2023/02/04 Craig, Gary DBA Bob & Gary'sSTATE FARM GENEFAL INSURAT{CE COiTPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILUNAIS
E?o1fr i nlslJi L e, z o r. r s, s
Addl lnsured.section ll only
^72 oo1,4u 3r2uM-"-39c9-FAC7 F N
CITY OF IIEN I FEE
29 714 HAUN RDsuN CITY CA 925A6-6540
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Distribulors Policy
RENEWAL OECLARATIONS
Policyllombor 90-EH-U284-6
Policv Period Ethctivo Oata Exoiralion 08b
12 Mbnrhs FE342023 FEB 4 2024
The oolicv oeriod beoins and ends at l2 01 am standard
tjme'at $b prem ise s To c aton.
Named lnsuredCRAIG, GARY
DBA BOB & GARY I S
(Doo
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Aubmatic Renawal - lf the policy period is shown as 12 monlhs , this policy will be renewed automatically subject to the premiums, rules and
forms in effect for each sucieedl-nb policy period. lf fiis policy is terminated, we will give you and the Mortgagee/Lienholder written notice in
c0mpliance witr dre policy provisions or as req uired by law
Entity: lndividual
NOTICE: Information 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
Claim Record
$ 86s.00
Prepared
NOV 222022
cMP-4000
007359 294 Ar
N
O Copyrigh! Stcts F!rm Mutual Automobils lnlurlncs ComplnY, 2m8
lflclud€s copyri0htsd matorirl of lns0r!nco servic6s offic8, lnc., with it6 pormis!ion
Continued on Reverse Side of Page Page 1 of 7
tlo 686.2 05 31 20ll lolr3zllc
StateFarm !
BENEWAL DECLARATIONS (CONTINUED)
Olstribulors Policv tor CITY OF MENIFEEPollcy Number 90-EH-U28+6
SECTION I.OPEBTY SCHEDULE
LocationNumb6t Location oloescribedPremlses
Limit ol lnsurance'
Coveraoe A -
Bulldfngs
Llmil ot Insurance*
Coveraoe B -
Business Fersonal
Proporly
Seasonal
lncrease-
Business
Personal
Property
001 39610 IVIEDINA CT
MURRIETA CA 92562.4514 No Coverage $ 6,300 25%
'As of the ctrve date of this po cy, the Limit o Insurance as own includes any increase mit due to I tion ragen
SECTION I FLATION COVERAG EI]TDEX(ES)
Cov A - lnllation Coveraoe lndex:
Cov B - Consumer Pricdlndex:
N/A
298.0
SECTION I .DEOUCTIBLES
Basic Oeductlble
Spcclal Doductlbles:
Money and Securities
Equipment Breakdown
$1,000
$2so
$1,000
Employee Dishonesty $250
Olher deductibles may apply - refer to policy
Pregared
NOV 22 2022
cMP-4000
007359
O Copyri!ht St6te t.rm fulutu!l Automobile ln!ur!nce Cornp!ny,2O()8
lncludis cogyrighted m.teri.l of lnsur!nce S0rvicrs Office, lnc., with its p0rmisrion
Continued on Next Page Page zot 7
StateFarm(D@
tii!Y+tji+t
RENEWAL DECLARATIONS (CONTINUED)
Oistributors Policv for CITY OF UENIFEEPollcy Numbor 9O-EH-U284-6
SECTION I - EXTENSIONS OF COVEBAGE - LIMIT OF INSU RANCE - EACH OESCBIBEO PREMISE
!
I8 The coveragos and corr€sponding limits shown below apply separatoly to each desctlbod pr€mlses.shown in these
? DeclarationE, unless indicitod by-"See Schodule." lla cbverage does not havg a.corospondlng limlt shown below,H Uut has "lncludod" lndicatod, please refer to that policy provision lor an explanation ot that coverage.
LIMIT OF
INSUBANCECOVERAGE
Accounts Receivable
On Premises
Orl Premises
Arson Reward
Brands And Labels
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Departmenl Service Charge
Fire Extinguishsr Systems Recharge Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Of Construction And D€molition Costs (applies only when buildings are
insured on a replacement cost basis)
Money And Securitiss (Olf Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
Newly Acquired Business Personal Property (applies only it this policy provides
Coverage B - Business Porsonal Property)
Newly Acquired Or Constructed Buildings (applies only il this policy providos
Coverage A - Buildings)
Prepared
NOV 22 2022
cMP-4000
910,000
$5,000
$s,000
$25,000
lncluded
Coverage B Limit
25olo of covered loss
lncluded
$2,500
$s,000
$10,000
lncluded
100/o
O Copyrioht Stlts trrm Mutu!l Altomobil0 lnturtnco Comptny,2m0
lficludes copvrilhtsd mltori!l of lnturrnco ssrvic€s offic6, lnc., l'lith ib psrmirtion
Continued on Reverse Side of Page
$250,000
007360 294
N
Page 3 of 7
$s,ooo
$10,000
$1,000
$100,000
HENEWAL DECLABATIONS (CONTINUED)
Distributors Policv tor CITY OF MENTFEEPolicy Number 9O-EH-U28+6
Ordinance Or Law - Equipment Coverage
Outdoor Properly
Personal Ettects (applies only to those premises provided Coverage B - BusinessPersonal Property)
Personal Property Of, Premises
Pollutant Clean Up And Bemoval
Preservation Of Prop€rty
Propsrty.Of Otherg (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Valuable Papsrs And Records
On Premises
Ofl Premises
lncluded
$s,ooo
$2,500
$15,000
$10,000
30 Days
$2,500
$2,500
s10,000
$5,000
Iltg-c_.o-velag€s ?nd correspondlng llmits shor,vn below are the most we will pay rogardless o, the number o,described premases shown ln th6s€ Declarations.
