1992-0317_BOTACO, INC._Insurance CertificateACHI D.
s ISSUE 3 T 1 J M92nV)
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PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
WESTLAND INSURANCE BROKERS
DOES NOT AMEND, EXTEND 7J&HE COVERAGE AFFORDED BY THE
P.O.BOX 18468
Qw IVtU
IRVINE, CA 92713
COMRARf A?=R&lRWW0VERAGE
COMPANY A REPUBLIC It��
LETTER
OEPARTHENT -- --
COMPANY
B CITY OF SAN
INSURED
LETTER
JUAN WISTRANO
COMPANY
C
BOTACO INC.
LETTER
31921 CAMINO CAPISTRANO
COMPANY
D
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 (MM/DDIYY) DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMPIOP AGO. $
CLAIMS MADE OCCUR.
PERSONAL & ADV. INJURY $
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED. EXPENSE (Any one S
AUTOMOBILE LIABILITY
COMBINED SINGLE $
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per amdeno
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
A WORKER'S COMPENSATION PC944664
1/12/92 1/12-93 EACH ACCIDENT $ 1,000,000
AND
DISEASE—POLICY LIMIT $ 1,000,000
EMPLOYERS' LIABILITY
DISEASE—EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
LANDSCAPE MAINTENANCE
AT VARIOUS LOCATION
. CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF SAN JUAN CAPISTRANO
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
vv
AND THE COL iONITY REDEVELOPMENT AGENCY
30
MAIL _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 OMPANY, ITS AGENTS OR REPRESENTATIVES.
ATTN: DAWN SCHANDERL
AUTHORIZE PRESENTATIVE
ACORD 25s (71901
CACORD CORPORATION 1990