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2021/10/31 Western A/V, Inc. (16)StateFarm !(-oo F'i:i,t{ BTJS 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 ll" tlt'lt't,1,lll1ll' ll" l" ltll1l" t' lltl"ll'tlltllll lll l 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 - I 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 I I