2023/01/01 Santolucito Dore Group, Inc. (7)StateFarm STATE FARM GENERAL INSURANCE COMPANY
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
E?oEPi,&?Ji ,t a, ror"zs, s
Addl lnsursd-Secllon ll Only
M-23-372C-FA71 F U002477 3123CITY OF IIEN I FEE29716 HAUI{ RI)
t{EN r FEE CA 92586-55q0
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DECLABATIONS AMENDED OCT 2] 2022
Policyilumber 92-ES-R381-4
Policv Period Elleclivs Dale Eroir8tion Drb
12 Mbnths JAN 1 2023 JAll 1 2024
the polipy period begins and ends at l2 0l am standardtme at me premlses loca0on.
Nam6d lnsured
SANTOLUCITO DORE GROUP INC
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Office Policy
Aubmatic Benewal lf thepolicypododisshownas12months,ttrispolicywill be renewed automaticallysubiecttothe
forms in effect for each succeeding policy period. lf tris policy is terminated, we will give you and tre Mortgagee/Lienhol
compliance wi$ 6re policy provisions or as required by law.
premium s. rules and
der written notce in
Entity: Corporation
Reason lor Declarations:Your policy is amended OCT 21 2022
ADDITIONAL INSURED ADDED
PREMIUM ADJUSTT\ilENT
FORM CMP-4786.1 ADDED
Other items shown are elfective
with the policy's 2023 renewal
Endorsement Premium
lncrease $ 88.00
Discounls Applied:
Renewal Year
Years in Business
Protective Devices
Sprinkler
Claim Record
Prepared
ocr 27 20?2
cMP-4000
020067 290 At
N
@ Copyri0ht, Shte t!rm Moturl Automobilo lnsur.nc. Comp.ny. zqE
lnchdsr cogyriohtod mllsrirlol lnsurlnc. S6rvic0s Offico.lnc., with its psrmissaon
Continued on Beverse Side ol Page Page 1 ol 6
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DECLARATIONS (CONTINUED)
Ofrlco Pollcv for CITY OF MENIFEE
Pollcy t{um6er 92-ES-R3814
sFcTloN t - pFlopF RTY SCHFDULE
Loc€tlon
Number Location of
Described
PremiSos
Limlt ol lnsurance'
Coveraoe A -
Bulldfngs
Limit of lnsurance'
Coveraoe B -
Business FersonalProperty
Seasonallncrease-
Busln6ss
PersonalProperty
00r STE 1OO.L
31600 RAILROAD CANYON RD
CANYON LAKE CA 92587.9461
No Coverage $ 12,600 25%
'Aso e s date of this policy, the Limit of lnsurance as shown includes any increase in the limit ue to n atron verage.
SECTION I. INFLATION COV FAGE INDEX(ES'I
Cov A - lnflation Coverage lndex
Cov B - Consumer Price lndex:
N/A
296,3
SECNON I - DEDUCTIBLES
Barlc Deductlble
Spoclal Deductibles:
froney and Securities
Equipment Breakdown
$1,000
$250
$1,000
Employee Dishonesty $250
Other deductibles may apply - refer to policy
Prepared
ocr 27 2022
cMP-4000
020067
O Copyriohl St0le Farm MutualAutomobtb lnsu16ncB Compony,200€
Includrs copyrightod mrtorirl of lIsur.nca S.rvicss offico, lnc., wit] its pormisrion
Continued on Next Page Page 2 of 6
I
StateFam
DECLABATIONS (CONTINUED)
Ofticr Policv tor CITY OF MENIFEEPolicy Num5er 92-E9R3814
ffi
SECTION I. EXTENSIONS OF COVERAGE . LIMIT OF INSU RANCE - EACH DESCBIBED PBEMISES
!
I The coverages and corresponding limlts shown bolow apply separately lo each describod premlses shown ln thesoq Declaratlons, unless indlcated by "See Schedule," It a coverage doss not havo a corospondlng limlt shown below,
EE but has "lncludod" lndlcated, please ref€r to that pollcy provision tor an explanation ol lhat coverage.
