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PROOF OF INSURANCE (2016) CLOSEDDATE (MMIDD/YYYY)
ACC>RU CERTIFICATE OF LIABILITY INSURANCE
Il%. , . ' 8/21 /2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONT4CT Robert Half Certificates
NAME ...
Arthur J. Gallagher & Co. PHONE 818 -539 1463 Fe ti , 818- 539 -1801
Insurance Brokers of CA, Inc. License #0726293 , „ °•M> -- -- .. tam --
505 N. Brand Boulevard, Suite 600 ADDRESS.. roberthaNf �rtifloatc� � p com
Glendale CA 91 203 INCI IRFR /C1 AFFn RnINr: rnV FRAr:F Nair if
INSURED
Robert Half International Inc
2613 Camino Ramon
San Ramon, CA 94583
r n% /9RAr. Pq
r'I=R'TIF'Ir".ATF MIIfIIR1717- 1277261823
I�S3Ti��T"r'T:111
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.
... _ ,.. ... .....
INSR - POLICY EFF POLICY EXP
i_m TYPE OF INSURANCE INCn wvn POLICY NUMBER fMMI_n_nIWWI iMMmnnwY� LIMITS
-
INSURER A:Federal Insurance ComDanv
X COMMERCIAL GENERAL LIABILITY
20281
R0BEHAL -03
INSURER R -in surance ComDanv of State of PA
/1/2015
19429
EACH OCCURRENCE
INSURER c Liberty Surplus Insurance Comoanv
107225
INSURERD -Libertv Mutual Insurance COmDanv
23043
r'I=R'TIF'Ir".ATF MIIfIIR1717- 1277261823
I�S3Ti��T"r'T:111
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.
... _ ,.. ... .....
INSR - POLICY EFF POLICY EXP
i_m TYPE OF INSURANCE INCn wvn POLICY NUMBER fMMI_n_nIWWI iMMmnnwY� LIMITS
-
•
X COMMERCIAL GENERAL LIABILITY
35796687
/1/2015
/112016
EACH OCCURRENCE
$2,000,000
CLAIMS �� X.] OCCUR
$2,000,000
„) -MADE
PREM)I,£,c,( eac�cyirrenlee)
.....
X Sto p Gan Fm L iak
MED EXP (Any one person)
$10,000
.„ T ...
X in OH, WA, WY,ND
PERSONAL & ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
PRO-
X POLICY JECT _ LOC
- ---...
.......
PRODUCTS- COMP /OPAGG
......
_.....__ ----- - ---._. -..
$2,000,000
_..... ..--- -- -------....-------...__.
OTHER:
Employer Liability
$1,000,000
•
AUTOMOBILE LIABILITY
73233217
/1/2015
/1/2016
(EASxGINFU
)— — —
$1,000000
X ANY AUTO
BODILY INJURY (Per person)
'$
ED
ALL OWNED AUTOSULED
BODILY INJURY (Per accident)
$
NON- OWNEDI1pFNT
"�IAhIA,F ...
m,r ,...
$
HIRED AUTOS AUTOS
(Peraccldenl)
Comp /CollDed,
$1,000/$1,000
•
X ,UMBRELLA LIAB X OCCUR
79217107
/112015
/1/2016
EACH OCCURRENCE
$5,000.000
EXCESS LIAB CLAIMS -MADE
AGGREGATE
$5,000.000
DED X RETENTIONS 0
l
$
B
WORKERS COMPENSATION
Y
See attached Supplemental
/1/2015
/1/2016
PER O
X TH
RTATi
AND EMPLOYERS' LIABILITY Y/ N
-ITF .FR
.. -.
......-- ....................... - ._._.__.
ANY PROPRIETOR /PARTNER /EXECUTIVE
E L EACH ACCIDENT
$1,000,000
OFFICER /MEMBER EXCLUDED? �'..
N I A
`'
-- - - - - --
(Mandatory in NH)
E L DISEASE - EA EMPLOYE
51.000.000
If yes, describe under
.,.... ..., ..
