2022/10/31 Western A/V, Inc. (19)StateFatm STATE FARM GENEBAL INSUAANCE COUPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?EPI ntr1l i L a, z o z - z s, s
Addl hsured-Sectlon ll Only
M-23-61F8-FB8A F Z002568 3123CITY OF IIEN I FEEAt{D ITS OFFICERS, EIlPLOYEES,
AOENTS & AUTHORIZED VO L UI'ITEERS29844 HAUN RD
t'rEN r FEE CA 92546-6539
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Home Product Sales Policy
DECLARATIONS AMENDED AUG 1 2022
Policy umbor 92-GY-O812-0
Pollcv Period Ellective Date Exoiralion Dale
12 Mbnrhs OCT 31 2022 ocT 31 2023
The polpy periofl begins 4nd ends at l2:01 am standardtme atthe premrses locaton
Named lnsured
t{ESTERN A/V INC
tl(Dco
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8t
Aubmallc Renowal - lf *re policy period is shown as l2 monlhs , this policy will be renewed automatically subiect to the premiums, rules and
forms in effect for each succeeding policy period. lf tis policy is terminated, we will give you and tre Mortgagee/Lienholder written nodce in
compliance witr tre policy provisions or as required by law.
Entlty: Corporation
Beason loa Declaratlons:Your policy is amended AUG 1 2022
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTMENT
FORM CMP.4786.1 ADDED
Other items shown are eflective
with the policy's 2022 rcnewd
Endorsement Premium
lncrease
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim R6cord
$ 264.00
Prep ared
AUG 19 2022
cMP-4000
022049 290 At
N
O Copyrith! Stlte Flrm Mu$slAutomobilt ln!urlncs Comptny,20tE
lncludes copyriohtod mltsrial of lnsuranco Servic.s offics, lnc., with i$ psrmission
Continued on Rsverse Side of Page Page 1ol 7
530 0!0..2 05ll ?0ll lo!lllslcl
Home Product Sales PolicvPolicy Number 92-G
DECLARATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
SECTIONI-PROPERTYSCH EDULE
LocationNumber Location of
Described
Premises
Limit of lnsurance'
Coveraoe A -
Bulldi"ngs
Limlt ol lnsurance'
Coverao€ B -
Buslness PersonalProperty
Seasonal
lncrease-
Business
Personal
Property
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92867-3554
1590 N BATAVIA ST STE 4
oRANGE CA 92867-3534
No Coverage
No Coverage
$ 141,100
$ 140,900
25%
25%
'Aso ect e date of this po rcy,e Limit of nsurance as shown includes any increase in the lim ue to atio n 0verage
SECTIONI.INFIA ON COVERAGE INDEXTESJ
Cov A
Cov B
- lnf lation Coveraoe lndex
- Consumer Pricdlndex:
N/A
296.3
SECTION I . DEDU TIBLES
Basic Oeductible
Spocial Deductibles:
Money and Securities
$2,500
$2s0 Data Compromise
O Copyri0ht St'to t.rm Mutu.l Automobtls ln!ur!ncs Comp!ny.2OO8
lncluder oopyrightod m.tori6l of lnsut!ncE Soruicss offic€, lnc., with it! permission.
Continued on Next Page
$1,000
Prepared
AUG 't9 2022
cMP-4000
022049 Page 2ol 7
StateFarm !(-)co
ffi
Home Proclucl Sales Policv
Policy Numb€r 92-G
DECLARATIONS (CONTINUED)
lor CITY OF MENIFEE
Y-D812-0
Employee Dishonesty $250 Equipment Broakdown $2,500
Other deductibles may apply - refer to policy
SECTION I - EXTENSIONS OF COVEBAGE . LIMIT OF INSI.J RAN(:F . FACH DESCRIBED PBEMISESEa
63 The coverages and correspondlng llmits shown below apply soparalely to each described premises shown in these
Declaralions, unless indicated by "See Schedule." lt a cove.age do€s not have a corresponding limit shown below,
but has "lncludod" indicated, please refer to that policy provlsion lor an explanation of that coverage.
