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2022/10/01 Armstrong & Brooks Consulting Engineers Inc (17)rl StateFam STATE FABII GEiIEBAL INSUFANCE COIIPANY A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS B?#I,fi?Ji,, u,ro,-n,s Addl lnsuled-Section ll Only M-23-0555-FACE F U002939 3123CITY OF I.IEN I FEE29844 HAUN RD IfENIFEE cA 925a6-6539 I, tl,, trlhtIt,ll,tlllItllil il,lilll,il tltlI lllil tl'llllilhll DECLARATIONS AMENDED FEB 1O 2023 Policyt{umber 92-CV-K206-3 Policv Period Elleclivo Dala ExDimtion Dato 12 Mbnths OCI 1 2022 OCT 1 2023 The oolicv oeriod beoins and ends at 12:01 am standard time at h6 premises Tocaton. Named lnsured ARI'ISTRONG & BROOKS CONSU LT I NG EI{GINEERS I I'IC & ffi E J Otlice Policy Aubmalic Renawal - lf the policy pcriod is shown a s 12 months , tttis polic forms in effectfor each succeedin( policy period. lf tltis policy is terminate y will be renewed automatically su b;ect to dte premiums, rules and d, we will give you and the Mortga0ee/Lienholder written notice in comp liance wifi tre policy provisions or as required by law Entlty: Corporation Reason tor Doclaratlons: Your policy is amended FEB 10 2023 ADDITIONAL INSURED ADDED PREMIUM ADJUSTMENT FORM CMP-4786.1 ADDED Endorsement Premium lncrease Discounts Applied: Renewal Year Years in Business Protective Devices Claim Record $ 44.00 Prepared FEB 22 2023 cMP-4000 020890 290 Al N O Copyrigh! Strts Form Mutual Automobile hsurtnce Comprny,2mS lncludes cogyright€d material of Insuranc€ SBrvices offic€, lnc . with its psrmission Continued on Reverse Side of Page Page l ol 6 tr DECLARATTONS (CONTlNUEO) Oflics Policv lor CITY OF MENIFEEPolicy Number 92-CV-K20G3 SECTION I -PBOPERTY SCHEDUL E Location Number Location olOescribedPremises Limit of lnsurance' Coveraoe A - Buildings Limit of lnsurance' Coveraoe B -Business FersonalProperty S€asonallncrease- Business Personal Property 001 1350 E CHASE DR coRoNA cA 92881-4001 No Coverage $ 84,100 25.k -AS the effective ate of t spo cy, the Limit o nsurance as shown ncludes any increase in the lim t due to Inf lation Coverage. Cov A - lnf lation Coveraoe lndex Cov B - Consumer Pricdlndex:N/A 292,3 Basic Dsductiblo Special D€ductibles: Money and Securities Equipment Breakdown Employee Dishonesty $1,000 $250 $1,000 $2s0 Other deductibles may apply - refer to poticy Prepared FEB 22 2023 cMP-4000 020890 O Copyrigh( State tarm Muturl Automobile lnsur6nce Comprny,2008 lncludes copyrighl€d materirl of lnsurrnco Services offics, lnc., with its osrmission Continued on Next page Page 2 of 6 SteteFarm(D@ k* OECLARATIONS (CONTINUED) Olfice Policv for CITY OF MENIFEEPolicy Num6er 92-Cv-K20&3 SECTION I - EXTEN SIONS OF COVEBAGE . LIMIT OF INSU BANCE . EACH DESCRIBED PREMISE ! I v!t The coverages and corresponding limits shown below apply separately to each dascribed premises shown in these Oeclarationa, unless indicitt€d by-"Soe Schedule." lf a coverage does not have a corresponding limit shown below, but has "lncluded" indicated, please reler to that policy provision lor an explanallon ol lhat coverage. COVERAGE Accounts Receivable On Premises Ofl Premises Arson Reward Back-Up Of Sewer Or orain Collapse Damage To Non-Owned Bulldings From Theft, Burglary Or Robbery Debris Removal Equipment Breakdown Fire Department Service Charge Fire Extinguisher Systoms Rocharge Expense Forgery Or Alteration Glass Expenses lncreased Cost Of Construclion And Demolition Costs (applies only whon buildings aro insured on a replacem€nt cosl basis) Money And Securities (Oll Promis€s) Mon€y And Securilies (On Premises) Money Orders And