COVERAGE
Dependent Property - Loss Of lncome
Employee Dishonesty
Utility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
@ Copyri0hl Stlls F6rm lvlut!sl Automobal€ lnruroncs Company,2O0o
lncludss cogyrlghted mitErialof lnsuranco Ssrvic0s officE, lnc., with its pormission
Continued on Next page
LIMIT OF
INSURANCE
$10,000
$10,000
910,000
Actual Loss Sustained - '12 l\,lonths
Prepared
NOV 22 2022
cMP-4000
007360 Page 4 ol 7
I
I
StateFarm(-@
t5-'uiffi+
RENEWAL DECLAHATIONS (CONTINUED)
Oistributors Policv tor CITY OF MENIFEEPolicy Numb€r ' 90-EH-U284-6
SECTION II . LIABILITY
!
c
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 Liabilily 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
LIMIT OF
INSURANCE
$2,000,000
$5,000
$300,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Your policy consists of these D€clarations, the BUSINESSOWNEBS 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.
FORMS AND ENOOBSEMENTS
cMP-4101
FE-6999.3
cMP-4825
cMP-4260.1
cMP-4705.2
cMP-4710
cMP-4709
cMP-4704.1
cMP-4703.1
cMP-4261
cMP-4786.1
cMP-4860.1
FD-6007
Prepared
NOV 22 2022
CtvlP-4000
O Copyright Stlte tirm Mulurl Aulomobil8 lnrur!nc€ Compnny,2008
lnclud€s copynohted materi6l of lnsu.!nc€ SErvicss offica. lnc., with its psrmission
Continued on Reverse Side of Page007361 294
N
Page 5 of 7
Businessowners Coverage Form
'Terrorism lnsurance Cov Notice
Brands and Labels
Amendatory Endorsement-CA
Loss of lncome & Extra Expense
Employee Dishonosty
Money and Securities
Dependent Prop Loss of lncome
Utility lnterruption Loss lncm
Amendatory Endorsement
Addl lnsd Owners Lessee Sched
Al Design Person Org
lnland Marine Attach Dec
BENEWAL DECLARATIONS (CONTINUEO)
Oistrlbutors Policv lor CITY OF MENIFEEPoucy Number 90-EH-U284-6
' New Form Attached
This polioy is issued by the State Farm General lnsurance Company.
Participating Policy
You are enlited to participat€ in a dlstribution of th€ €arnings of the company as detormined by our Board of Directors in
accordance with the Company's Artioles of lncorporation, as amended.
ln Wh6s6 Whereof, the State Farm
Socretary al Bloomington, lllinois.
General lnsurance Company has caused this policy to be signed by its President and
SU,, -nlp"t
Secrotary
-{/,-,rr- b/q
President
IMPOFTANT NOTICE:
C6lloml€ hw requlrcs us.to plovlde you wth lnloma on for llllng complalr g wlth the State lnsurance Department regardlng thecovrrago and seftic6 provkled under thi! policy.
Youl agent'a name and cori.ct hdomatlon 8re provided on the lrollt ol thlg documem, Another optlon l! lo reach out bymall or phono directly to:
gltia Frrmo Exequtiye Curromor S€rvico
PO Box 23m
Bloomlngron lL 61702
Phone t l€oo-STATEFARII (l-80G782-8332)
OEpr mont ol lnsursnce comphlnts Bhould be llled only attsr you and State Farm ol your sgBnt or olher companyropreEntatfuo hsve hllgd to lDaeh r lotlslsqtory Egreement on. ploblgm,
C€lromiE DepErtment ot lnnrrlncc
ConrEner Servlces Dlvlslrn
3()0 Soulh Sprlru 9lre€t
Loc Angeles, CA 90013
Phont * 1{o0-927-HELP (rt357) or vbil www.insurance,ca.qov/o1-consunera
Prepated
NOV 222022
cMP-4000
00736t
@ Copyri!h! Stato F0rm lvlutu.l AutomobilE lnsur!nc8 Comp!ny, 2008
lncludsr copyrightBd m!t6rial of lnsur!ncB SBrvices officE, lnc., with its p€rmislion
Continued on Next Page Page 6 of 7
StateFann&
It+
RENEWAL DECLARATIONS (CONTINUED)
Dist.ibutors Pollcv for CITY OF UENIFEEPolicy Number 90-EH-U28&6
]{OTICE TO POLICYTIOU)ER :
For a comprehensive description of ooverages and forms, please reler to your polhy.
