2022/10/31 Western A/V, Inc. (20)StateFann STATE FAEM GENEFAL INgUFANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILUNOIS
E?#fr i,?e? J i L u,, o r. r s, s
Addl lnsured.Section ll Only
M-23-61F8-FB8A F Z003858 3123CITY OF EI{ I FEE
AND ITS OFFICERS, Ei{PLOYEES,
AGENTS & AUTHORIZED VOL UNTEERS29844 HAUN RD
I'tEr,t r FEE CA 92546-6539
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Home Product Sales Policy
DECLARATIONS AMENDEo AUG 15 2022
PolicyNumbor 92-GY-O812-0
Pollcv Period Eflactivo Dale Exoiralion Dab
12 Mbnths OCr 31 2022 ocT 31 2023
Ihe policy period beoins and ends at 12 0l am standardtme at t,le Premlses Iocatlon.
Named lnsured
I'ESTERN A/V INC
6,@
16-,-,{4
h*E
EE
Aubmatic Renewal - lt the policy period is shown as 12 months , thrs policy will be renewed automatically subject to the premiums, rules and
forms in effect f0r each suc beeding policy period. lf $is policy is terminated, we will give you and the l\4ortgagee/Lien holder written notice in
compliance witr Sre policy provisions or as req uired by law
Entily: Corporation
Heason tor Declarations:Your policy is amended AUG 15 2022
ADDITIONAL INSUREO ADDED
PREMIUM ADJUSTMENT
FORM CMP.4786.1 ADDED
Other items shown are effective
with the policy's 2022 rcnewal
Endorsement Premium
lncrease $ 88.00
Prepared
AUG 222022
cMP-4000
030514 290 At
N
O Cowri!hL State Frrm Muur al Automobils lnsuMcs Compiny,2008
lncludes copyrighted matsri!l ol lniurincB Ssrvicss offic€, lnc., wifi hs pormislron
continued on Reverse Side of Page Page I of 7
510 t80 ! 2 u! 3r ?011 lolll23lcl
Home Product Sales PolicvPolicy Number 92-G
oEcLARATlONS (CONTINUED)
,o] CITY OF MENIFEEY-D812-0
SECTION I - PROP BTY SCHEDULE
LocationNumber Location otDescribedPremises
Limit of lnsurance'
Coveraoe A -
Buildi-ngs
Llmlt ol lnsurance.
Coveraoe B -
Buslnsss Fersonal
Proporty
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%
' As of the ve date of this cy, the Ltmtto lnsurance as s own tnc udes any increase in the lim ue to lnllation rage
SECTION I - IN FLATION COVERAGE INDEX(ES)
Cov A - lnf lation Coveraoe lndex'
Cov B - Consumer Pncdlndex:
N/A
296.3
Basic Deductible
Speclal Doductibles:
Money and Securities
$2.s00
$250 Data Compromise
O Cofyri0h! St6te Frrm lvlltu0l Automobtl0 lnsursflco Compnny,2008
lnclude! copyriohted m6t0ri6l ol lnrurnnc0 S!rvicBs offrcs, lnc , with its p0rmission
Continued on Next Page
$1,000
Prepared
AUG 22 2022
cMP-4000
030514 Page 2 ot 7
SFCTION I .DEDTICTIEI FS
I
StateFarm !(-)@
E.*IW.+
Home Product Salos Policv
Policy Number 92-G
DECLARATIONS (CONNNUED)
for CITY OF MENIFEE
Y-O812-0
Employee Dishonesty $2s0 Equipment Breakdown
Other deductibles may apply - refer to policy
SECTION I. EXTENSIONS OF COVERAGE - LIMIT OF INSU RANCF - FACH OESCRIBED PREMISESE
a3
COVERAGE
Accounls Receivable
On Premisgs
Orf Prsmises
Arson Reward
Back-Up Ol Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Dopartment Service Charge
Fire Extinguisher Systems Hecharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applies only whsn buildings are
insured on a r6plac6mont cost basis)
Money And Securilies (Otl Premises)
Money And Securities (On Premises)
Money Orders And Count€rleil Money
LIMIT OF
INSURANCE
See Schedule
See Schedule
$5,ooo
See Schedule
lncluded
Coverage B Limit
25% of covered loss
lncluded
$2,500
$5,000
$10,000
lncluded
10%
See Schedule
See Schedule
91,000
Prepared
AUG 22 2022
cMP-4000
030515 290
N
O Cop/lighl Strto Flrn Mutu.l Aulonobil. ln.urlnc! Comprny, 2008
Ir!cludss coyyrioh!.d mrtsri.l of ln!urrncr S0rvic0t ofiic., lnc., with iB pormisrion
Continued on Reverse Side ol Page Page 3 ol 7
$2,500
The covorages and corresponding limits shown below apply separat€ly to each described promises shown in these
Oeclarationa, unless indicated by "See Schedule." It a coverage does not have a corresponding limit shown below,
but has "lncluded" indlcated, please reter to that policy provision lor an explanallon ot that coverage.
