1990-0625_BOTACO, INC._Insurance CertificateA
wrw CERTIFICAIWOF
PRODUCER
SEA COAST INSURANCE
31726 RANCHO VIEJO RD X1213
SAN JUAN CAPISTRANO, CA 92675
CODE
INSURED
SUB -CODE
BOTACO INC.
27455 ORTEGA HWY
SAN JUAN CAPISTRANO, CA 92675
(MM/DD/YY)
«i
THIS CERTIFICATE IS ISSUED ASA MAeTT5R (;rF INFORMATIORONUY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
RECEIVFD
COMPANIES AFFORDING COVERAGE
COMPANY
JUN 25 II 1,1 AH 190
LETTER A D.S..vGr
ERK
COMPANY B DFPAR I HENT
LETTER CIT; ;:f SAN
COMPANY c JUAN
LETTER
COMPANY D
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 POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR DATE (MM/DD/YY) DATE IMM/DD/YY)
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE % X OCCUR.
A OWNER'S & CONTRACTOR'S PROT,
GENERAL AGGREGATE S 1 , 000,
PRODUCTS-COMP/OPS AGGREGATE $ 1,000,
PERSONAL & ADVERTISING INJURY S 1,000,
EACH OCCURRENCE S 1,000,
1CP115307038 6-13-90 6-13-91 FIRE DAMAGE (Any one tire) & 50,
MEDICAL EXPENSE (Any one person) S 5,
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
A X SCHEDULED AUTOS IAB 128845596 6-13-90 6-13-91
X HIRED AUTOS
X NON OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONSISPECIAL ITEMS
LANDSCAPE MAINTENANCE VARIOUS LOCATIONS
COMBINED
SINGLE $ 1,000,
LIMIT
BODILY
INJURY
$
(Per person)
BODILY
NJURY
$
(Per accident)
PROPERTY
S
DAMAGE
EACH AGGREGATE
OCCURRENCE
$ S
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE—POLICY LIMIT)
$ (DISEASE—EACH EMPL01
CERTIFICATE HOLDER CANCELLATION 10 DAY NON -PAY
ADDITIONAL INSURED: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANO AND 01141INITY REDEVELOP- EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
HENT AGENCY, ITS ELECTED OR APPOINT® OFFICERS, MAIL 30DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
OFFICIALS, EWLOYEES S VOLUNTEERS' LEFT,U FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
32400 PAM ADECANIO LIABI ITY Or ANY KIND UPON THE COVOXTqv, ITS AGENTS OR REPRESENTATIVES.
SAN JUAN CAPISTRAND, CA 92675 -
ZED ESENTATIVE
ATTN: DAWN SkiANDI3[d. Anl ('/•eTI
''I ACORD 25.5 3 ... _ - _ CACORD CORPORATION 1964