.............: .--- - -- --------
DESCRIPTION OF OPERATIONS below
EL DISEASE - POLICY LIMIT
$1,000.000
A Personal Property w/ TIB 35796687 /1/2015 /1/2016
Property Limit
500,000
C Professional Liability E05N41941011 /31/2015 /31/2016
PerClaim /Aggregate
5,000,000
D Crime /Fidelity F14NAAS50003 /31/2015 /31/2016
Each Loss
3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Rights of Subrogation have been waived with respects to Workers Compensation as required by written contract executed prior to loss.
CANCE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City Of El Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
El Segundo CA 90245 -3813 '.. AUTHORIZED REPRESENTATIVE
i�
© 1988 -2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
Liability Insurance
Endorsement
Policy Period
Effective Date
Policy Number
Insured
Name of Company
Date Issued
This Endorsement applies to the following formsr
GENERAL LIABILITY
Who Is An Insured
JUNE 1. 2015 to JUNE: 1. 2016
JUNE 1. 2015
3579 -66 -87 SFO
Robert Half International Inc.
(see Named Insured Endt_)
Federal Insurance Company
JUNE 1. 2015
Under Who Is An Insured, the following provision is added:
Scheduled Person Or Subject to all of the terms and conditions of this insurance, any person or organization
Organization shown in the Schedule, acting pursuant to a written contract or agreement between you
and such person or organization, is an insured, but they are insureds only with respect
to liability arising out of your operations, or your premises, if you are obligated,
pursuant to such contract or agreement, to provide them with such insurance as is
afforded by this policy.
However, no such person or organization is an insured with respect to any:
wa assumption of liability by them in a contract or agreement. This limitation does not
apply to the liability for damages for injury or damage, to which this insurance
a, applies, that the person or organization would have in the absence of such contract
or agreement.
damages arising out of their sole negligence
Q00dy h5urande Ad r 10n4 fnqur d- n o u d Person Qf 0 sanez to n Continued
Form 80-02- 2367(Rev, 8 -04) Endorsement Page 1
Liability Endorsement
(continued)
Schedule
Additional Insured - any person, party or entity for whom the Insured has agreed, prior to loss, to provide
coverage as respects the Insured's operations and/or facilities owned or used by the Insured.
All other terms and conditions remain unchanged.
.. _. _ o rac os.d_. VGed ParsorrJrndxa r r Lost a
Form 80-02 -236 (Rev. 6-04) Endorsement
Page 2
2016.2016 RHI Workers Compensation Policy Numbers
olic # States Polley Entl: EK Dal Iwx D �� Djvrly
1
AOS: AL, AR, AZ, CO, CT, DC,
AOS: CO, DC, GA, IL, MD, NY,
DE, GA, HI, IA, iD, IL, 1N, KS, KY,
49901202
OK, PA, TX, UT,VA
Prot. Govt. Svs.
611/2015
IA, MD, MI, MN, MO, NC, NE, NH,
Ins. Co. of the State of Penn
49901207
MA, NJ
Prot. Govt„ Svs,
6/1/2015
NJ, NM, NV, NY, OK, OR, PA, RI,
Ins. Co. of the State of Penn
49901206
CA
Prot,, Govt, Svs.
49901191
SC. TN. TX, UT, VA
RHII Protiviti
6/1/2015
6/112016
Ins. Co. of the State of Penn
49901195
CA
RHI/ Prot'nriti
1 6/1/2015
6/1/2016
1 Ins. Co. of the State of Penn
49901196
FL
RHI/ Protiviti
6/1/2015
6/112016
Ins. Co. of the Stale of Penn
27527602
ME
RHI/ Protiviti
6/1/2015
6/1/2016
Ins. Co. of the State of Penn
49901197
MAW
'..RHI/ Protiviti
6/1/2015
6/1/2016
Ins. Co. of the State of Penn
1
oG, 1i J
AOS: CO, DC, GA, IL, MD, NY,
49901202
OK, PA, TX, UT,VA
Prot. Govt. Svs.