Counterleit Money Newly Ae,quired Business Pe6onal Property (applies only if this policy providos Cove'rage B - Business Personal Property) Newly Acquired Or Construct€d Buildings (applies only if this policy provides Coverage A - Buildings) LIMIT OF INSUBANCE $5,ooo $15,000 lncluded Coverage B Limit 25olo of covered loss lncluded $s,000 $5'000 $10,000 lncluded 10% $5,000 $10,000 $1,000 $100,000 $250,000 $s 000 000 0 5$ Prepared FEB 22 2029 cMP-4000 020891 290 N O Copyrigh! Stlte Farm Mutuil Automobrle lnsurlnco Complny,2008 Includes copyri0hted material of lnsu16nce Services oftico, lnc., with its p0rmission Continued on Reverse Side of Page Page 3 ol 6 DECLARATIONS (CONTINUED) Otlice Policv tor CITY OF MENIFEEPolicy Num6er 92-CV-K20&3 Ordinance Or Law - Equipment Coverage Outdoor Property Personal Effects (applies only to those premises provided Coverage B - Business Personal Property) Personal Property Off Premises Pollutant Clean Up And Removal Preservation Of Property Property 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 $5,ooo $s,000 $1s,000 $10,000 30 Days $2,500 $s0,000 $15,000 COVERAGE Dependent Property - Loss Of lncome Employee Dishonesty Utility lnterruption - Loss Ol lncome Loss Of lncome And Extra Expense O copyright St6te F.rm Mutu.l Aurombils l0suranco complny, 2m lnclude! copyriehted m6tErial of lnsuranc€ Servicss Offico, lnc..wilh its permi!sion Continued on Next Page LII'IT OF INSURANCE $5,000 910,000 $1o,ooo Actual Loss Sustainsd - 12 Monlhs Prepared FEB 22 2023 cMP-4000 020891 Page 4 of 6 SECTION I. EXTENSIONS OF COVERAGE . LIMIT OF INSURANCE - PER POLICY Iltg cgvelaSes and corresponding llmlts shor,vn below are the most we will pay regardless of the number ofdescribod premis€s shown in thss€ oeclarations. $2,500 $5,000 StateFarm&DECLARATIONS (CONNNUED) Ottice Policv lor CITY OF MENIFEE Policy Num6er 92-CV-K20&3 ffi SECTION II - LIABI TY 8 6A COVEBAGE Coverage L - Business Liability Coverage M - Medical Expenses (Any One Person) Damage To Premises Rented To You AGGREGATE LIMITS Productycompleted Operations Aggregate General Aggregate Each paid claim for Liability Coverage reduces the amount of insurance we provide during annudl period. Please retei to Section ll ' Liability in the Coverage Form and any attached LIMIT OF INSURANCE $3.000.000 ss,000 $300,000 LIMIT OF INSURANCE Excluded $6,000,000 the applicable endorsements. your oolicv consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any othel foims and'endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS AND ENDOB s cMP-4101 cMP-4786.1 FE-6999.3 cMP-4845 cMP-4819.'1 cMP-4698 cMP-4704.1 cMP-4710 cMP-4709 clvlP-4703.1 cMP-4705.2 cMP-4260.1 ct\4P-4261 Businessowners Coverage FormtAddl lnsd Owners Lessee Sched Terrorism lnsurance Cov Notice Excl Product Comp Operatn Liab Unauthorized Business Card Use Back-Up ol Sewer or Drain Dependent Prop Loss of lncome Employee Dishonesty Money and Securities Utility lnterruption Loss lncm Loss of lncome & Extra Expense Amendatory Endorsement-CA Amendatory Endorsement Prepared FEB ?2 2023 cMP-4000 020892 290 N @ Copyrioht Strts Farm lvlutu al AutomobilE lnsurrnc€ Company,2008 lncludes copyrightod mltsrial ol ln3urrnce Ssrvic6s oftic8, lnc., with its permisaion Conlinued on Revgrse Side of Page Page 5 of 6 DECLAHATIONS (CONTINUED) Otfice Policv tor CITY OF MENIFEEPolicy Num6er g2-CV-K20&3 cMP-4859 cMP-4787 cMP-4870.1 FD-6007 Al Engineer Architect Survey Waiver ol Trans Rgt of Recov Addl lnsd Primary Non Contrib lnland Marine Attach Dec. New Form Attached This policy is issued by the State Farm General lnsurance