1989-0706_BOTACO, INC._Insurance Certificate (2)AcHomp. CERTIFICAl " OF INSURANCE ISSUE DATE (MM/DD/YY)
T/b/69
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
WS{El.L INSURANCE AGENCY EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
PO 13JY 4646 COMPANIES AFFORDING COVERAGE
MISS.tou VIEJO, CA 92690
CODE
INSURED
SUB -CODE
SOTACO, INC.
32221 CAmmo CAPISriTANO 8123
SAN JUAN CAPI3TRAA0, CA 92675
COMPANY A
LETTER I:ALIFORIZIA INDEMNITY INSURANCE COMPANY
COMPANY B
LETTER
COMPANY `.
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
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 REOUIREMENT, 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.
TR TYPE OF INSURANCE POLICY NUMBER
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR.
OWNER'S S CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
j AND
EMPLOYERS' LIABILITY tf 224 jk
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CITY OF SAN JUAN CAPISTRANO
SAN JUAN CAPISTRANO REDEVELOPMENT
AGENCY
32400 PASEO ADELANTO
SAN JUAN CAPISTRANO, CA 92675
25.8
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
1/21/69 1/21/90
CANCELLATION
ALL LIMITS IN THOUSANDS
GENERAL AGGREGATE $
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL $ ADVERTISING INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one lire) $
MEDICAL EXPENSE (Any one person) $
COMBINED
SINGLE $
LIMIT
BODILY
NJURY $
Per person)
BODILY
INJURY $
(Per..crdeoO
PROPERTY $
DAMAGE
EACH AGGREGATE
OCCURRENCE
E E
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE—POLICY LIMIT)
$ (DISEASE—EACH EMPLO`
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL -10.- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE �pp
JOS A. i3O SHELL OA&C 4
((((((////// CACORD CORPORAT301