2023/02/19 Arguin, Angela & Watson, CalebStateFarm STATE FAFI' GENERAL INSURANCE COiIPA}IY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
Po Box 2915Blooninglon lL 6 t 7 02-29 1 5
Addl lnsured-Sectlon ll Only
AT2 M.23.163A-FA41 F Z001589 3125CITY OF E}IIFEE, ITS OFFICER,OFFICIALS, EI{PLOYEES,
DESIGNATED VOLUNTEERS, ANI)
AGEI{TS29844 HAUI{ RD
t'tEN I FEE CA 92586-6559
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Animal Care Services Policy
RENEWAL DECLABANONS
PolicyNumber 92-GJ-T657-5
Policv Period Ellpctivo Dale Exoiration Dale
12 Mbnths FEB 19 2023 FEB 19 2024
Ihe polipy penod begins and ends at 12:01 am standardtme at the premlses loca!0n.
Named lnsured
ARGUIN, ANGELA &
I{ATSON, CALEE
!(-oo
H*
P
E
Aubmrlic Rrnewal - lf the pollcy pedod is shown as 12 monthe , fris policy will be renewed automatically subiectto $e premiums, rules and
Iorms in effect for each sucieedinl policy period. lf fris policy is terminated, we will give you and $e Mortgagee/Lienholder written notice in
compliance wi$ the policy provisions or as required by law
Entity: lndividual
NOTICE: lnformation concerning changes in your policy language is included. Please call your agent
if you have any questions.
POLICY PREIVIIUM
Discounts Applied:
Renewal Year
Years in Business
Protective Devices
Claim Record
$ 684.00
Prepared
DEC 07 2022
cMP-4000
O CoEyrioht St.b F.rm Mutu!l futomobil6 lnsurlncr Comprny, 20(E
lncludos copyriohtod mltorirl ol lnsur.ocs S6rvicos offics, 10c., widt i$ psrds!ion
Continued on Reverse Side ol Page Page 1o, 7
i30 ili r.2 (}li 3l ?0!l lot8?llc
011058 294
N
RENEWAL DECLABATIONS (CONTINUED)
Animal.Car6 Se.vices Pollgy fol QITY OF MEN|FEE, tTS OFF|CEB,Policy Number g2-cJ-T657-5
SECTION I . PBOP RTY SCHEDULE
Locatlon
Number Location olDsscribsdPremisos
Limit of lnsurance*
Coverade A -
Buildi'ngs
Limit ol lnsurance'
Coveraoe B -Business FersonalProperty
Seasonal
lncreaso-
Business
PersonalProperty
001 28989 MORNINGSIDE LN
N,|EN |FEE C A 92584-7 469
No Coverage $ 12,000 25%
-AS of the effective teoft spo , the Limit of lnsurance as s own include s any increase in the mtt due to lnf
SECTION I . I FLATION COVEHAGE INDE ES)
a n Coverage.
Cov A - lnflation Coverage lndex:
Cov B - Consumer Prico lndexi
N/A
298.0
SECTION I . D DUCTIBLES
Basic Oeductiblo
Speclal Oeductlblos:
Money and Securities
Employee Dishonesty
$1,ooo
Other deductibles may apply - refer to policy.
$250
$2so
Accidental lnjury to Animals
Equipment Breakdown
$100
$1,000
Prepared
DEC 07 202?
cMP-4000
0l1058
O CopyriCh! St6ts F!rm Mutunl Automobile lnsuranco Comprny, 2008
lncludss copyrighted mot0ri6l of lnsu16nc0 Ssrvic0s officB, lnc., wth irs Dsrnirslon
Continued on Next Page Page 2ol 7
StateFarm6)oo
ffi
Animar care servrces porrcv ro, criElil::,::::fi'::'::
(coNrrNUED)
Pollcy Number 92-G.J-T657-5
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE. EACH DESCBIBEO REMISES
ti
38 The coverages and correspondlng limits shown below apply separatoly to each descrlb€d premlsos shown in theseA Declarations, unless indicalod by "Se€ Schedule." lt a coverago does not have a correspondlng llmit shown below,H but has "lncluded" indicatod, pleaso.efer to that policy p.ovision lor an explanation of that covorage.