LIMIT OF
INSUBANCECOVERAGE
Accounts Beceivable
On Premises
Otf Premises
Arson Reward
Back-Up Ol Sewer Or Drain
Collapso
Damage To Non-Owned Buildings From Theft, Burglary Or Bobbery
Debris Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Syslems Recharg€ Expense
Forgery Or Alteration
Glass Expenses
lncreased Cost Ol Construction And Demolition Costs (applies only when buildings are
insured on a replacament cost basis)
Money And Securities (Ofl Premises)
Money And Securities (On Premises)
Money Orders And Counterfeil Money
Newly Acquired Business Personal Prop€rty (applies only i, this policy provides
Coverage B - Business Personal Property)
Newly Acquired Or Constructed Buildings (applies only if this policy provides
Coverage A - Buildings)
$s0,000
$15,000
$5,000
$15,000
lncludsd
Coverage B Limit
25olo ol covered loss
lncluded
$5,ooo
$5,000
910,000
lncluded
10%
Prepared
ocr 27 2022
cMP-4000
O Copyright St.ts F.rm Mutu!l Aulomobils lnsur.ncB Complny. 2m8
licludat cogyrigtt.d m .ri.l ol lniurrncs Sorvic.! oflicB, lnc., with ht p.rnisiion
Continued on Reverse Side of Page
$s,ooo
$10,000
$1,000
$100,000
$250,000
020068 290
N
Page 3 of 5
(-@
Otfice Policv lor CITY OF MENIFEEPollcy Num6er 92-ES83814
Ordinance Or Law - Equipment Coverage
Outdoor Property
Personal Effects (appligs only to those premises provided Coverage B - Business
Personal Property)
Porsonal Property Off Premises
Pollulant Clean Up And Romoval
Preservation Of Property
Properly Of Others (applies only to those premises provided Coverage B - Business
Personal Property)
Signs
Unauthorized Business Card Use
Valuable Papers And Records
On Premises
Off Premises
lncluded
$s,ooo
$5,000
$1s,000
$r 0,000
30 Days
$2,500
$2,500
s5,000
$50,000
$15,000
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - PER POLICY
The covorages and correspondlng limlts shown below are the most we will pay regardless ol the number oldesctlbod p.emises shown ln thosc Declarations.
COVERAGE
Dependent Proporty - Loss Of lncome
Employee Dishonesty
Utility lnterruption - Loss Of lncome
Loss Of lncome And Extra Expense
@ Copyrigh! StltB F6rm Mutual Automobile lnBUr!nco Comprny,2008
lncludes copynght6d mrtrrisl of lns!rrnc€ Servicss offic€, lnr., with its psrmission
Continued on Nexl Page
LIMIT OF
INSUBANCE
$5'ooo
$1o,ooo
$10,000
Actual Loss Sustained - 12 Months
Prepared
ocr ?7 20?2
cMP-4000
020068 Page 4 ol 6
DECLARATIONS (CONTINUED)
I
StateFarm(-)dD
Oftice Policv tor CITY OF MENIFEEPolicy Num6er 92-E9R381.4
oEcLARATtONS (CONTINUED)
f,ii rff
ES
sFcTloNll.IlaB[tTv
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COVEBAGE
Coverage L - Business Liability
Coverage NI - Medical Expenses (Any One Person)
Damage To Premises Bented To You
AGGREGATE LII'ITS
Products/Completed Operations Aggregate
General Aggregate
Each paid claim for Liability Coverage reduces the amount ol 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
$500,000
LIMIT OF
INSURANCE
$4,000,000
$4,000,000
Your policv consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other
forms and'endorsemenls that apply, including those shown below as well as those issued subsequent to the
issuance ol this policy.
FORMS AND ENDORSEMENTS
cMP-4101
cMP-4786.1
cMP-4787
Cl\ilP-4819.1
FE-6999.3
cMP-4705.2
cMP-4710
cMP-4709
cMP-4698
cMP-4704.1
ctvlP-4703.1
Cl\,lP-4788.1
cMP-4260.1
Businessowners Coverage Form
'Addl lnsd Own6rs Lessee Sched
'Waiver of Trans Rgt ol Recov
Unauthorized Business Card Use
Terrorism lnsurance Cov Notice
Loss of lncome & E)dra Expense
Employee Dishonesty
Money and Securities
Back-Up of Sewer or Drain
Dependent Prop Loss ol lncome
Utility lnterruplion Loss lncm
Addl lnsd Mgrs Lessor of Prem
Amendatory Endorsemenl-CA
Prepared
ocr 27 2022
cMP-4000
020069 290
N
@ CopyrighL Strto tsrm Muturl Automobile lns!rrncs Company,2008
lnclud0i copyrightod mrtsriEl of lnsu16nce Sorvires oflic€, lnc., with it! pormission
Continued on Reverse Side of Page Page 5 of 6
DECLABATIONS (CONTINUEO)
Ofllce Pollcv for CITY OF MENIFEEPolicy Number 92-ES-R3814
Amendatory Endorsemenl
lnland Marine Attach Dec
NOTICE: INFOBMATION CONCERNINc
CHANGES IN YOUR POLICY
LANGUAGE IS INCLUDED, PLEASE
CALL YOUR AGENT IF YOU HAVE
ANY QUESTIONS.* New Form Attached
This policy ic issued by the Stat6 Farm General lnsurance Company.
