2022/10/31 Western A/V, Inc. (25)StateFann STATE FARM GENENAL INSUFANCE COT'PANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?"fr 3ia93i! ?* z' o e s - s s r s
Addl lnsured-Sectlon ll Only
^r2 orrrn, ,rru'-'3'61 F8'FB8A F z
CITY OF I4EN I FEE
AND ITS OFFICERS, EIIPLOYEES,
AGENTS & AUTHORIZED VOLUTITEERS
?98qq HAUr{ RD
HENIFEE CA 9?546-6539
, rtllI lI il,lr,lt, r, rt,, t,lh llr,, r, t,llh l,l, rlh tr,I t[,llrl
Home Product Sales Policy
RENEWAL DECLAFATIONS
Policv Period'12 hilbnlhs
The polipy period btme anhe premtse
Elleclive Data Exoiration DabocT 31 2022 ocT 31 2023
3iins and ends at l2:01 am standardocaton.
Named lnsured
I{ESTERN A/V INC
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5
Aubmalic Renowal . lf the pollcy pedod is shown as 12 months . fris policy will be renewed automatically subject to ttre premiums, rules and
forms in effect for each sucbeeding policy period. ll fiis policy is terminated, we will give you and the Mortgageei Lienholder written notjce in
compliance wifi tre policy provisions or as required by law.
Entity: Corporation
NOTICE: lnformation concerning changes in your policy language is included. Please call your agent
if you have any questions.
POLICY PREMIUM
Discounts Applied:
Renewal Year
Years in Business
Enclosed Building
Protective Devices
Sprinkler
Claim Record
$ 13,201 .00
Prepared
AUG 18 2022
cMP-4000
012751 294 At
N
O Cogyriohl, Stlre F.rm Muu.lAutomobilo htur.nc0 Compsny,20(E
lnclude! coEyri0htsd mrterinlof lnsur!nce Sorvicsr offic€,lnc..wi$ it! pormi!sion
Continued on Reverse Side of Page Page 1 of 8
!
Policyl{umber 92-GY-D812{
Home Producl Sales PolicvPolicy Number 92-G
RENEWAL OECLARATIONS (CONTINUEO)
tor CITY OF MENIFEE
Y-D812-0
SECTIONI.PROPEHTYSCH DULE
Location
Number Location ol
DescribedPremises
Limit ot lnsurance'
Coveraoe A -
Bulldlngs
Llmit ol lnsurance'
Cov€raoe B -
Buslngss FersonalProperty
Seasonallncr€as€-
BusinessPersonal
Property
001
002
1592 N BATAVIA ST STE 2
oRANGE CA 92867-3s54
1590 N BATAVIA ST STE 4
oRANGE CA 92867-3534
No Coverage
No Coverage
$ 141,100
$ 140,900
25%
25./"
'Aso the effective teo spo icy, t e m t of lnsurance as s 0wn ncludes any increase in the tm t due to lnflat t0n overage
SECTION I . I FLATION COVERAGE INDE ES)
Cov A
Cov B
- lnflation Coverage lndex:
- Consumer Price lndex:
N/A
296.3
sEcrroN r -DEDUCTIBLES
Basic Deductible
Special Deductibles:
Money and Securities
$2,500
$250 Oata Compromise
O Copyri!hL St!t6 Form lVIut!rlAutomobile lnsurrnce Comp.ny,2008
lncludo! copyrioht€d mit6ri!l ol ln!urlnc0 Srrvico! office, |flc., with tts prrmis!ion
Continued on Next Page
$1 ,000
Prepared
AUG 18 2022
cMP-4000
012751 Page 2 of 8
n
ffi
Home Product Sales Pollcv
Pollcy Numb€r 92-G
Employee Dishonesty
Other deductibles may apply - refer to policy
RENEWAL DECLARATIONS (CONNNUED)
for CITY OF MENIFEE
Y-D812-0
$2so Equipmenl Breakdown $2,500
t+
SECTION I - EXTEN SIONS OF COVERAGE - LIMIT OF INSU RANCE . EACH DESCRIBED PFEM
The coveragos and corresponding limits shown below apply soparatoly toeach described premis€s shown in these
Declaration-s, unless indicited by-"S€e Schedule." ll a coverage do€s not have a corresponding llmit shown below,
but has "lncluded" indicated, please reler to that policy provlslon tor an explanation ol that coverage.