COVERAGE
Accounts Receivable
On Premisos
Oft Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collaps€
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 Alteration
Glass Exp€nses
lncreased Cost Of Construction And Demolition Costs (applies only when buildings are
insured on a roplacemont cost basis)
Money And Securities (Oft Premises)
Money And Securities (On Premises)
Money Ord6rs And Counterleit Monoy
LIMIT OF
INSURANCE
See Schedule
See Schedule
$5,000
See Schedule
lncluded
Coverage B Limit
25% of covered loss
lncluded
$2,s00
$5,ooo
$10,000
lncluded
100/o
See Schedule
See Schedule
$1,000
Prepared
AUG 19 2022
cMP-4000
022050 290
N
O Copyri!ht, St.tE Frrm lvlutualAulomobils ln!urlncs Comp!ny,2008
lnclud€s copvli0hted mlt€ri6lof lns!rancs S.rvic.! oflict, lnc., with its parmission
Continued on Reverso Side ol Page Page 3 of 7
I
Home Producl Sales PolicvPolicy Number 92-G
Valuable Papers And Records
On Premises
Olf Premises
SECTION I . E
OECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-0812-0
Newly Acquired Business Personal Property (appliss 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 - Equipment Coverage
Outdoor Property
Personal Efrects (applies only to lhose premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservation Ot Property
Property.Of Others (applies only to those premises providsd Coverage B - Business
Personal Property)
Signs
$100.000
$2s0,000
lncluded
See Schedule
$2,s00
$25,000
s10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
TENSIONS OF COVEBAGE - LIMIT OF INSI.JRANCE. SCH ULE
The coverages and correspondlng limits shown below apply only to the described premises as shown.
LOCATION
0001
0002
Prepared
AUG 19 2022
cMP-4000
022050
COVEBAGE
O Copyrigh! Stat8 Frrrn Mutu.l Automobil0 lnsurince Comp0ny, 2008
lncludes copyright6d mitencl of lnsu16nc0 SBrvicBs offir0, lnc , with its pBrmission
Continued on Next Page
LIMIT OF
INSURANCE
Signs
Back-Up Ol Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Off Premises)
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Accounts Receivable (On Premises)
Accounts Roceivable (Olf Premises)
Outdoor Properly
Valuable Papers and Flecords (On Promises)
Valuable Pap€rs and Becords (Off Promises)
Accounts Receivablo (On Premises)
$5,000
$15,000
$10,000
$5,000
$2,s00
s10,000
$s,000
$5,000
$10,000
$s,000
$10,000
Page 4ol 7
StateFarm !(.-@
ffi
Home Product Sales PolicvPolicy Number 92-G
DECLARATIONS (CONTINUEO)
Ior CITY OF MENIFEE
Y-D812-0
Accounls Fleceivable (Oll Premises)
Back-Up Of Sewer Or Drain
Money And Sscurilies (Olt Premises)
Money And Securities (On Premises)
Outdoor Property
Property Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Rocords (Off Premises)
$s,000
$15,000
$s,ooo
$10,000
$5,ooo
$2,500
a
68 $5,000
$10,000
$5,000
SECTION I - EXTENSIONS OF COVERAGE . LIMIT OF INSU RANCE . PER POLICY
Th6 coveragos and corrospondlng limits shown below are tho mosl wo will pay regatdless ol the number o,
describsd premisos shown ln these Declarations.
COVERAGE
Data Compromise
Legal And Forensic lnformalion Technology Review
Per Occurrence
Dependent Propeny - Loss Of lncome
Employee Dishonesty
ldentity Resloration
Other Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility Interruption - Loss Ol lncome
Loss Of lncome And Extra Expense
O CDpyri0h! Stlte Firm Muturl Automobile lnsur!nc6 Company, 2008
lncludo! oopyri0htEd materi.l of lnsu16nco S6rvicss offic6, lno., with its p€rmi!tion
Continued on Reverse Side of Page
LIMIT OF
INSURANCE
$s,000
$50,000
$s,000
$10,000
$1,000
1 2 months
$3s,000
$5,000
$10,000
Actual Loss Sustained - '12 Months
Prepared
AUG 19 2022
cMP-4000
022051 290
N
Page 5 of 7
Home Product Sales Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
,oT CITY OF MENIFEE
Y.D812-0
SECTION II . LIABILITY
COVERAGE
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 amounl of insurance we provide durin0 the applicable
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached endoisements.
LIMIT OF
INSUBANCE
$2,000,000
$s,000
$s00,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Your policy consists ol 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 of this policy.
FORMS ANT)DORSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
ct\,1P-4260.1
ct\4P-4251
cr\4P-4705"2
ct\,4P-4710
cMP-4709
cMP-4698
cMP-4704.1
Cl\ilP-4703.1
ctvtP-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 lncomg & Extra Expense
Employee Dishonesty
Money and Securities
Back-Up of Sewer or Drain
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
General Agg Limit Per Proj
Hired Auto Liability
Prepared
AUG 19 2022
Cl\ilP-4000
02205 r
O Copyrithl Strt€ F0rm lvutu nl Automobrle lnsuronc€ Comp.ny, Z0()g
lncludes copyrightod motsriolof lnsur.ncB SErvices otfico, lnc., with it5 p€rmission
Continued on Next Page Page 6 ol 7
StateFarm(D60
ffi
Home Product Sales Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
lor CITY OF MENIFEE
Y-D812-0
cMP-4990.1
cMP-4994
cMP-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD-6007
ldentity Bestoration Coverage
Data Compromise
Loss Payable
Terrorism lnsurance Cov Notice
Al State Political Perm Prem
Addl lnsd 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.. Now Form Attached
E
!
