Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1989-0706_BOTACO, INC._Insurance Certificate
WF ISSUE DATE (MM/DD/YY) If O MSV 7/6/89 PRODUCER, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, BOSWELL INSURANCE AGENCY EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW PO BOX 4648 COMPANIES AFFORDING COVERAGE MISSION VIEJO, CA 92690 CODE SU&CODE BOTACO, INC. 32221 CAMINO CAPISTRANO #123 SAN JUAN CAPISTRANO, CA 92675 COMPANY A LETTER CALIFORNIA INDEMNITY INSURANCE COMPANY COMPANY B LETTER COMPANY C LETTER COMPANY D LETTER COMPANY LETTER E G THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED f INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POUCV EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S S CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY lZRIS THiTO VWA PERIOD 'oY��9 TH�PI�MAIII N7f�ICH THIS TC�kL TQ TERMS, ��XC � LIMITS IN IWANDS GENERAL AGGREGATE $ PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL S ADVERTISING INJURY S EACH OCCURRENCE E FIRE DAMAGE (Any one tire) S MEDICAL EXPENSE (Any one person) S COMBINED SINGLE $ LIMIT BODILY NJURY S Per portion) BODILY INJURY $ (Par accident) PROPERTY $ DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE E E OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY E (EACH ACCIDENT) A ANO E (DISEASE—POLICY LIMIT) EMPLOYERS'LIASILITY P 2243A 1/21/89 1/21/90 E (DISEASE—EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS ENICLES/RESTRICTIONS/SPECIAL ITEMS CEWWWATE HOUM CANCBAATM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE SAN JUAN CAPISTRANO REDEVELOPMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO AGENCY MAIL _10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 32400 PASEO ADELANTO LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR SAN JUAN CAPISTRANO, CA 92675 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE JOE A. BOSWELL ACORD 25-8 PiM ®ACORD CONPORATKItl 1988 Ora®Lomh=B s \ Sc E M, — 8 PRODUCER THIS CERT FICA"- : S 31I:i:. MA" =P F INIFORMATION ONLY AND CONFERS SEA COAST INSURANCE NO RIGHTS UPJF THE 1E'" I E HCLA P THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Al. -I q T'a-p I Il E .AFI )P0 ED BY THE POLICIES BELOW 31726 RANCHO VIEJO RD 11213 SAN JUAN CAPISTRANO, CA 92675 C(;MPAtr/E ; AFF(,H(IIPIG COVERAGE COMPANY LETTER DSA - i. I 0' C. L i P. COMIANY B - -- -- -- INSURED LETTER BOTACO INC. En=aNY C 27455 ORTEGA HWY COMPANY ©- - - SAN JUAN CAPISTRANO, CA 92675 ETTcR COMPANY E LETTER THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU ED`I HE i i! AE), I F )R T>~ ; POLICY PLPIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR C-, Eq I ;C. M: I IIT i f v: vat e T -O WH CH THIS OEPTIFICATE M•� r BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED :RE E I TIC , -E TERMS. EXCLUSION;. AND CONO', TIONS OF SUCH POLICIES. Co LTR TYPE OF INSURANCE POLICY NUMBER { 0-1 GENERAL LIABILITY X COMPREHENSIVE FORM X PREMISESIOPERATIONS )Pl S G UNDERGROUND EXPLOSION & COLLAPSE HAZARD GLA 559216 i - X PRODUCTSICOMPLETED OPERATIONS MAc CONTRACTUAL INDEPENDENT CONTRACTORS X BROAD FORM PROPERTY DAMAGE X PERSONAL INJURY AUTOMOBILE LIABILITY x ANY AUTO ALL OWNED AUTOS (PRIV. PASS.) ALL OWNED AUTOS (OTHER RPTHAN) ID ¢ IDI � J GLA 559216 6- 1 3-s X HIRED AUTOS A X W-0WNEO AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM P) OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION PD AND EMPLOYERS' LIABILITY OTHER a u. o:-.... _.. _.. _.. DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPEC:IAL ITEMS 'ALL OPERATIONS OF THE INSURED' E;TR �. LJ 3'.L Tr -IMPS N THOUSANDS-- I , no )Pl S G MAc y ID ¢ IDI � J ;9 3-s — — F_Pf_T- P) PD D a u. o:-.... _.. _.. _.. _. _ _ _� __ 7T _-.I ;Y- .. - ADD'L INSURED: 8iff JUM CAPISIRP2A SHOULD ANY CO HE P3C',L E , RIBEI t i CILS BE CANCELLED BE=ORE THE EX AMM& THE CITY OF SAN JUAN PIRATION DAI'L "H'FIE:IF E IS �.,N :O111i WILL ENDEAVOR TO CAPISTRANO MAIL 10 DA, WF TTE ;E T: '.E TE4-IFICATE HOLDER NAMED TO THE LEFT, BUT FAILIIRE,TO RAI 5 . ,- CtT C A. L I4IPOSE NO OBLIGATION OR JASILIT 32400 PAM Amp OF A Y KIN UA N T C Vl?u f ;_r.T< OR REPRESENTAT_ f4 _ SAN JUAN CAPISTRA4A CA 92675 Aur o zE EPiI ,L �w.iilln r......ra' �`' `