Home Product Seles Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
fol CITY OF MENIFEE
Y-D812-0
Newly Acquired Business Personal Property (applies only il this policy provides
Coverage B - Business Personal Property)
Newly Acquir"4 Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
Ordinance Or Law - Equipment Covgrage
Outdoor Properly
Personal Effects (applies only to ihose premises provided Coverage B - Business
Personal Property)
Personal Property Off Premises
Pollutant Clean Up And Removal
Preservation Of Properly
Propgrly Ol Others (applies only lo those premises provided Coverage B - BusinessPersonal Property)
Signs
$100,000
$250.000
lncluded
See Schedule
$2,500
$25.000
$10,000
30 Days
See Schedule
See Sch6dule
See Schedule
See Schedule
SECTION I . E NSIONS OF COVERAGE . LIMIT OF INSUFANCE . SCH ULE
The covorages and correspondlng limits shown below apply only to the describ€d premises as shown
LOCATION
0001
0002
Prepared
AUG 22 2022
cMP-4000
030515
COVEBAGE LIMIT OF
INSURANCE
Signs
Back-Up Of Sewer Or Drain
Money And Securities (On Premises)
Money And Securities (Off Premises)
Property Of Others (apblies only to those premises provided Coverago g - Business
Personal Property)
Accounts Receivablo (On Premises)
Accounts Receivable (Olf Premises)
Outdoor Property
Valuable Pap€rs and Records (On Premises)
Valuabls Papers and Becords (Off Premises)
Accounls Receivabls (On Premises)
@ CopyriCh! State Farm irutu!l Automobile lnsuruncB Comp6ny, 2O0g
l0clud€s copyri0htsd rhrtsrill of lnsurrnce ServicBs office, lnc.. wilh its Dormissron
Continued on Next Page
$s,000
$15,000
$10,000
s5,000
$2,500
$10,000
$10,000
$s,ooo
$5,ooo
$10,000
$s,000
Page 4 ot 7
Valuable Papers And Records
On Premises
Off Premises
StateFarm3
Home Product Sales PolicvPolicy Number 92-G
DECLARATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
E1,-'dhtr&
E,s6A
Accounts Receivable (Oll Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Olf Premises)
Money And Securities (On Premises)
Outdoor Property
Property Of Olhers (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
$5
$1s
$s
$10GE
,000
,000
,000
,000
,000
,500
$5,000
$10,000
$s,ooo
$2
SECTION I. EXTENSIONS OF COVERAGE - LIMIT OF INSUFANCE. PEH POLICY
The coverages and corresponding limits shown bslow ar6 the mosl wo wlll pay regardless ot the number ot
describ€d premises shown ln those Declarations.
COVERAGE
Data Compromise
Legal And Forensic lnlormation Technology Revi6w
Per Occurrence
Dependent Property - Loss Ol lncome
Employee Dishonesty
ldentity Restoration
Othgr Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncome
Loss Of lncome And Exlra Expense
O Copyri0h! Stlto Frrm Mutu!l Automobile lnsurlnc0 Comp.ny, 2008
lncludes copyriohtsd m.ten!l ol Insur!nco S€rvices oftic8, lnc., with its psrmission
Continued on Reverse Side of Page
LIMIT OF
INSURANCE
$s,000
$50,000
$5,000
$10,000
$1,000
1 2 months
$3s,000
$5,000
$10,000
Actual Loss Suslained - 12 Months
Prepared
AUG 22 2022
cMP-4000
030516 290
N
Page 5 of 7
!
Home Product Sales Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
'or
CITY OF MENIFEE
Y-D812-0
SECTION II . LIABI ITY
COVERAGE
Coverage L- Business Liability
Coverage M - Niledical Expenses (Any One Person)
Damage To Premises Rented To You
AGGHEGATE LIMITS
Products/Completed Operations Aggregate
General Aggrogate
Each paid claim for Liability Corr'erage reduces the amount of insurance we provide during
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached
the applicable
endorsements.
LIMIT OF
INSUBANCE
$2,000,000
s5,000
$500,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Your policy consists 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 of this policy.
FORMS AND F N DORSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
crvP-4709
cMP-4698
cMP-4704.'l
cMP-4703.1
cMP-4610
cMP-4746.'l
Businessowners Coverage Form
'Addl Insd Owners Lessee Sched-Waiver of Trans Rgt of Recov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss ol lncomo & Extra Expense
Employee Dishonesty
f/oney 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
4UG222022
cMP-4000
030516
@ Copyrigh! Stato Farm lruturi Automobilo lnsurance Comp!ny, 2OO8
lncludss copyri0htod material of lnsu16nEs S6rvices otfico, lnc., with its p€tmission
Continued on Next Page Page 6 of 7
StateFam E&
ffiildF*B
Home Product Seles Policv
Policy Number 92-G
DECLARATIONS (CONTINUED)
Ior CITY OF MENIFEE
Y-D812-0
cMP-4990.1
cMP-4994
cMP-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD-60075
This policy is issued by the Stats Farm General lnsurance Company,
Participating PolicY
You are entitled to participat€ in a distribution of the earnlngs of lhe company as determined by our Board of Directors in
aocordance with the Company's Articles of lncorporation, as am€nd€d.
