PROOF OF INSURANCE (2019 - 2019) CLOSED "° µ - I. I DATE(MM/DD/YYYY)
CERTIFICATE OF I'' I'I
_ 5131/2018
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: lithe' certificate holder Is an ADDITIONAL INSURED,the pollic'y(les) must have ADDITIONAL INSURED provisions or be endorsed, f
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 endorserllent(s),
PRODUCER w CONTACT
NAINAL: Robert Half Certificates
Arthur J. Gallagher&Co. PHONE FAX
Insurance Brokers of CA, Inc. License#0726293 a,Ext): 818-539-1463 (Arc,t4o):818-539-1801
A!c
505 N. Brand Boulevard, Suite 600 Atlbnrss1 rotyerik`t.tll'w t'tel'Iklit';F,fit:;"s( 7,aj(p.tactftl
Glendale CA 91203 INSURER(S)AFFORDING COVERAGE NACC�
INSURER A:Federal Insurance Company 20281
INSURED ROBEHAL-03 INSURER B:XL Insurance America,Inc. 24554
Robert Half International Inc
2613 Camino Ramon INSURER c:Liberty Surplus Insurance Corporation 10725
San Ramon, CA 94583 INSURER D:Liberty Mutual Insurance Company 23043
INSURER E:
I INSURER F:
COVERAGES _ CERTIFICATE NUMBER.2//0369676 _ REVISION NUMBER:
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 SAID CLAIMS,
INS11' AoDL SuRR" POLICY Irpf. POLICY EXP
TYPE OF INSURANCE INwSP,W.!�td.., POLICYMEp_... rMdDDI'YYDrYLIMITS
._........._
A X COMMERCIAL GENERAL LIABILITY 35796667 61112018 6/1!2019 EACH OCCUl if U-N('. $2,000,000
C� IMSMADL I X I OCCLAR C/AhwtAS';i' rrrr4l,N"rlfl
4 4Nf,t,MB,:B {I Ir,r ,;:lilrcw,pnr,:ro) $2,0 ,000
X Stop Gap Em Liab MED EXP(Any one person) $10,000
X in OH,WA,WY,ND PERSONAL&ADV INJURY $2,000,000
GEN°LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X PC)I ( �rpwG';j ( LOC PRODUCT'S C01471..r/01..rAGG $2. .000
t'I'l°tLrt'; e Employer Liability $1,000,000
A AUTOMOBILE LIABILITY 73233217 611/2018 6/1/2019 t",r„a'rtlBINI''l,tr;7lNt1l.I'.1.9tAlT $1,00%000
(t.M i1i':vhJim0
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident)
HIRED NON-OWNED PlIOPI',Hi Y'PAMAttr:, °6
AUTOS ONLY AUTOS ONLY (Poo ara,n:fO�I'I
A X UMBRELLAL- B A _.._ ........ Gomp/CoII,Dad: $1,000!$1A00
X ctccul"M 79217107 6/1/2016 6/1/2019 EACH OCCURRENCE $5.000.000
EXCESS LIAB CJ A111MS MA:E:: At G'NEGATE $5,000,000
DED
X .._I RETENTION$ ;r
._ v!N.. ..............._ww pp _.................,__.... %'ST I:_ _
B WORKERS COMPENSATION Y See attached Supplemental 6/1/2018 6/112019 X
AND EMPLOYERS'LIABILITYOFF ROPER�EnTNCR PARTNER EXECUTIVE N E.L DISEASEE.L.EACH CEA EMPLOYEE IDENT $1,000,000
OFFICER/MERABEREXC'LUDE67 N/A
(Mandato $1,000,000
If as,dome dbe under
DESCillil f ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1_,000,000
,A I' Irian r'I f''r„yyw rty w!Tt8 _ 35796687 611/2018 6/1/2019 Propoily l imit 500,000
G I"r'rrotsy,;slr proof l.irof lily E05N41941014 3/31/2016 3/31/2099 PorC lain'VAg4regate 5,000,000
D t::flmodFHolity+ F14N S5O006 3/31/2018 3/31/2019 Exch lLoca 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.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS.
350 Main Street
EI Segundo CA 90245-3813 AUTHORIZED REPRESENTATIVE
I� USA
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Liability Insurance
Endorsement
Policy Period JUNE 1.2018 TO JUNE 1,2019
Effective Date JUNE 1, 2018
Policy Number 3579-66-87 SFO
Insured ROBERT HALF INTERNATIONAL,INC
Name of Company FEDERAL INSURANCE COMPANY
Date Issued JUNE 1,2017
This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who is An Insured, the following provision is added.