This policy is issued by the State Farm General Insurance Company.
Parlicipating Policy
You are €ntitl€d to participate in a distribution of the earnings ol he 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 hes caused this policy to be signed by its President and
Secretary at Bloomington, lllinois
fi,^-ny*"t
Secrea"ry
-il-hMry
Pre sident
IMPORTANT NOTICE:
Callfomld low tequkes uo to plovlde you wfth lnlomatlon lo] llllng cofiphl]lls whh the 9late lnsuranc€ Depdnment rogardlng tlE
covcrage and eervice providqd under thi8 policy.
Your agem's name and comact inlomation arc provlded on tlE trot o( lhb document, AnotlEr optlon is to reoch out by
mailor phono dlrectly to:
Stale FarnP Executive cuelomor servica
PO 8or 2320
Blooming on lL 61702
Phone * l €OO-STATEFAH ( l -80G782'8332)
Depatunert ol lnsursnoe complalm3 shouH be llled only stter you and Slata Flm or your ager or olller comprny
rgprssnlatfuo have hlled lo rprch 8 satlat€qtory rgnEomqrn on a probhm.
CalilomiE Depanment ot lnEurance
consumer gorvlcos Dkl3lon
300 Souh Sprlng Srreer
Los AngEbs, CA 9o013
Phor|e # l€ur-927-HELP (tR54 or vbit urw.inEura ncp,co,ooyi 01-corEtmsls
Prepared
AUG 19 2022
cMP-4000
022052 290
N
C CopyrghL stlto F!rm Muturl Autofiobrl! lnsurrncr Compiny, 2008
lncludes copyfi0ht6d matorirl of lnsurrnc0 Sewic0s ollic8, lnc., wilh its prrmtssion
Page 7 ol 7
StateFarm STATE FARU GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?#Ai,?g?;F L a, t o z " z e, s
Named lnsured
M-23-61F8-FB8A F Z
I{ESTER N A/V INC
ATTACHING INLAND MARINE
LINLAND MARINE ATTACHING DECLARATIONS
Policyllumbor 92-GY-D812{)
Policv Period Ellsctive Oale Exoiralion Date
12 N4bnrhs OCr 31 2022 ocT 31 2023
The polipy period be0ins and ends at12:01 am standardtme at lhe premlses locaDon.
&
ffi
EiB
Automatic Ronowal - lf the policy pcriod is shown as l2 monlhs , fris policy
forms in effect for each suc ceeding policy period. lf his policy is terminated
compliance witr tre policy provisions or as required by law.
will be renewed automatically subjectto the premiums, rules and
we will give you and the lMortgagee/Lienholder written notice in
Your policy consists of fiese Declarations, $e INLAND MARINE C0NDITI0NS shown below, and any otrer forms and endorsemens that
apply, including trose shown below as well as $ose issued subsequentto $e issuance ofdris policy.
Forms, 0ptions, and Endorsomenb
FE-8739
FE-627'l
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland lvlarine Computer Prop
See Reverse for Schedule Page witr Limits
Prepared
AUG 19 2022
FD-6007
022053
O Copyri0h! Stote Flrm Mutual Automobilo lnrurlncs Comp.[y,2m
lncludss copyri!htrd m.teri!l ol lnlurrncs S.rvic€3 offics, Inc.. with its p6rmission
t30 6l6a ? 05 3l 20ll lo1t3232cl
Annual Policy Promium lncluded
The above Premium Amount is included in tre Policy Premtum shown on $e Declarations.
92-GY-D812-0
ATTACI{I G INLAI{D MARINE
ATTACHING I]tILANO MABINE SCHEDULE PAGE
ENDORSEMENT
NUMBER
FE-8745
C OVERA6E
lnland Marine Computer Prop
Loss of lncoms and Extra Expense
Lll\illT 0F
INS U BANC E
DEDUCTIBLE
AMOUNT
ANNUAL
PBEMIUI\4
OTHER LIMITS AND EXCLUSIONS MAY APPLY . REFER TO YOUR POLICY
O Copyri0ht, St.te F6rm M utu ! I Automobrl6 ln3ur!nco Comp.ny, 2m
lnclude! cogyrilht8d mltsri!lof ln!ur.nco S0rvic€! otfioo. lnc., with i$ psrmislion.
s 500 IncludedIncluded
I 25,000
25,000
Prepared
AUG 19 2022
FD-6007
022053
tgD 63li 0.2 05 31 20ll (oll3ru.l