COVERAGE
Accounts Receivable
On Premises
Off Premises
Arson Reward
Back-Up Of Sewer Or Drain
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Brsakdown
Fire Departmsnt Servic€ Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteralion
Glass Expenses
lncreased Cost of Conslruction And Demolition Costs (applies only wh€n buildings are
insurgd on a rgplacemsnt cost basis)
Money And Securities (Ott Premisos)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
LIMIT OF
INSUBANCE
See Schedule
See Schedule
$s,000
Soe Schedule
lncluded
Coverage B Limit
25% of covered loss
lncluded
$2,500
$s,000
$10,000
lncluded
10%
See Schedule
See Schedule
$1,000
Prepared
AUG 18 2022
cMP-4000
O Copyrighl Strte Ftrm Mutu !l Automobil. ln!ur!nc€ Conplny, 2008
lnclude5 cogyri0htrd mrteriol ol lnsurrncr Sorvict! 0llic6, lnc., with it! p0rmission
Continued on Rev€rse Side ol Page012752 294
N
Page 3 of 8
StateFarm(-@
Home Product Sales PolicvPolicy Number 92-G
Valuable Papers And Flecords
On Premises
Off Premises
RENEWAL DECLARATIONS (CONTINUED)
'o]
CITY OF MENIFEEY-D812-0
Newly Acquir.( Busin€s-s Personal Property (appties only if this poticy provides
Coverage B - Business Personal Property)
Newly Acquir6d Or.Constructed Buibings (applies onty if this policy provides
Coverage A - Buildings)
Ordinance Or Law - Equipment Covgrage
Outdoor Propsrty
Personal Etfacts (applies only to lhose premises provided Coverage B - Business
Personal Property)
Personal Property Ofl Premises
Pollutant Clean Up And Removal
Preservation Of Property
Property.Of Othors (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
SECTION I .EXTENgONS OF E - LIMIT OF IN RANCE . SCHEDULE
The coverages and correspondlng limits shown below apply only to the describod premises as shown.
LOCATION
0001
0002
Prepared
AUG 18 2022
ctvtP-4000
012752
COVERAGE
O Copyflghl St6ts F!rm Mutusl Automobils lnsurnnce Company, 2008
lncludes copyrighted m6tori.l of lnsu16ncs Servio€! oflice, lnc.. with its pBrmtssion
Continued on Next page
LIMIT OF
INSURANCE
Signs
Back-Up Of Sew€r Or Drain
Money And Securities (On Premises)
Money And Securities (Ofl Premises)
Propsrty.Of Oth6rs (applies only to those premises provided Coverage B - BusinessPersonal Propsrty)
Accounts Receivabls (On Premises)
Accounts Rec€ivable (Off Premises)
Outdoor Property
Valuable Papers and Records (On Premises)Valuable Papers and Records (Olf Premises)
Accounts Receivable (On Premises)
$5,000
$15,000
$10,000
$5,000
$2,500
$10,000
$s,000
$s,000
$10.000
$5,000
$10,000
Page 4ol 8
StateFarm(-@
ffi
Home Product Salos PolicvPolicy Number 92-G
RENEWAL OECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-D812-0
8
e
Accounts Receivable (Off Premises)
Back-Up Of Sewer Or Drain
Money And Securities (Oll Premises)
Money And Securities (On Premises)
Outdoor Property
Property OI Others (applies only to those premises provided Coverage B - Business
Personal Propsrty)
Signs
Valuable Papers and Records (On Premises)
valuable Papers and Becords (Ofl Premises)
$5,000
$15.000
$5,000
$10,000
$5,ooo
$2,500
$s,000
$10,000
$5,000
SFCTION I - FXTFNSIONS OF COVERAGE - LIMIT OF INSU RANCF . PER POLICY
The coverages and correspondlng limits shown bolow are the mosl ws will pay regardless ot the number ol
describod premlses shown ln thes€ Oeclarallons.
