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1991-1017_BOTACO, INC._Insurance CertificateK ACORD. C r' IC -1 7 S OF MSU A CE ! SSUE DATE i 7 -9 D 1 w I PRODUCER THIS CERTIFICATE IS ISSUED AS AFFMATTER OF INFORMATION ONLY AND CONFERS NO SEA COAST INSURANCE AGENCY, INC. DOES NOT MEIND,TS UPON THE EXTEND OR ALR'ER'VERAGE AFFORDED IBY THE FICATE 34197 PCH 11202 DANA POINT, CA 92629 COMPANY A CIT;' :LERK LETTER AMERICAN STOflHI.BiMMTCO. E (;TTY OF N - NY COMPAJUAN CAIS ANA B INSURED LETTER BOTACO, INC. COMPANY`. LETTER 31921 CAMINO CAPISTRANO, CA 11401 COMPANY SAN JUAN CAPISTRANO, CA 92675 LETTER COMPANY E LETTER 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 POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MMIDDIYY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S 1,000,000. X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG. $ 1,000,000. CLAIMS MADE X OCCUR. 01 -CC -79441-2 10-13-9 1 10-13-92 PERSONAL & ADV. INJURY $ 1,000,000. OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE S 1,000,000. A FIRE DAMAGE (Any one fire) S 50,000. MED. EXPENSE (Any one person) $ 51000. AUTOMOBILE LIABILITY COMBINED SINGLE $ I , Do, COO . ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) 01 -CC -519448-2 10-13-91 10-13-92 X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS $ (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT S AND DISEASE—POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES/SPECIAL ITEMS LANDSCAPE MAINTENANCE, VARIOUS LOCATIONS CERTIFICATE HOLDER CANCELLATION 10 DAY NON -PAY ADD'L INSURED: CITY OF SAN JUAN CAPISTRANO & SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I CM4jNITY REDEVELOPFMEM AGENCY, ITSEXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ELECTED OR APPOINTED OFFICERS, MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE OFFICIALS, EMPLOYEES & VOLUNTEERS LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 32400 PASEO ADLANTO LIABILITY 9F ANY 5W UPOgTHE COMPANY, ITS AGENTS OR REPRESENTATIVES. SAN JUAN CAPISTRANO; CA 92675 AUTHORIZE RESENTATIVE ATTN: DAWN SHNDERL ACORD 25•S 7/90 ORD CORPORATI.