1990-0125_BOTACO, INC._Insurance Certificate• 0
A/111111). CERTIFICATE OF INSURANCE ISSUE DATE (MM/DOIYY)
1-25-90
PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND.
SEA COAST INSURANCE EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
31726 RANCHO VIEJO RD 11213 FFCFIVE I
SAN JUAN CAPISTRANO, CA 92675 p �q�
l'�H �� �`� COMPANY
LETTER A
CODE SUB -CODE
D[PAR, MENf MIANY B
INSURED T Y C `- r N
TTER
BOTACO CORP. JUA+ '- AMPANv
27455 ORTEGA HWY LETTER C
SAN JUAN CAPISTRANO, CA 92675 COMPANY LETTER D
COMPANIES AFFORDING COVERAGE
U.S.F.&G.
COMPANY
LETTER E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE
LTR
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
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MMIDDIYY)
WORKER'S COMPENSATION
AAND k TO BE ASSIGNED 1-21-90
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
VARIOUS PARK & LANDSCAPE MAINTENANCE PROJECTS
1-21-91
I CERTIFICATE HOLDER CANCELLATION 10 DAY NON—PAY
CITY OF SAN JUAN CAPISTRANO
ATTN: CITY CLERKS DEPT.
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
ALL LIMITS IN THOUSANDS
GENERAL AGGREGATE $
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY S
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) S
COMBINED
SINGLE S
LIMIT
BODILY
NJURY S
(Per person)
BODILY
INJURY $
(Per sccid.ntf
PROPERTY $
DAMAGE
EACH AGGREGATE
OCCURRENCE
a s
I
STATUTORY
S MID, , IEACH ACCIDENT) I
s 500, (DISEASE—POL)CY LIMIT) i
$ 100, (DISEASE—EACH EMPLOYED
i
1P/ Is 1 .q V11AA\
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UP HE COMPANY, ITS AGENTS OR REPRESENTATIVES.
A,U�T1� RI2 /�-NREPRE((ggrrE�T
V I L I