2022/10/31 Western A/V, Inc. (21)StateFarm STATE FAFM GENERAL INSURAiICE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON. ILLINOIS
Po Box 2915Blooninglon lL 6l 702-291 5
Addl lnsured-Section ll Only
M-23-61F8-FB8A F Z003292 3123CITY OF I{EN I FEEAIID ITS OFFICERS, Ei{PLOYEES,
AGENTS & AUTHORIZEII VOTUNTEERS
298q4 HAUN RD
i,tEt{ r FEE cA 92546-6539
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Home Product Sales Policy
DECLARATIONS AMENDED SEP 21 2022
Named lnsured
WESTERN A/V INC
(-)@
ft-#
l.Ldtrl
a
Elr9
Policyl{umber 92-GY-D812-O
Policy
Mo
he polipy period be
me at the Premlses
Elloctivo 0alo Exoiration Dalsocl 3-t 2022 ocT 31 2023
gins and ends at l2:01 am standard
toc aI on.
Period
nt hs1It
Aubmslic Rcnowal , lf the pollcy period is shown as 12 months , this policy will be renewed automati-c-ally subiectto fte premiums. rules and
forms in effect for each suc leediir! policy period. lf tris policy is terminated, we will give you and fre Mortgagee/Lienholder written notce in
compliance wifi 6e policy provisions or as required by law
Entity: Corporation
Beason lor Declarations:Your policy is amended SEP 21 2022
ADDITIONAL INSURED ADDED
PBEMIUM ADJUSTMENT
FORM CMP-4786.1 ADDED
Other items shown are ellective
with the policy's ?022 renewal
Endorsement Premium
lncrease $ 88.00
Pre p a red
ocr 17 2022
cMP-4000
O Cogyri!h! Stal€ Flrm Mutu!l Autonobils lnsurrnc. Comp!nv, 20@
l0cludsr copyrilht!d mrtsrirl ol ln!ur0nco Srrvaces officB, lnc , wi$ ns psrmission
Continued on Reverso Side of Page030858 290
N
Page 1 of 7
!
Homs Product Sales PolicvPollcy Numbor 92-G
DECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-O812-0
sEcTtoN r - p ERTY SCHEDTILF
Location
Number Location olDescribedPremises
Limit ol lnsurance'
Coveraoe A -
Bulldings
Limit ol lnsurance'
Coveraoe B -
Business Fersonal
Property
Seasonallncrease-Business
PersonalProporty
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%
' As of the ect date of this policy,e m of Insurance as shown nc s any increase in the limit etol r0n verage
sEcTtoN I -INFLATION COVERAGE INDEX(ES}
Cov A - lnf lation Coveraoe lndex
Cov B - Consumer Price"lndex:
N/A
296.3
SECTION I -OEDUCTIBLES
Basic Deductible
Special Deductibles:
Money and Securities
$2,500
$250 Data Compromise
O Copyri!h! St.te Frrm lvlutu !l Automobils lnsurrnc6 Comp6ny, Z00B
lncludEs copyri0hted rnaterial of lnsurEnce Sgrvioss office, lnc., with its permssron
Continued on Next Page
$1,000
Prepared
ocr 17 2022
cMP-4000
030858 Page zot 7
I
StateFarm
ffi
Home Product Sales Policv
Policy Numbor 92-G
DECLARATIONS (CONTINUED)
fO] CITY OF MENIFEE
Y-D812.{)
Employee Dishonesty $250 Equipmenl Broakdown $2,500
SECTION I. EXTFNSIONS OF COVERAGE - LIMIT OF INSI,J RANEF - FACH DFSCRIBED PRFTIJIISFS
H
5B The coverages and correspondlng lhits shown below apply separat€ly to each described premlses shown in these
Oeclarations, unless indicated by "S€e Schedule." ll a coverage does not have a correspondlng lhit shown below,
but has "lncluded" indicated, please rerer to that policy provision lor an explanation ol that coverage.
COVERAGE
Accounts Receivable
On Premises
O{f Prsmises
Arson Reward
Back-Up Ol Sewer Or Drain
Collaps€
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Seruice Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteration
Glass Exp€nses
lncreased Cost Ol Construction And 0emolition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securities (Ofi Premises)
Money And Securities (On Premises)
Money Orders And Counterteil MonEy
LIMIT OF
INSUHANCE
See Schedule
See Schsdule
$5'000
See Schedule
lncluded
Coverage B Limit
25% of covered loss
lncludod
$2's00
$5'000
$10,000
lncluded
1Oo/.
See Schedule
See Schedule
$1,000
Preparedocl 17 2022
cMP-4000
030859 290
N
O Copryrioht Strto F!rm Mutu6l Automobile lnluruncs Conplny,20(E
lncludos copyrightid mrtori.lol lnturrnco S€rvioes 0ffico, lnc.. with iB pormitrion
Continued on Revgrse Side ol Page Page 3 of 7
!&
Other deductibles may apply - reler to policy.