611/2015
6/1/2016
Ins. Co. of the State of Penn
49901207
MA, NJ
Prot. Govt„ Svs,
6/1/2015
6/1/2016
Ins. Co. of the State of Penn
49901206
CA
Prot,, Govt, Svs.
6/1/2015
6/1/2016
Ins. Co. of the State of Penn
27527603
FL
Prot. Govt. Svs.
6/1/2015
6/1/2016
Ins. Co. of the State of Penn
Policy Number
(15) 7323 -32 -17
ENDORSEMENT
Named Insured ROBERT HALF INTERNATIONAL INC Effective Date: 06 -01 -15
12:01 A.M., Standard Time
Agent Name ARTHUR J. GALLAGHER & CO. INS . BROKERS Agent No. 09920-999
OF CA INS'_ .
FLEETCOVER ENDORSEMENT
I. LIABILITY
A. BROAD FORM INSURED
Paragraph A.I. - WHO IS AN INSURED of Section II, LIABILITY
COVERAGE, is amended to add:
d. Any organization you newly acquire or form, other than a
partnership o:= joint venture, and over which you maintain
ownership or a majority interest. However, coverage under
this provision does not apply:
1. If there is similar insurance available to that organization; or
12, To "bodily injury" or "property damage" that occurred before you
acquired or form =d the organization, coverage is effective on
the acquisition or formation date and is offered only until the
end of the policy period during which the acquisition or
formation took place.
However, the insurance provided by this provision does not apply
to any subsidiary or organization stated in d. above that is an
insured under any other automobile liability policy for which
coverage has been specifically placed or an insured under any
other automobile policy where that policylimits of insurance
have been exhausted or that carrier has become insolvent.
e. Any employee: of yours while using a covered "auto" you do
not own, hire or borrow in your business or your personal
affairs.
'B. Person and Organization As Insureds Under A Written Insured
16 -02 -0210 (Ed, 1 -01)
Policy Number
(15) 7323 -32 -17
ENDORSEMENT
Named Insured ROBERT HALF INTERNATIONAL INC Effective Date: 06 -01 -15
12:01 A.M., Standard Time
Agent Name ARTHUR J. GALLAGHER & CO. INS . BROKERS Agent No. 09920-999
OF CA INC.
Contract
Any person or organ:zation with respect to the operation,
maintenance or use of a covered "auto ", provided that you and
such person or organization have agreed under an express
provision in a written "insured contract ", written agreement or a
written permit
issued to you by a Governmental or public authority to add such
person or organization to this policy as an "insured ".
However, such person or organization is an "insured" only:
(1) with respect to the operation, maintenance or use of a covered
"auto "; and
(2) for "bodily ini'ary" or "property damage" caused by an "accident"
which takes place after:
(a) You executed the "insured contract" or written agreement; or
(b) The permit has .aeen issued to you.
C. FELLOW EMPLOYEE EXCLUSION
Under Section II - Liability Coverage, B., Exclusions, Paragraph
5, Fellow Employee, does not apply if the bodily injury results
from the use of a covered auto you own or hire. Coverage is
excess over any collectable insurance.
D. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS
Paragraph 2, Coverage Extensions, a. Supplementary Payments of
Section II - Liability Coverage, subparagraphs (2) and (4) are
replaced with the following:
(2) Up to $2,500 for the cost of bail bonds (including bonds for
relate traffic law violations) required because of an
accident we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the insured at our
request to assist us In the investigation or defense of the claim
or suit, including substantiated loss of earnings up to
$500 a day because of time off from work.
16 -02-0210 (Ed. 1 -01)
Robert Half International, Inc.
Policy Number: 3579 -66 -B7
June 1 2015 - June 1 2016
Conti
(continued)
Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or
Rights Of Recovery organization, for loss to which this insurance applies, provided the insured has waived their rights
Against Others of recovery against such person or organization in a contract or agreement that is executed before
such loss.
To the extent that the irmured's rights to recover all or part of any payment made under this
insurance have not been waived, those rights are transferred to us. The insured must do nothing
after loss to impair them. At our request, the insured will bring suit or transfer those rights to us
and help us enforce them.
