A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS K S N b W A L U E C L A R A T f U N H
'9-9100
Named insured M-23-8370-FA2F F V A T I
002681 3126 STARLIGHT MESA HOA ATTN CARDINAL MGMT 1260 HUNTINGTON OR STE 104 S PASADENA CA 91030-4561
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Policy Numbsr 92-QH-1155-4
Policy Period Effective Date Expiration Date 12 Months JAN 30 2017 JATJ 30 2018 The policy period begins and ends at12:01 am standard time atfhe premisesTocatlon.
Agent and Mailing Address JOHN R SINNER INS AGENCY INC 1230 E MAIN ST ALHAMBRA CA 91801-4113
PHONE: (626) 576-1078 (800) 516-1078
Residential Community Association Policy Automatic Renewal - If the policy period Is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules anc forms in effect for each succeeding policy period. If this policy Is terminated, we will give you and the Mortgagee/Lienhoider written notice in compliance with the policy provisions or as required fay law.
Entity: PUD
N O T I C E : Information concerning changes In your policy language is inciuded. Please cail your agent If you have any questions.
POL ICY PREMIUM $ 3,314.00
Discounts Applied: Renewal Year Claim Record
Prepared NOV 17 2016 © Copyright, State Farm Mutual AutomobilB InsuraicB Company,200a CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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53a-68Ba.2 05-31-21H1 (oUS
RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
SECTION 1 - P R O P E R T Y SCHEDULE
Location Number
Location of Described Premises
Limit of Insurance*
Coverage A -Buildings
Limit of Insurance*
Coverage B -Business Personal
Property
001 255 S T A R L I G H T C R E S T DR LA CANADA FLT CA 91011 -2838
No Coverage No Coverage
AUXILIARY S T R U C T U R E S
Location Number
Description Limit of Insurance*
Coverage A -Buildings
Limit of Insurance*
Coverage B -Business Personal
Property
001A 001B 001C
Driveway, sidewalk, etc. Pool Recreation Building
$ 169,400 $ 43,400 $ 55,600
See Prop Sch See Prep Sch
$ 6,000
* As of the effective date of this policy, the Limit of Insurance as shown includes any Increase in the limit due to Inflation Coverage.
SECTION I - INFLATION COVERAGE INDEXfESf
Inflation Coverage Index: ' 182.3
Prepared NOV 17 2016 ® CoPViglit State Farm Mutual Automobile Insurance Company,Z003 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
S5
SECTION I - DEDUCTIBLES
Basic Deductible $1,000
Special Deductibles:
Money and Securities $250 Employee Dishonesty $250 Equipment Breakdown $1,000
Other deductibles may apply - refer to policy.
SECTION I - EXTENSIONS OF COVERAGE - LIMIT OF INSURANCE - EACH DESCRIBED PREMISES
The coverages and corresponding limits shown below apply separately to each described premises shown in these Declarations, unless indicated by "See Schedule." If a coverage does not have a corresponding limit shown below, but has "Included" indicated, please refer to that policy provision for an explanation of that coverage.
COVERAGE
Collapse
Damage To Non-Owned Buildings From Theft, Burglary Or Robbery
Debris Removal
Equipment Breakdown
Fire Department Service Charge
Fire Extinguisher Systems Recharge Expense
Glass Expenses
Increased Cost Of Construction And Demolition Costs (applies only when buildings are insured on a replacement cost basis)
Newly Acquired Business Fersonal Froperty (applies only if this policy provides Coverage B - Business Fersonal Froperty)
Newly Acquired Or Constructed Buildings (applies only if this policy provides Coverage A - Buildings)
LIMIT OF INSURANCE
Included
Coverage B Limit
2 5 % of covered loss
Included
$5,000
$5,000
included
10%
$100,000
$250,000
Prepared NOV 17 201 6 © Copyright, State Farm Mutual Automobile insurance Company, 2008 CMF-4000 inclutles copyrighted material of Insurance Services Office, inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
Ordinance Or Law - Equipment Coverage Included
Preservatlcn Of Property 30 Days
Water Damage, Other Liquids, Powder Or Molten Material Damage Included
SECTION i - EXTENSIONS OF C O V E R A G E - LIMIT OF INSURANCE - EACH COMPLEX
The coverages and corresponding limits shown below apply separately to each complex as described in the policy.