Home Ptoduct Sales PolicvPollcy Number 92-G
DECLABATIONS (CONTINUEO)
,or CITY OF MENIFEE
Y-D812-0
N€r ly Acquired Business Parsonal Property (applies only if this policy provides
Cwerage B - Business Personal Properly)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Cwerage A - Buildings)
Ordinancs Or Law - Equipment Coverage
Ouldoor Property
Personal Ell€cts (applies only to those premises providad Coverags B - Businoss
P€rsonal Property)
Per8onal Proporty Ofl Premises
Pollutant Clean Up And Removal
Preservation Of Property
Property.Of Others (applies only to lhose premises provided Coverags B - BusinessPersonal Property)
Signs
Valuablo Papers And Records
On Premises
Ofl Premises
$100.000
$250,000
lncluded
See Schedule
$2,500
$2s,000
$10,000
30 Days
See Schedule
See Schedule
See Schedule
See Schedule
sEcroN r - EXTENSIONS OF COV FAGE . LIMIT OF I RANCE . SCHEDULE
The coverages and corrosponding limlts shown below apply only to the describod promis€s as shown,
LOCANON
0001
0002
Prepared
oc't 17 2022
cMP-4000
030859
COVERAGE LIMIT OF
INSURANCE
Signs
Eack-Up Of Sewer Or Drain
[,loney And Securities (On Premises)
Money And Securities (Ofl Premises)
Property.Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Accounts Receivable (On Premises)
Accounts Receivable (Off Premises)
Outdoor Property
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Off Premises)
Accounts Receivable (On Premises)
O Copyrilht Stats Farm l\4ut!alAutomobil0 lnsurrnoe Comprny, ZO(ts
Includos cogyrightod moteri!iol Iniur!nco SBrvics! OflicB, lnc., with it! psrmission
Continuod on Next Page
$s,000
$15,000
$10,000
s5.000
$2,soo
$10,000
$s,000
$5,000
$10.000
$5,000
$10,000
Page 4 of 7
I
StateFarm
ffi Accounts Beceivable (Of f Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Off Premises)
Mon6y And S€curiti€s (On Premises)
Outdoor Property
Property Ot Others (applies only to those premises provided Coverage B - Businoss
Pgrsonal Property)
Signs
Valuable Papers and Records (On Premises)
Valuable Papers and Records (Olf Premises)
$s,
$1s,
$5,
$10,
$5,
$2,
000
000
000
000
000
500II
6A $5,000
$10,000
$5,000
SECTION I . EXTE IONS OF COVERAGE. LIMIT OF INSU FANCE . PER POLICY
The coverag€s and corresponding llmlts shown below are the most we will pay regardless ol the number of
described premises shown ln thoso Declarations.
COVERAGE
Data Compromise
Legal And Forensic lnformation Technology Fleview
Per Occurrence
Dependent Property - Loss Ol lncome
Employee Dishonesty
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
O Cogyrioht St!t6 frrm Mut!al AutomobilE lnrurlncs Corplny,2008
lncludrt cogyrightqd mitsrirl of lnt{r.nco Sirvicst offics, Inc , with it! prrmi!6ion
Continued on Reverse Side of Page
LIMIT OF
INSURANCE
$5,ooo
$s0,000
$5,000
$10,000
$1,000'12 months
$35,000
$s,000
$10,000
Actual Loss Sustained - 12 Months
Pre p ared
ocr 17 2022
cMP-4000
030860 290
N
Page 5 of 7
!
_o_(!X!) OECLARATIONS (CONTINUEO)
Home Product Salos Policv lo. CITY OF MENIFEE
Policy Number 92-GY-D812-0
Home Producl Sal€s Pollcv
Policy Number 92-G
DECLARATIONS (CONTINUED)
lor CITY OF MENIFEE
Y-D812-0
SECTION II - LIABI ITY
COVEBAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premisos Rented To You
AGGBEGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim for Liability Coverago reduces the amount of insurance we provrde durino the aoDlicableannual period. Please refer to Section Il - Liability in the Coverage Form and any attached endoidements
LIMIT OF
INSURANCE
$2,000.000
$5,000
$500,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any otherforms and endorsements that apply, including those shown below as well as those issued subsequent to theissuance of lhis policy.
FORIilS AN ENDOBSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.1
cMP-4703.1
cMP-4610
cMP-4746.1
Businassowners Coverage Form.Addl lnsd Owners Lessee Sched
'Waivor of Trans Bgt of Recov
Amendatory Endorsement-CA
Amendatory Endorsement
Loss of lncome & Extra Expense
Employee Dishonesty
[iloney and Securities
Back-Up of Sewer or Drain
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
Genoral Agg Ljmil Per Proj
Hired Auto Liability
Prepared
ocT 17 2022
cMP-4000
030860 Page 6 of 7
O Copyrighl Stots F.rm MutualAutomobils lnsurlnco Compiny, 2008
lncludos cogyright0d maton!l ol lnsur.ncB Sorvices ofiice, lnc.. wfi its DBrmi!sion
Continued on Next page
StateFarm6)@
lr.risEEk:a
Home Product Sales Pollcv
Policy Number 92-G
DECLARATIONS (CONTINUED)
for CITY OF MENIFEE
Y-D812-0
cMP-4990.1
cMP-4994
cMP-4875
FE-6999.3
cMP-4793.1
cMP-4788.1
FD.6007
ldentity Restoration Coverage
Data Compromiso
Loss Payable
Terrorism lnsurance Cov Notice
Al state Polilical Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Attach Dec
NOTICE: INFORMATION CONCERNING
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED. PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY OUESTIONS.