COVERAGE
Accidental ln.iury To Animals
Per Occurrence
Per Animal
Accounts Receivable
On Premises
Off Premises
Arson Reward
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debrls Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Systems Recharge Expense
Forgery Or Alteralion
Glass Expenses
lncreased Cost O, Construction And Demolition Costs (applies only when buildings are
insured on a replacemenl cost basis)
Money And Securitios (Ofl Plomisos)
Money And Securities (On Pr€misss)
Money Orders And Counterleit Money
Newly Acquired Business Personal Property (applies only it this policy provides
Coverage B - Business Personal Property)
$10,000
$s,000
$5,000
lncluded
Coverage B Limit
25% of covered loss
lncluded
$2,500
$5,000
$10,000
lncluded
10/"
LIMIT OF
INSUBANCE
$10,000
$1,000
$5,000
$10,000
$1,000
$100,000
Prepared
DEC 07 2022
cMP-4000
011059 294
N
O Copyrioh! Stats tarm lvlutualAutomobilE ln3ur!nco Comp!ny,2008
lncludss copylightod mrt€rial of Insurrnoe SgrvicEs offics, lnc., with its psrmission
Continued on Reverse Side of Page Page 3 of 7
RENEWAL DECLARATIONS (CONTINUED)
Anlmal Caro S€rvices Policy for CITY OF MENIFEE, ITS OFFICER,Pollcy umber 92-GJ-T6L7-5
Newly Acquired Or Constructsd Buildings (applies only if this policy provides
Corerage A - Buildings)
Ordinance Or Law - Equipmenl Coverage
Ouldoor Property
Personal Elfects (applies only to those premises provided Coverage B - Business
Personal Property)
Pergonal Property Olf Premises
Pollutant Clean Up And Removal
PresaNatjon Of Property
Property O, Others (applies only to those premises provided Coverage B - Businsss
Personal Property)
Signs
Spcilage (applies only to those premises provided Coverage B - Business Personal
Property)
Exp€diting Expenses
On Pr€mises
Ofl Premises
Valuable Papers And Becords
On Premises
Oll Premises
$250.000
lncluded
$s,ooo
$2,500
$15,000
$10,000
30 Days
$2,500
$2,500
$1
$s
$s
000
000
000
$10,000
$5,ooo
SECTION I. EXTE SIONS OF COVERAGE - LIMIT OF INS RANCE . PEF POLICY
The coyeragos and correspondlng limits shown below are the most we will pay regardless of the number otd,sctlbed premises shown in these Declarations.
COVEHAGE
Employee Dishonesty
Loss Ol lncome And Extra Expense
O Copyri0ht, Sl6t6 Farm Nlutual Aubmobtlo lnsurlnc6 Compnny,2008
lncludEs oopyrightod matorial of lnsuronc€ Sorvic63 office. lnc., with its pormission
Continued on Next Page
LIMIT OF
INSURANCE
$1o,ooo
Actual Loss Sustained - 'l2 Nronths
Prepared
oEco7 2022
cMP-4000
0t ro59 Page 4 of 7
StaleFarm
*
F-itl:rlfr
RENEWAL DECLARATIONS (CONTINUEO)
Anlmal Care Servlces Policy for CITY OF MENIFEE, ITS OFFICER,
Policy Number 92-G!-T657-5
SECTION II - LIABILITY
I8
COVEFAGE
Coverage L - Business Liability
Coverage M - Medical Expenses (Any One Person)
Damage To Promises Rented To You
AGGFEGATE LITIITS
Products/Completed Operations Aggregate
General Aggregate
LIMIT OF
INSURANCE
$2.000.000
$s,000
$300,000
LIMIT OF
INSURANCE
$4,000.000
$4,000,000
Each paid claim lor Lrability Coverage reduces the amount of insurance we provide during the applicable
annual period. Please refer to Section ll - Liability in the Coverage Form and any attached endorsements.
Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and'endorsements that apply, including those shown below as well as those issued subsequent to the
issuance of this policy.
FOFMS AND ENDOBSEME
cMP-4101
FE-6999.3
cMP-4824.1
cMP-4260.1
cMP -4705.2
cMP-4710
cMP-4709
cMP-4471
cMP-4261
cMP-4786.1
cMP-47A7
FD-6007
Businesso\rners Coverage Form
'Terrorism lnsurance Cov Notice
Accidental lniury to Animals
Amendatory Endorsement-CA
Loss of lncome & Extra Expense
Employee Dishonesty
Money and S€curities
Spoilage Coverage
Amendatory Endorsement
Addl lnsd Orvners Lessee Sched
Waiver of Trans Rgt of Recov
lnland Marine Anach Dec
' New Form Attached
Prepared
DEC 07 2022
cMP-4000
O Copyrigh! St6ts Frrm MuturlAutomobilB lnsur!no€ Comprny, 20{B
lnclud0s copyrightod m.t€rial of ln!urance Servicss offico, lnc., wifi its Fermission
Continued on Reverse Side of Page011060 294
N
Page 5 of 7
!
FENEWAL DECLARATIONS (CONTINUED)
Animal Care Servlces Pollcy ,or CITY OF MENIFEE, tTS OFFICEH,Policy Number g2-G:J-T657-5
This policy is issued by tre State Farm General lnsurance Company.
Participating Policy
You ar€ entitled to participato in a distribution of the earnings of the company as determlned by our Board of Directors inaccordanoe with tre Company's Articles ol lncorporalion, as amended.
In Wtness Wtereof, he Stale Farm General lnsurance Company has caused this policy to be signed by its president andSecretary at Bloomington, lllinois.
ff *,ml4""tt
secretary
-il-r," Mq
Prasident
IMPOBTANT NOTICE:
Callromlo l6w rcqlllBt ua.to provide you w-hh lnlormatlon lor llllng cornplalfig whh the State lnsurance Dspartment regardlng tlEcover{go rnd servic! provir.d undar thi8 policy.
Your agslll's nsme lnd contact intormdlon are plovlded on the lro ol lhis documed. AnottEr option is to reach out bymqilor phooe dircCly to;
State FrmP Ereclnlva Customct gctyloe
PO Box 2320
Bloominglon lL 817C2
Phone # 1{oO-STATEFABI (t -80G782-E3lr2)
Deparment o, lnrurlros complalntr should be liled only alter you and State Fam or yqur agsnt or other comparryropro$fttfu! hav6lrlod lo rreclr ! tatlslEclory Egroement on r probbm.
CElifomi! Departnent o, lnalranoa
Consumer SerYlca3 Dlvlrlon
300 Eouth Sp{lno 8re€t
Los Angolss, CA 9ool3
Phooe t l€00-927-HELP (4it57) or vbit wrw.in8ul8nc€.ca.qoy/ol-corE(mera
Prepared
DEC 07 20??
cMP-4000
01 1060
O Copyrigh! Stnte Farm l\4utual Automobil€ lnsurancB Comtj!ny,2O0g
lncludss copyriohted m6t€rirl o[ lnsur!ncB ServicBs office, lnc., with its pErmission
Continued on Next Page Page 6 ol 7
StateFarm !&
ffi
RENEWAL DECLARATIONS (CONTINUED)
Animal Care Servlces Policy tor CITY OF MENIFEE, ITS OFFICER,
Policy Number 92-G,,.T657-5
I{OTICE TO PC'LICYIIOLOER:
For a comprehensive description ol mverages and forms, please reler to your policy.