Company. Parlicipating Policy You ar€ €nti0ed to partcipate in a distribution of the earnings of the company as determined by our Eloard of Directors inaccordance with lhe Company's Artioles of lncorporation, as amended. ln Witness Whereof, he State Farm*"""""HTj;l'#r. -il*t" C"/4 General lnsurance Company has caused this policy to be signed by its president and IMPORTANT NOTICE: calllomla hw re(trlrrt ut-to provlde-.you w.hh lnromo on lor llllng complaltlts wfth the state lnsurance Depanmem regardlng tlrcoverrgG and larvlco provld.d undor ttis policy, YouJ agsfil name ard coliact inlomation are provided on the ,rofl ol thle documern. Anothr option ls to terch out bymrilor phorp dllectly lo: Slatc FsrrP Ellacutiyo Customor Servloe PO Bor 2&10 Bloomington lL 61702 Phone * I€oOSTATEF RI (l-80G782€*]:!) D'epanme -ol lnturence complalnta should be liled only alter you and Stale Farm or youl agpnt or othet computyreprssrtrttuo hrvo hlsd to Each 8 sstislactory agreement on a pioblom. Calitomir Depgltnent o, lnrrrancs Con3umor Sorylce3 Dlvlabn 300 Souh Eprlng Srro€t Los Angchr, CA e0013 Phone t lS0-927-HELP (i(t54 or vbit rywinsur8nc..cr.oov/01-qorl8unerq President O Copyrighl State Flrm Mutu0lAutomobils lnsurance Company, 2O()8 lncludes copyrighted moterial of lnsursncE Servicos Office, lnc., wrth its D€rmission Prepared FEB 22 2023 cMP-4000 020892 2 90 N Page 6 of 6 StateFarm STATE FAPII GENEBAL IiISURAIICE COTIPA Y A STOCK COMPANY WTH HOME OFFICES IN BLOOMINGTq,I, ILLINOIS Po Box 2915Bloomi@ton lL 61 702-291 5 Named lnsured M-23-0555-FACE F U AR}ISTRONO & BROOKS COXSULTING ENGINEERS INC ATTACHING INLAND MARINE INLAND MARINE ATTACHING DECLABATIONS Policyilumber 92-CV-K206-3 Policv Poriod Efloctive Dale Exoiralion Dab 12 iilbnths ocT 12022 ocT 1 2023 The polipy penod begins qnd ends at 12 0l am standardtme at lhe premrses locaton (6@ ffi I rl Aubmrtic Renewal - lf the policy pctiod is shown as 12 months, this policy forms in effect tor each suc ceeding policy period. lf fris policy is termin ated compliance with the policy provisions or as required by law. will be renewed automatcally subiectto the premiums, rules and we will give you and tre Mortgagee/Lienholder written notice in AnnualPolicy Premlum $ 373.00 The above Premium Amount is included in fie Policy Premium shown on $e Declaralions. Forms, 0ptions, and Endolssmonts FE-8739 FE-6271 FE-87 45 FE-8760 lnland Marine Conditions Amendatory Endorsement lnland Marine Computer Prop Mobile Equipment Form See Reverse for Schedule Page wifi Limis Prepared FEB 22 2023 FD-6007 020893 @ Copyri0h! Stlts t!rm Mutu.l Automobilo lnsurrncB Complny,2m lncludBs copyrightEd mstsri!l of lnsur!nce servic0s 0flice, lnc., with ils psrmissiDn 530 686a2 05 3l ?0ll lollu3zcl Your policy consists of these Declarations, fre INLAND MARINE C 0NDlTl0NS shown below, and any other forms and endorsemenB that apply, including fiose shown below as well as hose issued subsequent to the issuance of tris policy. 92-CV-K206-3 ATTACHIT{G INI.AIIO MARINE ATTACHING lfrltAN0 MABINE SCHEDUTE PAGE ENOORSEM ENT NUIVBER FE-87 45 FE-8760 C OVERAGE LIMIT OF INS URANC E DEDUCTIBLE AMOUNT ANNUAL PREMIUM lnland lvlarine Computer Prop Loss ol lncome and Extra Exoense Nilobile Equipment Form $ $ $ 25,000 25,00057,000 I 500 I 1,000 IncLuded Includeds 375.00 Prepared FEB 22 2023 FD-6007 020893 OTHEB LIMITS AND EXCLUSIONS MAY APPLY . BEFER TO YOUB POLICY O Copyri0hL Stlts Fsrm l\4 utu al Aulomobile lnsurance Complny.2008 lncludo. copyrighted msten!l ol lnsu16nce Servicss office, lnc.. with its prrmtsslon. 5!0 686a.2 05ll ?0ll loll3233cl