' New Form Attached
88
D
Secretary at Bloomington, lllinois
frn:^W*
:iscr€tary
-il*e C",h
President
IMPORTANT NOTICE:
Crllromla hw tequhes us to plovlde you whh lnlomsrlon lor llllng complofns wlth tlE Stote lnsuranoe Depa met reg.ldlng the
covcragc and ssrvico Provktrd undo. tlia policy.
yout aggart's nsm€ and contact lnlomalbn arE plovided on the lront ol lhls documeln. Another option ie to reach oul by
mlllor phone dkoctly lo:
Ststo Fa.mG Exscutive Cuslomer !]aivice
PO Box 2320
Bloomln$on lL 617()i1
Phono t l+oO-STATEFARI (l -8oc762'833n)
Depldment ot lnsur8nce comphlnt! rhould bo lllod only alter you and Slale Flrm or your lgonl or olher compury
rodr"sont tivg havo l.ilcd lo rs.ch r $tldactory Egregment on o problem.
Csltomis Departnent ol harrrncP
consumer Servlcoa Dlvlgbn
300 Soulh sprlng Slleer
Lo. Anooles. CA t0ol3
Phone I l€oo-927-HELP (a354 or Ybit wuw.insurance.cr.ooY/o'l'consrrnera
Prepared
ocT 17 2022
cMP-4000
o copyri0h! St.to F.rm M utu 6l Automobilo lnsurtnc6 Comprny,2008
lnclud.s copyrightod mltsrirl of ln!ur!nce Servi60s oflico, lnc., whh it! p8rmi!sion
030861 290
N
Page 7 ol 7
This policy is issued by the Slate Farm General lnsurance Company.
Participadng Policy
You are sntitled to participate in a distibution of the earnings ol th6 company as dotermined by our Board of Dir€ctors in
accordance with the Company's Artioles of lncorporation, as amended.
ln Witness Whereof, he State Farm General lnsurance Company has caused this policy to be signed by its President and
StateFann STATE FARM GENEBAL INSUNAICE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN ELOOMINGTON, ILLINOIS
E?oEPi is?Ji L a,, o r. re,s
Named lnsured
IV.23-61 F8-FB8A F Z
WESTERN A/V INC
ATTACHING INLAND MARINE
INLANO MARINE ATTACHING O'",-O"O''O"#
Policyl{umbor 92-GY-D812-O
Poliov Period Elleclive Date Exoiration Dats
12 lilbnrhs ocr 31 2022 ocT 31 2023
Ihe polipy period begins qnd ends at 12:01 am standardttme al me premlses locaD0n.
(Doo
ffi
E
TE
Aubmatic Ronewrl - lf tre policy pcriod is shown as 12 months , dris policy will be renewed automatically subiectto tle premiums, rules and
forms in effect for each sucieedini policy period. lf tris policy is termin ated, we will give you and the Mortgagee/Lienholder written notce in
compliance wittr the policy provisions or as required by law
Annual Poliey Premium lncluded
The above Premium Amount is included in tre Policy Premium shown on tte Declarations.
Your policy consists ol $ese Declaradons, tre INLAND MARINE C0N0lTl0NS shown below and any otter forms and endorsemens ttat
apply, inclLdins fiose shown below as well as fiose issued subsequent b fie issuance of this policy.
Forms, 0plions, and Endorsements
FE-8739
FE-6271
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page widr Limis
Prepared
ocT 17 2022
FD-6007
030862
@ copyrigh! Stlto Flrm Mutu.l Aulomobilo lnsurrflce Corprny, 2m8
lncludg. copyriohtod mltrill ol lnrur.nca Servicss offic0, lnc., with its permi!sion
530 080 ! ? 0t 31 20ll lolllzS?cl
92-GY-D812-0
ATTAC HII{ G IIiItAI{D MABIITE
ATTACHING INLA]IID MABINE SCHEDUTE PAGE
ENDORSEMENT
NUMBER
FE-8745
COVEBAGE
ln land Marine Computer Prop
Loss of lncome and Extra Expense
LIMIT OF
INSURANCE
DEDUCTIBLE
AI\4OUNT
ANNUAL
P RE I\4IU I\4
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY
O Copvrigh! Strta F.rm Muturl Automobile lnsursnc0 Compsny,2008
l0cludss cofyrighted mrtenal of lnrur!nc. S.rvic€s office, inc., with it! Dsrmission
s 500 Included
Included
I
$
25,000
25,000
Prepared
ocr 17 2022
FD-6007
030862
ll0 000 a ? 0l 31 ?0ll lott3zl3c,