2021/10/31 Western A/V, Inc. (16)StateFarm !(-oo
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STATE FARM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"83ia933n! ?*, u ou s. t t z s
Addl lnsured-Section ll Only
M-23-6,1 F8-FB8A F Z
002669 3123CITY OF IIEI,I I FEE
AND ITS OFFICERS, E]{PLOYEES,
AGENTS & AUTHORIZED VO LUNIEERS?9E4{ HAUN RDENIFEE CA 92556-6539
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Home Product Sales Policy
DECLARATIONS AMENDED [/AR rB 2022
Policy umber 92-GY-D812-O
Policv Period Elhctivo Dato ExDiration Date
12 M'onrhs ocT 31 202'r Ocr 31 2022
Ihe polipy period beqins 4nd ends at l2 0l am standardtme at the premlses Iocauon.
Named lnsured
I{E STER N A/V INC
8
Automatic Renswal - lf the policy period is shown as 12 months , dris policy will be renewed automatically su bjectto the premiums, rules and
form s in effect for each suc beeding policy period. lf tris policy is terminated, we will give you and fre Mortgagee/Lienholder written notice in
compliance wifr the policy provisions or as required by law
Entity: Corporation
Reason lor Declarations:Your policy is amended MAR 1 8 2022
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTMENT
FORM CMP-4786.1 ADDED
Endorsement Premium
lncrease $ 214.00
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim Record
Prep ared
MAY 03 2022
ctvtP-4000
021291 290 At
N
O CopyrighL St6tB t!rm Mutu!l Automobil€ ln!urinc€ Comprny,2008
lncludEs cogyrighted mrtsri!l ot ln!ur.nc€ Soruico. olfiEe, lnc., with ib p0rmission
Continued on Revorse Side of Page Page 1 of 7
Home Product Seles Policv
Policy Number 92-G
DECLARATTONS (CONTTNUEO)
for CITY OF MENIFEE
Y-D812-0
sEcTtoN I - p PEBTY SCHEDULE
Location
Number Localion ol
Described
Premises
Limit ol lnsurance'
Coveraoe A -
Bulldfngs
Limit o, lnsurance'
Coveraoe B -
Business Fersonal
Property
Seasonal
lncrease.
Business
PersonalProperty
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92857-3554
1590 N BATAVIA ST STE 4
oBANGE CA 92867-3534
No Coverage
No Coverage
$ 129,300
$ 129,100
-As the effective date of this policy, the mtto lnsurance as s own tnc udes any increase in the lirnit due to lnflation Coverag
SECTION I - INFLATION COVERAGE INDEX(ES)
e
Cov A - lnf lation Coveraoe lndex:
Cov B - Consumer Priceilndex:N/A
271 .7
sFcTtoN | -DEDUCTIBLES
Basic Oeductible
Special Oeductibles:
Money and Securities
$2,500
$250 Data Compromise
@ Copyri!ht Stote t0rm lvlutual Automobil0 insurance Comp!ny.2OO8
lncludes copyrighted m6tErirl of lnsurance Servic€s office, lnc , with its psrmission
Continued on Next Page
$1,000
Prepared
l\ilAY 03 2022
cMP-4000
021291 Page zot 7
25%
25"/"
StateFarm !
BH
Home Product Salos PollcvPolicy Number 92-G
DECLARATTONS (CONnNUED)
Ior CITY OF MENIFEE
Y-D812-0
Employee Dishonesty $2so Equipment Breakdown $2,500
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE . EACH DESCRIBED BEMISESg
'E The covorages and corrosponding limits shown below apply separat€ly to each described premisos shown in these
Declarationa, unless indlcated by-'See Schodule."-lt a coverage does not have a corresponding limit shown below,
but has "lncluded" indicated, please reter to that policy provision lor an explanalion o, thal cove,age.
COVENAGE
Accounts Receivable
On Premises
Olf Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Thelt, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Servic6 Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteralion
Glass Expenses
lncreased Cosl Of Conslruction And Demolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Otl Premises)
Money And Securities (On Premises)
Money Orders And Counterleit Money
LIMIT OF
INSURANCE
See Schedule
See Schedule
$1,000
Prepared
MAY 03 2022
cMP-4000
O Copyrigh! Stlt€ tlrm Mutu!l Automobils lnturlnc0 Comprny,2008
lncludes cogfightrd m.tsri.l ol ln!ur!ncB Sorvicst officr, lnc.. whh lts pormi3sion
Continued on Revsrse Side of Pago021292 290
N
Page 3 ol 7
&
Other deductibles may apply - refer to policy.
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Coverage B Limit
25olo of coverod loss
lncluded
$2,s00
$s,ooo
010,000
lncluded
10o/.
