1989-0706_BOTACO, INC._Insurance Certificate (2)ACOM F �/AIrssr OF INSURANCEISSUE DATE (MM/DD/YY)
7/6/89
>RODUCER, 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
COMPANY A
RIDE SUB -CODE LETTER CALIFORNIA INDEMNITY INSURANCE COMPANY
COMPANY B
NSURED LETTER //���\\ M
BOTACO, INC. LETTERRY C r (1 11 D )
32221 CANINO CAPISTRANO #123 r
SAN JUAN CAPISTRANO, CA 92675 COMPANY D
COMPANY ,,.
LETTER E C
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED IRW TI f— PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT PECCRI,�TO CH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I TOALL TO TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '==yt a
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION O.L LIMITS IN. TN�8ANDg
DATE IMM/DD/YY) DATE (MM/DD/YY)
!�
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR.
OWNER'S A CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
GENERAL AGGREGATE S
PRODUCTS-COMP/OPS AGGREGATE S
PERSONAL S ADVERTISING INJURY E
EACH OCCURRENCE E
FIRE DAMAGE (Any one fire) S
MEDICAL EXPENSE (Any one person) S
COMBINED
SINGLE S
LIMIT
BODILY
WURY
$
Per person)
BODILY
INJURY
S
(Per accident)
PROPERTY
$
DAMAGE
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE
S E
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY
S (EACH ACCIDENT)
A AND
E (DISEASE—POLICY LIMIT)
EMPLOYERS' LIABILITY P 2243A 1/21/89 1/21/90
E (DISEASE—EACH EMPLOYE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CERTWXATE MXOER - CANGEI.LAIMN
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 In 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
ACOfW 2" - - CACORD CORPORATIM 19W