In Witness Whereof, he State Farm General lnsurance Company h6s caused this policy to be signed by its Prosident and
Secretary at Bloomington, lllinois
fi',^-nlp,r"t
Secretab
$teblq
President
IMPORTANT NOTICE:
C8ltroml. hw requlles u9 to provlde you whh lnlomatlon for lllIu c.ompLlm! wlth the Stote lnsurancs Depanmen rogardlng the
cowrrgp.nd srvico provklod undsr tlis policy.
Your agent'! nrme and contrct lnlomatbn arE provid€d on the lront ol lhb docunod. fuptlpr oplion ls lo rorch oul by
mail or phono dlrectly to:
Slsls Farmc Er6cutive Cugtomgr Sorvlce
PO Bor 2320
Bloomlngion lL 61702
Phono * 1{oo-STATEFAH (l -80o-782-83i}2)
O,epo msnt ol lneurqnce complalnts should be llled only slter you and Stda Fum or your rger or olhel company
replgsntetlvo havs lrllsd lo rorch I aatisl8ctory agrEomont on a probbn.
Cslilomia D€psdment o, lnanmncr
Coneumor Berylcas DlYlslon
300 South gprlng glreet
Los AngoLE, CA sooI3
Phone # l{qr-g27-HELP (/857) ol vbit rf,vJ,insur8noe.cs.oov/o1-corEursl.
Prepared
AUG 22 2022
cMP-4000
030517 290
N
O Copyri0hL Stlto Frrm MutunlAlnomohilo ln!u.!ncs Comp.ny, 2t0g
lncl!des copyrighted mrtlrial ol lnsurrnc. S0.vic!! olfic€. lnc., with it! p€rmis!ion
Page 7 ol 7
ldentity Restoration Coverage
Data Compromise
Loss Payable
Terrorism lnsurance Cov Nolice
Al State Political Perm Prem
Addl lnsd Mgrs Lessor ot Prem
lnland lvtarine Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUB POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.t New Form Attached
STATE FAFI' GENERAL INSURAI{CE COMPANY
A S|OCK COMPANY WITH HOME OFFICES IN BLOOMNATON, ILLINOIS
E?o1?i,ffii r a, zor-rg,s
Named lnsured
M-23-61F8-FB8A F Z
T'ESTERN A/V I
''IC
INLAND MARINE ATTACHING DECLAFATIONSL]
Policyllumber 92-GY-D812{
Policv Period Ellectivr Dats Exoimtion Dale
12 N4bnths OCT 31 2022 ocT 31 2023
Ihe polipy pertod begtns and ends at 12 0l arrr standardtme at lhe premlses locauon
6-oo
EE
Ei8
Aubmatic Renewal - lt the policy pedod is shown as 12 monlhs , fris policy will be renewed automatically subiect to $e premiums, rules and
forms in ettect for each sucLeeding policy period. lf tris policy is terminated, we will give you and tre Mortgagee/Lienholder writcn notjce in
compliance wi$ *re policy provisions or as req uired by law
AnnualPolicy Pnmium lncluded
The above Premium Amount is included in $e Policy Premium shown on fie Declarations
Your oolicv consists of ftese Declarations, fre INLAND NIARINE CONDITI0NS shown below, and any other forms and endorsemenb that
a pply, incllding $ose shown below as well as trose issued subsequent to the issuance of ftis policy.
Foms, 0ptions, and Endolsomonb
FE-8739
FE-6271
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Beverse for Schedule Page wifr Limis
Prepared
AUG 22 2022
FD-6007
030518
@ CoEyrioht, St.t' Flrm Mutual Automobila lnsurrncB Comp.ny,20m
lncludes cogyrighted matori.l ol ln$ur!ncs Servicss oftica, lnc., rvith iti p6rmission
tlo 680 3 ? 0! 3r ?011 loll3232cl
StateFarm
ATTACHING INLAND MARINE
92-GY-D812-0
ATTACHII{G II{I"AND MARII'IE
ATTACHING lNtAilD MARltrtE ScHEDULE PAGE
ENDORSEI\4ENI
NUMBER
FE-8745
C OVERA6 E
lnland [/arine Computer Prop
Loss of lncome and Extra Expense
LIMIT OF
INSURANCE
DEDUCIIBLE
AMOUNT
ANNUAL
PREI\4lUl/1
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
O Copyri0hL StatB Fsrm lVIutusl Automobilg lnsur0nco Comp!ny,2OOB
lncludes copyrighted m6to ol ol lnsur0nos Serurcsr office, lnc , with rr permission
$ 500 Included
Included
$
$
25,000
25,000
Prepared
AUG 22 2022
FD-6007
030518
t30 080!.2 05 31 20ll (oll3233cl