Participating Policy
You ar€ entlllod to participate in a distribution of the earnings of the company as det€rmined by our Board of Directors inaocordanc€ wih lhe Company's Articles of lncorporalion, a! amended.
ln Witness Wher€of, tre State Farm G€n€ral lnsurance Company has caused lhis policy to be signed by its President andSecretary at Bloomington, lllinois.
&,,-n1-,,,*
\jacr€tary
-il-e C"/q
President
IMPOBTANT NOTICET
Cdfomh bw requlres us.to plovlde you trllh lnlormrtlon for llllng cornplalms whh tha Stato lmutonce Oepanmem regardlng tlEcoyortgc !nd e€rvice providod under ttis po[cy.
Youl sgpl 'r name snd contact inrofmltion sre provided on the lro ol this documer . AnotlEr optlon ls to reach oul bymall o, phono directly to:
Stsle Fame Eiecutlve Cuslomer Serylca
PO Box 2320
Bloomingron lL 61702
Phone $ l€oo-STATEFARtt (1 -80G782-832)
lbpanment ot lnsurance comphlnt! should be llled onty alter you and Stste Frrm or your agent or other companyrsprDsrtrtivo h€ve loiled to rsach. xtlsloctory 69r€omert on I probbm.
Crllomia Depanment o, lnsursnce
Contuner Serylces Dlylgbn
m0 gordh gprlng $reet
Lo3 Angohs, CA sooi 3
Phone t l€@-927-HELP (435/) or vbit ux!r/.in8urance.q€,ooy/Ol.conEoers
Prepared
ocT 27 202?
CMP{OOO
020069 290
N
@ Copyrioht, St6ts F6rm Mutual Automobile lnsur.nce Company,2008
lncludr$ copyri0hted matoridl of lnsuronce Ssrvic€s officB, lnc., with its pormission
Page 5 of 6
cMP-4261
FD-6007
StateFam srATE FAFI, GEI{ERAL tNsunA cE coMpANy(D A STOCK COMPANY WITH HOME OFFICES IN BLOOMNATON, ILLINOISq2qD.
Po Box 2915Bloominglon lL 6l 702-291 5
Named lnsured
M-23-372C-FA71 F U
SANTOLUCITO DORE OROUP II{C
El:ild
Hffi
ATTACHING INLAND MARINE
INLAND MABINE ATTACHING DECLAHATIONS !
I5
rg
Policyl{umber 92-ESR381-4
Policv Period
1 2 Mbnths
Etlsctive Dats
JAN 't 2023
ExDiralion DateJAN 1 2024
Ihe polioy period begins and ends at 12:01 am standardttme atthe premlses locaton.
Aulomalic Ronowrl - lf ttre policy period is shown as l2 monlhs , tiris polic
forms in effect for each succeeding policy period. lf $is policy is terminate
compliance wifi fie policy provisions or as required by law.
y will be renewed automatcally subject to the premiums, rules and
d, we will give you and fie Mortgagee/Lienholder written notice in
Your policy consists of $ese Declarations, fre INLAND MARINE C 0NDlTl0NS shown below, and any other torms and endorsements that
apply. including trose shown below as well as drose issued subsequent to fre 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 wifi Limis
Prepared
ocr 27 2022
FD-6007
020070
@ Copyright Strte t!rm Mutu !lAutomobile lnsurrncs Company,zmS
lncluda! cogyrightsd mltorill ol lnsursnc. Sorvic€s oflico, lnc., with its permission
!10 te662 05 1120ll loltu3?c)
Annual Policy Promium lncluded
Jhe above Premium Amount is included in tre Policy Premium shown on $e Declarations.
92-ES-8381-4
ATTACHII'TG INTANO MABII{E
ATTACHING Iil[AttIO MARIilE SCHEDUTE PAGE
ENDORSEMENT
NUM BER
FE-8745
LIMIT OF
INSUBANCE
DEDUCTIBLE
AMOUNTCOVERAGE
lnland Marine Computer Prop
Loss of lncomg and Extra Expense
OTHER LIMITS AND EXCIUSI(]NS MAY APPLY . REFER TO YOUR POLICY
O Copyright Strt6 Fsrm lvlut! sl Automobils lns!r!nce Company, ZOOS
lncluds. copyrightod mrt6rialof lnsur!nce Ssrvic6r oflics, lnc., with its prrmission
ANNUAL
PREM IU I\4
$ 500 Included
Included
$
s
25 , OOO
25,000
Preparedocl 27 2022
FD-6007
020070
!30 086e.? 05 t! 20Il tolll?llct
I