Home Product Sales Policv
Policy Number 92-G
Valuable Papers And Records
On Premises
Off Premises
DECLABATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
Newly Acquired Business Personal Property (applies only if this policy provides
Coverage B - Business Personal Property)
Newly Acquirc4 Or Constructed Buildings (appties only if this policy provides
Coverage A - Buildings)
Ordrnance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (applies only to those 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
$250,000
lncluded
See Schedule
$2,s00
$25,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
The covoragos and corresponding limits shown below apply only to the described premises as shown,
LOCATION
0001
0002
Prepared
MAY 03 2022
cMP-4000
021292
COVERAGE
@ Copyri0hL Stlts t!rm fulutuEl Automobilo lnsur!nc0 Comp!ny,200A
lncludsi copyrightod matBrial of ln!!r.nce Servirss Offics. lnc., with its oermis:ion
Continued on Next Page
LIMIT OF
INSUBANCE
Signs
Back-Up Of Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Off Premises)
Property,Of Others (appties onty to those premises provided Coverage B - BusinessPersonal Property)
Accounts Beceivable (On Premises)
Accounts Receivable (Oll Premises)
Outdoor Property
Valuable Papers and Hecords (On Premises)
Valuable Papers and Becords (Off Premises)
Accounts Receivable (On Premises)
$5,000
$15.000
$10,000
$5,000
$2,500
$1o.ooo
$5,000
$s,000
$10,000
$s,000
$10,000
Page 4 o'f 7
sFcTtoN r -
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I
StateFarm !&
Eil.-dE
!,tnr*
Home Product Ssles Policv
Policy Numb€r 92-G
DECLAHATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-D812-0
Accounts Receivablo (Ofl Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Off Premises)
Money And Securities (On Premises)
Outdoor Property
Property Ol Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Becords (Ofl Pred)ises)
$5,ooo
$15,000
$5,000
$10,000
$5,000
$2,5008
$5,000
$10,000
$5,ooo
SECTION I - EXTENSIONS OF COVEHAGE - LIMIT OF INSU BANCE - PEH POLICY
The coverages and corresponding limits shown below are the most we will pay regardless o, the number o,
described premises shown in thes€ Declarations.
COVEBAGE
Dala Compromise
Legal And Forensic lntormation Tochnology Review
Per Occurrence
Dependent Property - Loss Ol lncome
Employee Dishonesty
O Copyri0h! Strte F!rm Mutu.l Automobile lnBUrrnco Complny, zfi)g
lncludes cogyrighted matBrial ol lnsuronc0 S€rvices oflics, hc.. with it. permi3siofl
Continued on Reverse Side ot Page
LIMIT OF
INSURANCE
$s,000
$50,000
$5,000
$10,000
$1,000
1 2 months
$35,000
$5,000
$10,000
Actual Loss Sustained - 12 Monlhs
Prepared
MAY 03 2022
cMP-4000
021293 290
N
Page 5 of 7
ldentity Restoration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
Home Product Sales PolicvPolicy Number 92-G
DECLARAIONS (CONTTNUEO)
Io. CITY OF MENIFEE
Y-D812-0
SECTION II . LIABI ITY
COVEHAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGREGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces the amount of insurance we provide durino the aoolicableannual period. Please refer to Section ll - Liability in the Coverage Form and any attached endoisements
LIMIT OF
INSUBANCE
$2,000.000
$s.000
$500.000
LIMIT OF
INSURANCE
$4,000,000
$4,000.000
Your policy consists of these Declarations, the BUSINESSOWNEBS COVERAGE FORM shown below, and any otherforms and endorsernents that apply, including lhose shown below as well as those issued subsequent to theissuance o, this policy.
FORMS ANt)DORSEMENTS
cMP-4101
cMP-4786.1
cMP -4787
cMP-4260,1
cMP-4261
Cl,/P-4705.2
Cl\ilP-4710
cMP-4709
cMP-4698
cMP-4704.1
cMP-4703.1
cMP-45'10
cMP-4746.1
Businessowners Coverage FormtAddl lnsd Owners Lessee Sched-Waiver of Trans Bgt of Recov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss ol 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
Prepared
MAY 03 2022
cMP-4000
021293
O Copyrigh! Stlte F6rm lvlutu rl Automobil€ ln5ur0nce Comp!ny, 2m8
lncluder copyrightqd mEteri!l of lnstr.nco Ssrvrcss office, lnc., with its pormr!sion
Continued on Next Page Page 6 of 7
StateFatm6)@
Home Producl Seles Pollcv
Policy Number 92-G
DECLARATIONS (CONTINUEO)
Ior CITY OF MENIFEE
Y-D812-0
[.i''?ti
h&q
IE
;3
cMP-4990.1
cMP-4994
ctuP-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 Polilical Perm Prem
Addl hsd 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 QUESTIONS.* New Form Attached
This policy is issued by the State Farm General lnsurance Company.