Policy changes requesled before the 'Dale Prepared", which appear on this notice, are etfeolive on the Renewal Date
of this policy unless ohenvise indicated by a separatre endorsement, binder, or amended declarations. Any coverage
forms attached to lhis notice are also elfectve on the Benewal Date of this policy.
Policy changes requ6sl6d afler lhe "Dat€ Prepar6d'' will be s€nt to you as an amonded declarations or as an
endorsement to your policy. Billing lor any addilional premiu m for such changes will be mailed al a laler date.
ll, during the past year, youVe acquired any valuable property items, made any improvements to insured property,
or have any questions about your insurance coverage, contact your State Farm agent.
Please keep this with your policy.
e
3
Prepared
DEC 07 2022
Cl\ilP-4000
011061 294
N
C Copyrioh! Stri8 F.rn Mutunl Automobile lnsurrnco Company, 2m
lnclud€s copyri0htsd m.t0ri.l of lnsurrnco S6rvices oflice, lnc., wth ti pormt!sion
Page 7 ol 7
StateFarm STATE FARM GENEFAL INSURAT'CE COUPANY
A STOCK COMPANY WITH HOUE OFFICES IN BLOOMINGTON, ILLINOIS
Po Box 2915Blooninolon lL 6l 702-29 1 5
Named lnsured
M-23-163A-FA41 F Z
ARGUIN, ANGELA &
WATSON, CA LEB
ATTACHING INLAND MARINE
INLAND MARINE ATTACHING DECLARATION*I
PolicyNumber 92GJ-T657-5
Policv Period Elleclive Dale Erointion Date
1 2 Mbnrhs FEB 19 2023 F€B 19 2024
Ihe pohpy period begins and ends at 12:01 am standardtme at the premlses loca00n
ffi
8
Aubmrtic Rcnewal - lf tre policy pedod is shown as 12 months . t'ris policy will be renewed automatically subiect to tte premiums, rules and
lorms in effectfor each sueceeding policy period. lf tris policy is terminated, we will give you and fte Mortgagee/Lienholder written notice in
compliance wifi fie policy provisions or as required by law.
Annual Policy Premium lncluded
The a bove Premium Amount is included in $e Policy Premium shown on fie Declaralions
Your policy consists of these Declarations, tre INLAND MARINE C0NDITI0NS shown below, and any ofrer forms and endorsemenB that
apply, including trose shown below as well as fiose issued subsequent to the issuance of $is policy.
Forms, 0plions, and Endorssmons
FE-8739
FE-6271
FE-8745
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
Prepared
DEC 07 2022
FD-6007
01r062
O Copyright St.to Flrm Mutuil Automobils lnsurrncs Comp!ny, 2008
lncludss copyriohted m.tgri.l of lnsur!nc! Sorvico3 0lfic0, lnc., wi$ it6 permilsion
tlo lllr 2 D5 31 20ll loll?:r2c
(D@
See Reverse for Schedule Page wifi Limis
92-GJ-T657-s
ATTAC HII'IG I?iTAI{D MARIT{E
ATTACHING INIAND MABINE SCHEDULE PAGE
ENOORSEMENI
NUI\4BER
FE-8745
COVERAGE
lnland Marine Computer Prop
Loss ol lncome and Extra Expense
LIMIT OF
INSUBANCE
DEDUCTIBLE
AMOUNT
ANNUAL
P RF IVI IIJ IV
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUB POLICY
O Copyrigh! Stats F!rm Mutu6l AutomobilB lnsursnco Cornp6ny,2008
lnclud6s copynghtod msteri!l of lnsu16noe Servicss ofico, lnc , wrth rts orrmission.
$ 500 Included
Included
s
$
25,000
25,000
Pr epar ed
DEC 07 2022
FD-6007
01 1062
5X0 6i6r, 05ll ?trll loll3z}Jcr