COVERAGE
Data Compromise
Legal And Forensic lnformation Technology Review
Per Occurrence
Dependent Propgrly - Loss Of lncome
Employee Dishonesty
ldentity Restoration
O(her Expenses
Case Management Services
Per Occurrence
Lost Wages And Supervision Expenses
Utility lnterruption - Loss Of lncomo
Loss Ol lncoma And Extra Expense
O Copyri!ht Stlt€ F!rm Mutu!l Automobilo ln!ur.nco Comp!ny.2008
lncludss copyrightsd mltsri!l of lnsurrncs Servic0s offiE.. lnc., rYith ilt psrmission
Continued on Reverse Sido ol 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 Sustained - 12 Months
Prepared
AUG 18 2022
cMP-4000
012753 294
N
Page 5 of 8
D
Home Product Ssles PolicvPollcy Numb€r 92-G
RENEWAL DECLABATIONS (CONTINUED)
'or
CITY OF MENIFEE
Y-0812-0
SECTION II . LIABI ITY
COVERAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Premises Rented To You
AGGBEGATE LIMITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces lhe amounl of insurance we provide durinq the aoDlicableannual period. Please refer to Section ll - Liability in the Coverage Form and any attached endoidements
LIMIT OF
INSURANCE
$2,000,000
$5,000
$500,000
LIMIT OF
INSUBANCE
$4,000,000
$4.000,000
Your policy consists of these Dsclarations, 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 ol this policy.
FOHMS AN ENDOBSEMENTS
cMP-4101
FE-6999.3
cMP-4260.1
cMP-4261
cMP-4705.2
cMP-4710
cMP-4709
ct\4P-4698
cMP-4704.1
cMP-4703.1
cMP-4786.1
cMP-461 0
cMP-4746.1
Businessowners Coverage Form.Terrorism lnsurance Cov Notice
Amendatory Endorsement-CA
Amendatory Endorsement
Loss of Income & Extra Expense
Employee Dishonesty
Money and Securities
Back-Up oI Sewer or Drain
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
Addl lnsd Owners Lessee Sched
General Agg Limit Per Proj
Hired Auto Liability
Prepared
AUG 18 2022
cMP-4000
012753
O Copyrioht, Stits F6rm M utu a I Automobile lnrur.nc€ Comp.ry, 2009
lnclud€s copyrightod matori!l of lnsur!nc6 S6rvicss offics, lnc., with its permission
Continued on Next Page Page 6 of 8
lt
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RENEWAL DECLARATIONS (CONTINUED)
'o.
CITY OF MENIFEE
Y-D812-0
e
3
Home Product Seles Policv
Policy Numb€r 92-G
cMP-4990.1
cMP-4994
cMP-4787
cMP-4875
cMP-4793.1
cMP-4788.1
FD-6007
ldentity Restoration Coverage
Data Compromise
Waiver of Trans Rgt of Recov
Loss Payable
Al State Political Perm Prem
Addl lnsd Mgrs Lessor of Prem
lnland Marine Attach Dec* New Form Attached
!
This policy is issued by the State Farm General lnsurance Company.
Parlicipating Policy
You ar6 enull€d lo partcipate in a distribulion of the earnings ol lh6 company as determined by our Board of Diroctors in
accordance with the Company's Articles of lnoorporation, as amended.
ln Wtness Whereof, the State Farm General lnsurance Company has caused this policy to be signed by its Prosident and
Secrotary at Bloomington, lllinois
ff7"^.nlp*t -
socr€tary
-{/,*tu b,h
President
IMPOBTANT NOTICE:
Calfoml! hw trqulrcg us to p]ovld€ you whh lnlormatlon tor lllln0 comphlr s whh the Stato lnsuronce D,epartmont reg€rdlng tlE
covs169! snd aolvlco prcvklsd under this policy.
Your rgeri'! nrmo and cgntlct lnfomation are provlded on tlE llor ol lhL docume . Another option i3lo rrrch oul by
mallor phon dl?oclly lo:
Stste FarrP Exscutlve Cuctomsr ssryice
PO Box 2320
Bloomlnglon lL 61702
Phone, l€OO-STATEFARII (1 -80G782-8$2)
Depo]lnent ot lnrurance complaintr should be llled only €lbr you rnd Slltr F.m or your Bgerlt or olher comprny
roplosort.tlve h.vo l.ned lo rpich o satisloclory ag,semsm on o pobhm.