This condition does not apply to medical expenses.
s a..r. N.-Mi , ,...,,,.:. �F�� #,.�w,.v "'�� .�' , :rc,er.,1 „f..,a�.4A'!:N. ,ik ga,k�r,a�r4?'r.d a .,�smb..�,£�'R�S+.�i'�,r9: s..,�.' ,t�,.� �,.a.. � use, �" r,;, �i�s�`�"at,Ma���,�.�.W�.eN..�F� r,�;�.'e..u�„ .,w.. �"' .�.u✓lS.u��w�,.;:; :�e";
Liability Insurance
Form 80.02 -2000 (Rev. 4 -01) Contract Page 24 of 02
ALTERNATE EMPLOYER ENDORSEMENT
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different
date Is indicated below.
(The following `attaching clause' need be completed only when this endorsement is issued subsequent to preparation or the policy}.
This endorsement, effective 12:01 AM 06/0112015 forms a part of Policy No. SEE BELOW
Issued to ROBERT HALF INTERNATIONAL INC.
By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
This endorsement applies only with respect to bodily in-
jury to your employees while in the course of special or
temporary employment by the alternate employer in the
state named in the schedule. Part One (Workers Com-
pensation Insurance) and Part Two (Employers Liability
Insurance) will apply as though the alternate employer
is insured.
Under Part One (Workers Compensation Insurance) we
will reimburse the alternate employer for the benefits
required by the workers compensation law if we are not
permitted to pay the benefits directly to the persons en-
titled to them.
will not file evidence of this insurance on behalf of the
alternate employer with any government agency,
We will not ask any other insurer of the alternate em-
ployer to share with us a loss covered by this endorse-
ment.
Premium will be charged for your employees while in the
course of special or temporary employment by the al-
ternate employer.
The policy may be cancelled according to its terms
without sending notice to the alternate employer.
Part Four (Your Duties If Injury Occurs) applies to you
The insurance afforded by this endorsement is not in- and the alternate employer. The alternate employer will
tended to satisfy the alternate employer's duty to secure recognize our right to defend under Parts One and Two
its obligations under the workers compensation law. We and our right to inspect under Part Six.
Schedule
Alternate Employer
ANY ALTERNATE
EMPLOYER OF YOUR
EMPLOYEES
RHIIPROTIVITI:
WC 049901191 -AOS
WC 049901195 -CA
WC 049901196 -FL
WC 027527602 -ME
WC 049901197 -MA, WI
WC 00 03 01
(Ed. 4184)
Address
PROTIVITI GOVERNMENT SERVICES:
WC 049901202 -AOS
WC 049901206 -CA
WC 049901207 -MA, NJ
WC 027527603 -FL
State of Special or
Temporary Employment
��� A�
Countersigned by ... .... ._._._.- .___..._..... -...__
Authorized Representative
)V\1
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different
date is indicated below.
(The following 'aHaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy).
This endorsement, effective 12:01 AM 06/01/2015 farms a part of Policy No, SEE BELOW
Issued to ROBERT HALF I NTERNAT I ONAI_ i n,..
By THE INSURANCE COMPANY OF THE STATE. OF PENNSYLVANIA
Premium I NCLUDED
We have the right to recover our payments from anyone Ilable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or Indirectly to benefit any one not named in the Schedule.
Schedule
THE PREMIUM FOR THE ENDORSEMENT IS INCLUDED
ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME
OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY
AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU ENTER
INTO PRIOR TO THE OCCURRENCE OF LOSS.
RHIIPROTIVITI:
PROTIVITI GOVERNMENT SERVICES:
WC 049901191 -AOS
WC 049901202 -AOS
WC 049901195 -CA
WC 049901206 -CA
WC 049901196 -FL
WC 049901207 -MA, NJ
WC 027527603 -FL
WC 027527602 -ME
WC 049901197 -MA, WI
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, North Dakota, Ohio, Tennessee,
Texas, Utah, or Washington.
WC 00 03 13
(Ed. 04184)
Countersigned by
a# / ��, a0
m r
Authotized Representative