1991-0625_BOTACO, INC._Insurance Certificate` AlDllltll.
PRODUCER
SEA COAST INSURANCE
34197 PCH #202
DANA POINT, CA 92629
INSURED
BOTACO, INC.
31921 CAMINO CAPISTRANO #401
SAN JUAN CAPISTRANO, CA 92675
ISSUE DATE (MMIDD/YY)
6-25-91
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
COMPANIES AFFORDING COVERAGE
LETTERNYA AMERICAN STATES INS. CO.
COMPANY B
LETTER
COMPANY
C
LETTER
ANV AUTO
COMPANY
D
LETTER
BODILY INJURY
COMPANY
E
LETTER
$
UUVCMRIALM
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 LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DDIYY)
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000.
i X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO. S 1,000,000.
CLAIMS MADE X OCCUR. 01 -CC -79441-1 10-13-90 10-13-9 1 PERSONAL S ADV. INJURY $ 1,000,000.
A OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE S 1,000,000.
FIRE DAMAGE (Any one fire) S 50,000,
MED. EXPENSE (Any one Person) S 5,000.
AUTOMOBILE LIABILITY
COMBINED SINGLE
S 1,000,000.
ANV AUTO
LIMIT
ALL OWNED AUTOS
BODILY INJURY
X SCHEDULED AUTOS 01 -CC -519448-1
10-13-90 10-13-91 (Per Person)
$
A
X HIRED AUTOS
BODILY INJURY
$
X NON -OWNED AUTOS
(Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE
S
EXCESS LIABILITY
EACH OCCURRENCE
S
UMBRELLA FORM
AGGREGATE
S
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT
$
AND
DISEASE—POLICY LIMIT
$
EMPLOYERS' LIABILITY
DISEASE—EACH EMPLOYEE
8
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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 CAPISTRANO & COMMUNITY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
REDEVELO iOff AGENCY, ITS ELECTED OR APPOINTED MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
OFFICERS, OFFICIALS, R4WYEES & VOLUNTEERS LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
32400 PASED ADE[.ANIO LIABI TY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
SAN JUAN CAPISTRANO, CA 92675
AUMTHOEO EPRESENTATIVE
AM: DAWN SHANDERL
irk cz�o-
TACORD CORPORATION 19901