provided on the lrom ol lhle docume . Anothel optlon 18 to reach out by
mall or phons dkectly lot
Stote Farmo fuecl,tlve Cllrtomor Satvlc€
PO Bor 23m
Bloominglon lL 61702
Phone f 1€oo-STATEFARX (1€0G782-6t(}2)
DepErtment ol lneurrnce comphlnt! lhould bs llled onty stter you and SlEts F€rm or you. rgenl ol oiher compsny
lotlosntstive hivo hll6d lo roach ! iatltlastory agrBemqnt on a problem.
CEliromis Depaturlelll ol l]Errance
consumel gerYlcaa DlYlsbn
300 Soulh Sprlm 8lr€€t
Lo6 Angehs, CA 9q)13
Phone # I €oo-927-HELP (i(r57) or Ybil uuw.insurEnce.ca.oov/o1'corlg{mere
President
@ Cogyrigh! St6ts Farm Mutu6l Automobils lnsurlncB Comp.ny,2008
lncludos oopyriohtsd material of lnsur!nce Sonicss oflic0. lnc.. wilfi its psrmission
Prepared
oEc 30 ?022
cMP-4000
018714 290
N
Page 7 ol 7
StateFann STATE FAFU GENEBAL INSURANCE COIIPAI{Y
A STOCK COMPANY WITH HOUE OFFICES IN SLOOMINGTON, IL/INOIS
E?Efri n?g?;i,, u,, or., e, u
Named lnsured
M.23-61F8-FB8A F Z
HESTERN A/V INC
ATTACHING INLAND MARINE
uINLANO MARINE ATTACHING DECLARATIONS
Policyltlumber 92-GY-D812-0
Policv Perlod E hclivo Oato Exoiration Dab
12 Mbnths OCI 31 2022 OCT 31 2023
[he polpy penoy' begins and ends at 12 0l am standardtme at the premrses l0ca00n.
(-@
ffi
E
iB
Aubmalic Ronewsl - lf the policy pcriod is shown as 12 months , this policy will be renewed automatically subjectto the premiums, rules and
forms in effect for each sucLeedin! policv period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
com pliance witr tre policy provisions or as req uired by law
Annual Policy Premium lncluded
The a bove Premium Amount ts included tn tre Policy Premium shown on $e Declarations
Your policy consists of trese Declarations, tre INLAND MARINE C 0NDlTl0NS shown below, and any odter forms and endorsemenB that
apply, inclirding trose shown below as well as trose issued subsequentto he issuance of $is policy.
Foms, 0ptions, and Endorsomonb
FE-8739
FE-6271
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland l\ilarine Compuler Prop
See Beverse for Schedule Page witr Limin
Prepared
DEC 30 2022
FD-6007
018715
@ Cogyrioh( St.ts tarm Mutu6l Automobils lnsurlnco Collplny. 2008
lnclude! copyrilhtBd mrtori!l ol lnsursncs Srrvices offics. lnc., witfi its psrmi!.ion
510 800 u 2 0t 31 20ll lolll2S2cl
92-GY-D812{
ATTACHI]CG IIIILA D MARI]IE
ATTACHING INLAND MARINE SCHEDUTE PAGE
ENDORSEIVENI
NUMBER
FE-87 45
COVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
IIMIT OF
INSUBANCE
DEDUCTIBLE
AMOUNT
I 500
ANNUAL
PREMIUM
s
s
25,000
25 , 0 0 0
Included
Included
Prepared
DEC 30 2022
FD-6007
018715
OTHER LIIVIITS AND EXCLUSIONS MAY APPLY " REFER TO YOUR PO
O Copyri0hL Stote Flrm Mutu6l AutomobilB lnsuroncs Comp6ny,2()O8
lncludBs copyri0hted moteri0l of lnsursnce Servicos offics, lnc , with its orrmissiofl
530 [8li r.2 05 ill l0l1 (olQ?3Jcl
I