Parlicipating Policy
You are entitled to partjcipate in a distribution of th6 earnings ol the company as determined by our Board ot Directors in
accordance wilh the Company's Articles of lncorporation, as amended,
ln Wtness Whereof, he Stat6 Farm General lnsurance Company has caused this policy to be signed by its President and
Secretary at Bloomington, Illinois{r-mI*n
secretary
-lA*e C-/q
President
IMPORTANT NOTICE:
Catlloml. hw reC rrs u9 to provlde you whh lnlomsllon lot llllng cornpbl]ltr wllh the gtate lnsulonco Dopanmel Egordlng the
coverage and rrvice proviled under thir polcy.
Your agenN's name and contact inlormalbn are provlded on the lrori ol lhl! docume . Anothel option ls to lerch oul by
mailor phone dhectly to:
St8le F8rmo Executtya customer S€rylce
PO Box 2320
Bloomln$on lL 61702
Phorio f l$Oo-STATEFARII ('l -80G782-8332)
tlepartment ot lnsurance complalrtr should be llled only rlter you rnd Slrlo Fsm or your agent or olher comp|ny
roprogsntative hlvs lallod lo rerch a lstialEclory agigsmont on a ploblom'
Calilomis D€psrunsnt o, lnsu]Encs
congumer S€wlcer olvlglon
300 South gprlng Sraer
LoE Angobs, CA 9o0t3
Phone f l€00427-HELP (/854 or Ybit l|winEuranoe.ca.ooY/ol.corEtm8rl
Prepared
tvlAY 03 2022
cMP-4000
021294 290
N
O Copyright, Stato F!rm Mutu6l Automobilg ln.ur.ncs Comp!ny.2008
lncludos copyright.d m0t0riol ol lnsurnn.o Sarvicei offico, lnc., with its psrmission
Page 7 ol 7
lr !
StateFarm STATE FARM GENERAL INSURANCE COi,lPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"Flfollf, .t ?*, u o's.' n, u
Named lnsured
M-23-61F8-FB8A F Z
WESTERN A/V INC
ATTACHING INLAND MABINE
tl
INLAND MARINE ATTACHING DECLARATIONS&
ffi
I8
EB
Policyllumber 92-GY-D812-0
Policv Period
12 N4bnths
Elloctiva Date Exoiration DateocT 31 2021 3cr 31 2022
qins 4nd ends at 12:01 am standard
loc at onthetmeoolicv oeriod be'at fr6 'premises
Aubmalic R.newrl - lf dre policy poriod is shown as 12 monlhs , dris policy will be renewed automatically su biect to $e premiums, rules and
f orms in effect Ior each succeeding policy period. lf $is policy is terminated, we will give you and fie Mortgagee/Lienholder written notice in
compliance wifr tre policy provisions or as required by law.
Annual Policy Premium lncluded
The above Premium Amountis included in tre Policy Premium shown on tre Declaratjons
Your policy consists of these Declarations, $e INLAND MARINE C0NDITI0NS shown below, and any other forms and endorsemens that
a pply, including trose shown below as well as fi ose issued subsequent to the issuance ol $is policy.
Foms, 0ptions, alrd Endorsomenb
FE-8739
FE-6271
FE-87 45
lnland Marine Conditions
Amendatory Endorsement
Inland Marine Computer Prop
See Reverse for Schedule Page wifr Limis
Pre p ared
MAY 03 2022
FD-6007
021295
530 60tr2 05 ill 2l,ll101lilzil2cl
O Copyrioht, State Farm Mutual Automobil€ lnsur!noE Comp!ny.2008
lnclud€s copyri0htod mntori!lof lnsurrncE S€rvires otfic€, lnc., with its pormission.
92-GY-D812-0
ATTACHIITG II{LAITD MARINE
ATTACHING INTAND MABINE SGHEDUTE PAGE
ENDORSEIvIENT
NUMBER
FE-87 45
C OVERA6E
lnland Marine Computer Prop
Loss of lncome and Extra Expense
s
$
25,000
25,000
LIMIT OF
INSURANCE
DEDUCTIBLE
AMOUNT
s 500
ANNUAL
P REM IUM
Included
Included
Prepared
t\4AY 03 2022
FD-6007
021295
OTHER LII\4ITS AND EXCLUSIONS MAYAPPLY, HEFER TO YOUR POLICY
O Copyri!hL St6te Frrm Mutu6l A!tonobils lnsursnce Comp6ny, 2008
lncludos copyrightod mrtBri6l of lnsurancs S0rvic0s office, lnc , with it! pErmission.
530 0[6s.2 05 ]l 20ll lolt3zr3cl
I
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