1992-0317_BOTACO, INC._Insurance Certificatev
ISSUE DATE MM/DD/YY)
3/17/92
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 RlhRff HE COVERAGE AFFORDED BY THE
P.O.BOX 18468
POI Irlpq gpi Ow
IRVINE, CA 92713
COMVNIM AmcgplpfgOVERAGE
Aa z
COMPANY A REPUBLIC I
LETTER
COMPANYDEPARTMENT
B CITY OF SAN
INSURED
LETTER
JUAN cApisnAv
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 EI5 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/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMPIOP AGG. $
CLAIMS MADE OCCUR
PERSONAL & ADV. INJURY $
OWNER'S & CONTRACTOR'S PROT.
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) S
MED. EXPENSE An one pension) $
AUTOMOBILE LIABILITY
COMBINED SINGLE
ANY AUTO
LIMIT
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY $
NON -OWNED AUTOS
(Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY LIMITS
A PC944664
1/12/92 1/12-93 EACH ACCIDENT s 1,000,000
AND
DISEASE—POLICY LIMIT s 1,000,000
EMPLOYERS' LIABILITY
DISEASE—EACH EMPLOYEE $ 1,000_()OO
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
LANDSCAPE HAINTENANCE
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
AND THE COWLJNITY 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 SCHA14DERL
AUTHORI�PRESENTATIVE
ACORD 25-S (71901
iCORD CORPORATION 1990
v