Calilomia OopErullent of lnqrrsnce
Conrumer 80rylo€! Olvlslon
300 Soulh Sprlru Sueet
Loq Ang.h!, CA e0013
Phone f 1300-927-HELP (/857) or vbil ;rwjnlursncr,cq.oov/o1-cor msrs
Prepared
AUG 18 2022
cMP-4000
012754 294
N
Page 7 of 8
StateFarm
@ Copyrighl Stlls Flrm Mutual Adomobih l0tur!0c0 Comprny, 2008
lncludss copyriohtsd m!t.ri.l of lnlurunc! Scrvicot 0fficr, lnc., widr its permitsion
continued on Reverse Sid6 of Page
Hom6 Product Sales PolicvPolicy Number 92-G
RENEWAL DECLARATIONS (CONTINUED)
tor CITY OF MENIFEE
Y-D812-O
NOTICE TO POLICYHOU)ER:
For a comprehensive description ol coverages and forms, please reler to your policy.
Policy changes requested belore the 'Date Prepared", which appear on this notice, are affective on the Renewal Date
of this policy unlsss oSrsrwise indicaled.by a separate-endorsement, binder, or amendad declarations. Any coy€rage
forms attached to this notic€ are also gflective on he Flenewal Date of this policy.
Policy changes requ€sted aft6r lhe "Date Prepared" will bs senl to you as an amended declaratjons or as anendorsement to your policy. Billing lor any addilional premium for such changes will be mailed al a laler date.
ll, during he past year, youle acquired any valuable property items, made any improvements to insured property,
or have any questions about your insurance coverage, contiact your State Farm agent.
Please keep this with your policy.
Prepared
AUG 18 2022
cMP-4000
012754 2
N
@ Copyrigh! Stoto Frrm Muturl AutomobrlB lnsurrncr Company.2008
lncludor copyrighted m6t€ri!l ol ln!ur!nc€ Servicas otfics, lnc., with [s pBrmssion
Page 8 ol I
StateFarm(D@
STATE FARM GENERAL INSUFANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES 4N BLOOUINGTON, ILLINOIS
E?"R31,!3fr:?1 75085-3925
Named lnsured
l\l|-23-61 F8-FB8A F Z
UESTERN A/V INC
INLANO MABINE ATTACHING DECLARATIONS
Policy umber 92-GY-D812-0
Policv Perlod Elleclive Date ExDiralion Datt
12 Mbnths OCT 31 2022 OCT 31 2023
Ihe policy period begins and ends at l2 01 am standardtme at the premrses locaton.
ffi&
88
3
ATTACHING INLAND MARINE
Automatic Renewsl . lf the policy period is shown as 12 months , tfris policy will be renewed automatically subjectto the premiums. rules and
forms in effectfor each sucieedin! policy period. lf tris policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
compliance wtfr the policy provisions or as required by law
Annual Policy Premium lncluded
The above Premium Amount is included in *re Policy Premium shown on tle Declarations.
Your policy consists of these Declarations, tre INLAND IVIARINE C 0NDlTl0NS shown below, and any ofrer forms and end orsements that
apply, inclirding $ose shown below as well as $ose issued subsequent to the issuance of $is policy.
Forms, 0plions, and EndorEoments
FE-8739
F E-6271
FE-8745
lnland lvlarine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
See Reverse for Schedule Page wi$ Limis
Prepared
AUG 18 2022
FD-6007
012755
@ Copyright Slite F.rm l\rutual Automobile ln!ur!nce Company,20(E
lncludos copyrightod mrt6ri!lol ln.urance Sorvic6. olfice, lnc., with its pormisrion
t30 A0Ea2 0511?011 lolt323?(
92-GY-D812-0
ATTACHIT{G INLA D MARINE
ATTACHING INTANO MARilIE SGI{EOUTE PAGE
ENDORSEMENT
NUMBER
FE-8745
COVERAGE
lnland Marine Computer Prop
Loss of lncome and Extra Expense
Lil\4tT 0F
INSURANCE
DEDUCTIBLE
AMOUNT
ANNUAL
PBEM IUM
$
$
25,000
25,000
s 500 Included
Included
Prepared
AUG 18 2022
FD-6007
012755
oTHER LtMtTS AND EXCLUST0NS MAy Apply _ REFER T0 y0UR p0LtCy _
O Copyri0hl St!ts t!rm Mutu.l Automobtl€ lnr!r6nos Cornp!ny,2OO8
lnclud0s copyrioht8d mitoriol of lnsur!nce Ssrvicss OfficE, lflo, with its p0rmission.
t30 6E6!2 05 312011 loll3233cl