LIMIT OF C O V E R A G E INSURANCE
Accounts Receivable On Premises Off Premises
Arson Reward
Forgery Or Alteration
Money And Securities (Off Premises)
Money And Securities (On Premises)
Money Orders And Counterfeit Money
Outdoor Property
Personal Effects (applies only to those premises provided Coverage B - Business Personal Froperty)
Fersonal Property Off Premises $15,000
Pollutant Clean Up And Removal . $10,000
Property Of Others (applies only to those premises provided Coverage B - Business $2,500 Personal Property)
Signs $2,500
Valuable Papers And Records On Premises $10,000 Off Premises $5,000
$50,000 $15,000
$5,000
$10,000
$5,000
$10,000
$1,000
$5,000
$2,500
Prepared NOV 17 2016 ©Copyright, State Farm Mutual Automobilalnsuranae Company, ZDD3 CMP-4000 includes copyrighted material of Insurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
SECTION I - EXTENSIONS O F C O V E R A G E - LIMIT OF INSURANCE - P E R POLICY
The coverages and corresponding limits shown below are the most we will pay regardless of the number of described premises shown in these Declarations.
COVERAGE
Back-Up of Sewer or Drain
Employee Dishonesty
Loss Of Income And Extra Expense
LIMIT OF INSURANCE
Included
$50,000
Actual Loss Sustained -12 Months
SECTION 11 - LIABILITY
LIMIT OF
COVERAGE INSURANCE
Coverage L - Business Liability $2,000,000
Coverage M - Medical Expenses (Any One Person) $5,000
Damage To Premises Rented To You $300,000
Directors And Officers Liability $2,000,000
LIMIT OF
A G G R E G A T E LIMITS INSURANCE
Products/Completed Operations Aggregate $4,000,000
General Aggregate $4,000,000 Directors and Officers Aggregate $2,000,000
Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements.
Prepared NOV 17 2016 ® Copyright, State Farm Mutual Automobile Insurance Company,2D0S CMP-4000 Includes oopyrighted material of Insurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
Your policy consists of these Declarations, the B U S I N E S S O W N E R S C O V E R A G E FORM shown below, and any other forms and endorsements that apply. Including those shown below a s well as those Issued subsequent to the issuance of this policy.
FORMS AND ENDORSEMENTS
CMP-4101 Businessowners Coverage Form FE-6999.2 *Terrorlsm Insurance Cov Notice CMP-4814 Directors & Officers Liability CMP-4795.1 Add! insd Designated Premises CMP-4696 Residential Community Assoc CMP-4746.1 Hired Auto Liability CMP-4710 Employee Dishonesty CMP-4508 Money and Securities CMP-4705.1 Loss of Income & Extra Expnse FD-6007 Inland Marine Attach Dec
* New Form Attached
S C H E D U L E OF ADDITIONAL INTERESTS
Interest Type: Addl Insured-Section 11 Endorsement #: CMP47951 Loan Number: N/A
CARDINAL MGMT 1260 HUNTINGTON DR S T E 104 S PASADENA CA 910304561
Prepared NOV 17 2016 ® •'"Pyhsht State Farm Mutual Automobile Insurance Company, 2DD3 CMP-4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
This policy is issued by the State Farm General Insurance Company,
Participating Policy
You are entitled to participate in a distribution of the earnings of the company a s determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended.
In Witness Whereof, the State Farm General Insurance Company has caused this policy to be signed by its President and Secretary at Bloomington, Illinois.