Who Is An Insured
Additional Insured- Persons or organizations shown in the Schedule are insureds,but they are insureds only if you are
Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by
Or Organization this policy,
However,the person or organization is an insured only:
• if and then only to the extent the person or organization is described in the Schedule,
• to the extent such contract or agreement requires the person or organization to be afforded
status as an insured;
• for activities that did not occur,in whole or in part,before the execution of the contract or
agreement;and
• with respect to damages, loss,cost or expense for injury or damage to which this insurance
applies.
No person or organization is an insured under this provision:
• that is more specifically identified under any other provision of the Who Is An Insured
section(regardless of any limitation applicable thereto).
• with respect to any assumption of liability(of another person or organization)by them in a
contract or agreement.This limitation does not apply to the liability for damages,loss,cost or
expense for injury or damage,to which this insurance applies,that the person or organization
would have in the absence of such contract or agreement,
Liability Insurance continued
Form 80-02-2367(Rev.5-07) Endorsement Page 1
Liability Endorsement
(continued)
Under Conditions,the following provision is added to the condition titled her Insurance,
Conditions
Other Insurance— If you are obligated,pursuant to a contract or agreement,to provide the person or organization
Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy,then in such case
Insurance—Scheduled this insurance is primary and we will not seek contribution from insurance available to such person
Person Or Organization or organization.
Schedule
Persons or organizations that you are obligated,pursuant to a contract or agreement,to provide with
such insurance as is afforded by this policy.
All other terms and conditions remain unchanged.
C")
Authorized Representative V,
Liability Insurance lost page
Form 80-02-2367(Rev.5-07) Endorsement Page 2
kobevL Half International . Inc
Policy Number : 3579 -66 -8 7
20 18 D 119
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2018-2019 RHI Workers Compensation Policy Numbers
POIICStates R91c Lei -fl.-Date Lxg,Date Issuingin s n
�Robert Half International Inc.and Protiviti Inc.
AOS:AL,AR,AZ,CA,CO,CT,
DC, DE,FL,GA,HI, IA, ID, IL, IN,
KS,KY,LA,MA, MID,ME,MI,MN,
MO, MS, MT, NC, NE,NH, NJ,
NM,NV, NY,OK,OR, PA,RI,SC,
RWD3001140-02 SID,TN,TX,UT,VA,VT,WV RHI/Protiviti 6/1/2018 6/1/2019 XL Insurance America, Inc.
RWR3001141-02 WI RHI/Protiviti 6/1/2018 6/1/2019 XL Insurance America, Inc.
Protiviti Government Services,Inc.
AOS:AZ,CO, DC, IL,MA,MID,
RWR3001142-02 NE, NH, NJ, NY,TX,VA Prot.Govt.Svs, 6/1/2018 6/1/2019 XL Insurance America, Inc.
WORKERS COWUPIEINS SA11,0114 AND EMPLOYERS LJhANil Lf'T'V III SURANGIE Fu,011 XY, VWC 00 03 13
Q, 4 a4
WAVER OF 01UR RIECOVE IFROM 011-HERS 1EK1D0FZS]EMEN'-r
We have Che dghl to recover our peym�,,,�ints fn::)rr1 ainylone for an liinjuiry coveired If 0"0s poficy� We WHI not eirifica'c"'o
cur dght against Me pemon or mgaT*Izatiican k"i the SchedWs (Thd agmement apphes oroy W the extent that
y(,,)u n)eiffoirm WOf'1< UFUdip'll,a WrAN.m'n C()1r1U"d- (,A ILJ--nat reiqiuliires ymj M A= Ws aWmnml Ban us.)
Thk agmnaMshaH mA opwaW dkecRy or Wlir ctIIy to bteniefit anyorie iniot rt,,:itneid iilrn the I ci,iedule,
SdadWe
Wre req..direid by writtieirN prior,t(.") los&
TWs endamoreM chanes&m pddy M vAkh K I sHwhed and W Wmhm an Me d-ate �!&,Liueid unlliets!,t;otl"�ien,Wse SMW
(The Wonmadon below Is required only when Us endorsement is issued subsequent to prelparation of the poficy.)
Endorsement EffecOve 06/0'1/,,2018 Poky No. EmMmmmm Ni:)
R1030M 14502
Irmured
WWI HaR Ugmnmiona,
J%R'P"'
msmame campully Cowlmmyned by
AL hemmme Anwom hm,
NYC 00 03 13
(E 14 W)
0 1063 Nadonall Coundil on compenssttloin Insurance,