Policy changes requesled before the "Dale Prepared", which appear on lhis notice, are effective on the Renewal Date
of this policy unless otherwise indi:ated by a separate endorsement, binder, or arn€ndsd declalations. Any cov€rage
lorms attached to this notice are also eflective on he Renewal Date ol this policy.
Policy changes requ€sled atlerlh€'Dat€ Propared" will be s6nl to you as an amonded declarations oras an
endorsement to your policy. Billing lor any addilional premium lor such changes will ba mailed at a laler date.
ll, during the past year, youle acquired any valuable property items, made any improvern€nts to insured prop€rty,
or have any questions about your insuranc€ covarage, contact your State Farm agenL
Please keep this with your policy.
I
s
Prepared
NOV 22 2022
ct\4P-4000
O Copvri0h! St6to F.rm Mutual Automobils lnsuraore Comp!ny.2008
lncludes coDvri0hted matorial of lnsur0ncE S€ryicsr ofiicB, lnc., with its p€rmi!siofl.
007362 294
N
Page 7 ol 7
StateFann STATE FAFi' GENEBAL I{ST,BANCE CO PANY
A STOCK COMPANY WIII| HoliE OFFICES IN BLOOMINGTON, ILaINOIS
E?Egt,?nIJ i, t u,, o r. r t, u
Named lnsured
M-12-39C9-FAC7 F N
CRAIG, GARY
DBA BOB & GARY'S
ATTACHING INLAND MARINE
INLAND MABINE ATTACHING O'"'O'O''O*J
Policyltlumber 90-EH-U284-o
Policv Period Ellcclive Date Exoiralion Dab
12 Mbnths FEg42023 FEB 4 2024
Ihe polipy period begins qnd ends at '12.01 am standardtme at the premlses Iocaton.
&
&&
E
I
Aubmalic Renewal . lf dre policy pedod is shown as 12 months , this policy will be renewed automatically subiectto the premiums, rules and
forms rn eflect for each sucieedini policy period. lf tris policy is terminated, we will give you and dre Mortgagee/Lienholder written notice in
compliance witr tre policy provisions or as required by law
Annual Policy Premium $ 276.00
The above Premium Amountis included in tre Policy Premium shown on $e Declaradons
Your pohcy consists of trese Declarations, dre INLAND MARINE C 0NDlTl0NS shown below, and any ot'ter forms and endorsements ttat
apply, inclirdinq fiose shown below as wellas $ose issued subsequentto the issuance ofthis policy.
Foms, 0ptions, and Endorsaments
FE-8739
FE-6271
rE-87 45
FE-8761
See Reverse for Schedule Page wifi Limis
Prepared
NOV 22 2022
FD-6007
007363
530 6!6 i ? ot 31 20ll lol,32!2c
lnland Marine Conditions
Amendatory Endorsement
lnland Marine Computer Prop
lvlotor Truck Cargo Form
O Copyri0h! Stlte Flrm Mutunl Aulomobilo lniurince Compiny, 2m8
lnclud6s copyrioht.d mltori!l of lnsurancB S6rvices oftica, lnc , with it! pormis.ion.
90-Ell-u284-6
AfiACHI]IO ItItAND MAR ItIE
ATTACHING INLAND MARINE SCHEOUTE PAGE
ENOORSEMENI
NUMBEB COVERAGE
Lt[/tT 0F
INSURANC E
DEDUCTIBLE
AMOUNT
ANNUAL
PBEM lU l\il
FE-8745 lnland Marine Computer Prop $
Loss ol lncome and Exlra Exoense SFE-8761 MotorTruck Cargo Form See
DESCRIPTION OF CARGO: FBUIT
CARGO LIMIT FOR VEHICLE: $15,OOO
BAOIUS OF OPERATION: 50 MILES
VEHICLE YEAR, IIAKE, MODEL: 2017 HINO 195 HYBBTD BOXVIN NUMBER: JHHSPM2H7HK001 884
25,000
25,000Below
$ 500
s 1,000
IncludedIncluded$ 276.00
Pregared
NOV 222022
FD-6007
007363
OTHER LIMITS AND EXCLUSIONS MAY APPLY, REFER
O Copyri0h! St.t6 t!rm Muturl Automobilo lnsur.nco Cofiprny, 2OO8
lncludss copyriohtod mit.ri.l of lnsutinco Ssrvic0s officE, lnc.. with it! p€rmi3sion.
t30 086 ! ? 05 31 20ll rolll2s3cr