1990-0625_BOTACO, INC._Insurance CertificateO
UEDATE(MM/DDYY)
A0,0NSe M_W_. IFICAOFINSURAHM I
PRODUCER
AUAV
FI 6-2-90
THIS CERTASISSU MFO ATION ONLY AND CONFERS
SEA COAST INSURANCE
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
31726 RANCHO VIEJO RD 11213
RECEIVFD
SAN JUAN CAPISTRANO, CA 92675
COMPANIES AFFORDING COVERAGE
25 11 41 AM T
COMPAJUN
A
CODE SUB -CODE
LETTERNY
�p�,((�
U•S LTr- CLFRn
COMPANY DFPARTHENT
B
INSURED
LETTER
CITY OF .SAN
JUAN
COMPANY
C
BOTACO INC.
LETTER
27455 ORTEGA HWY
COMPANY
D
SAN JUAN CAPISTRANO, CA 92675
LETTER
COMPANY E
LETTER
I�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 ALL LIMITS IN THOUSANDS
DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE f 1,000,
X COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OPS AGGREGATE f I , OOO ,
CLAIMS MADE X Y OCCUR,
PERSONAL d ADVERTISING INJURY f 1,000,
A OWNER'S B CONTRACTOR'S PROT.
EACH OCCURRENCE f 1000,
ICPII5307038
6-13-90 6-33-91
FIRE DAMAGE (Any one fire) S 50,
MEDICAL EXPENSE (Any one Person) f 5,
AUTOMOBILE LIABILITY
COMBINED
SINGLE f 1,000,
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY
A X SCHEDULED AUTOS IABI28845596
INJURY f
6-13-90 6-13-91 (Per Person)
X HIRED AUTOS
BODILY
X NON -OWNED AUTOS
INJURY $
(Per occident)
GARAGE LIABILITY
PROPERTY
DAMAGE f
EXCESS LIABILITY
EACH AGGREGATE
OCCURRENCE
f f
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY
$ (EACH ACCIDENT)
AND
$ (DISEASE—POLICY LIMIT)
EMPLOYERS' LIABILITY
S (DISEASE—EACH EMPLOYE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
LANDSCAPE MAINTENANCE VARIOUS LOCATIONS
CERTIFICATE HOLDER CANCELLATION 10 DAY NON -PAY
ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISfRAND AND 0211JNITY REDEVELOP— EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MINI AGENCY, ITS ELECTED OR APPOINTED OFFICERS, MAIL 30DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
OFFICIALS, 94WYEES & VOLUNTEERS. LEFT, U FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
32400 PASEO ADELISTI ID, LIABI TTY O ANY KIND UPON THE CO r241
ITS AGENTS OR REPRESENTATIVES.
SAN JUAN CAPISTRANJ, CA 92675
ATIN. DW SHANE. 2ED 'SENTnT1VE /