Secretary President
IMPORTANT NOTICE: California law requires us to provide you with information for filing complaints with the State Insurance Department regarding the coverage and service provided under this policy. Complaints should be filed only after you and State Farm or your agent or other company representative have failed to reach a satisfactory agreement on a problem. Please forward such complaints to: California Department of Insurance
Consumer Services Division 300 South Spring Street Los Angeles, CA 90013 Or call toll free: 1-800-927-HELP
Prepared NOV 17 2016 ©Copyright, Stats Farm Mutual Automobile Insurance Company,ZODB CMP-4000 Includes copyrighted material oflnsurance Services Office, Inc., with its permission.
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RENEWAL DECLARATIONS (CONTINUED)
Residential Community Association Policy for STARLIGHT MESA HOA Policy Number 92-QH-1155-4
NOTICE TO POLICYHOLDER: For a comprehensivs descriptjon of coverages and forms, please refer to your policy. Policy changes requested before Itie "Date Prepared", which appear on this notice, are effective on the Renewal Date of tf policy unless otherwise indicated by a separate endorsefnent, binder, or amended declarations. Any coverage forms attach* to this notice are also effective on the Renewal Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you a s an amended declarations or as an endorsement your policy. Billing for any additional premium for such changes will be mailed at a later date. If, during the past year, you've acquired any valuable property items, made any improvements to insured property, or have an questions about your insurance coverage, contact your State Farm agent. Please keep this with your policy.
Your coverage amount.... It Is up to you to choose the coverage and limits that meet your needs. We recommend that you purchase a coverage lin equal to the estimated replacement cost of your structure. Replacement cost estimates are available from building contracto and replacement cost appraisers, or, your agent can provide an estimate from Xactware, lnc.®using information you provic about your sft-ucture. We *^n accept the type of estimate you choose a s long as it provides a reasonable level of detail abo your structure. State Farm does not guarantee that any estimate will be the actual future cost to rebuild your structure. High limits are available at higher premiums. Lower limits are also available, as long as the amount of coverage meets o underwriting requirements. We encourage you to periodically review your coverages and Jimils with your agent and to notify i of any changes or additions to your structure.
Prepared NOV 17 2016 CMP-4000
© Copyright State Farm Mutual Automobile Insurance Company, 2008 Incluiies copyrighted material of Insurance Services Office, Inc., with its permission.
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Page 8 of 8
8
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS INLAND MARINE ATTACHING DECLARATIONS
^Da9fa§jFmP9-9100
M-23-8370-FA2F F V
Named Insured
STARLIGHT MESA HOA ATTN CARDINAL MGMT 1260 HUNTINGTON DR STE 104 S PASADENA CA 91030-4561
ATTACHING INLAND MARINE
Policy Number 92-QH-1155-4
Policy Period Effective Date Expiration Date 12 Months JAN 30 2017 JAT I30 201B The policy period begins and ends at 12:01 am standard time atthe premisesTocatlon.
Automafjc Renewal - if the paltcy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules anc forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienhoider written notice in compliance with the policy provisions or as required by law.
Annual Policy Premium Included
The above Premium Amount is included in the Policy Premium shown on the Declarations.
Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequenttothe issuance of this policy.
Forms, Options, and Endorsenionts
FE-8739 Inland Marine Conditions FE-6271 Amendatory Endorsement FE-8745 Inland Marine Computer Frop
See Reverse for Schedule Page with Limits
Prepared
NOV 17 2016 © Copyright State Farm Mutual Automobile Insurance Company, 2008 FD-6007 includes copyrighted material of insurance Services Office, Inc., with its permission.
016896 53a-6863.2 D5-31-Z[m (oll3
AmCHING INLAND MARINE SCHEDULE PAGE
ATTACHING INLAND MARINE
ENDORSEMENT NUMBER COVERAGE
LIMIT OF INSURANCE
DEDUCTIBLE AMOUNT
ANNUAL PREMIUM
FE-8745 Inland Marine Computer Prop L o s s of Income and Extra Expense
10,000 10 ,000
500 I n c l u d e d I n c l u d e d
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFER TO YOUR POLICY-Prepared NOV 17 2016 • ©CopyrightState Farm Mutual Automobile insurance Company, 2DDa FD-60D7 Includes oopyrighted material oflnsurance Services Office, inc., with its permission,
016896