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PROOF OF INSURANCE (2019 - 2020) CLOSED1 00 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/31/2019 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 have ADDITIONAL INSURED provisions or 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). Half Arthur J. Insurance ila Iyer & Co.ry. 8"18.539.1463ficates L.FA .. PRODUCER CC)NTAf.T NAME: Robert 0. PHONE FAX Gallagher ' .� k.r._........_........................�. rc,.mant: 818 -539-1801 Brokers of CA, Inc. License #0726293 _ cDn1 505 N. Brand Boulevard, Suite 600 at o" ,s: "oberlllalf cerlificatcs,�ra Glendale CA 91203 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Federal Insurance Company 20281 INSURED ROBEHAL-03 INSIIJIfVII?.I1 B Ansi., lance America, Inc, 24554 :, Robert Half International Inc 'y I r'Er•I Ori -I � I sT�TUTs:' I::II � 2613 Camino Ramon INSURER C: Lloyds' Syndicate 2623/623 (Boazlcy f�urlonge 11 td) San Ramon, CA 94583 INSURER D: INSURER E : INS'U'RER F' COVERAGES CERTIFICATE NUIMBER:235982'80 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 PAID CLAIMS, ILTR TYPE OF INSURANCE wqD y n POLICY NUMBER (M DD YYMY) (t�%10.� 0DIYY YY1' LIMITS A X COMMERCIAL GENERAL LIABILITY 35796687 6/1/2018 6/1/2019 EACH OCCURRENCE $ 2,000,000 PerCfMmrOgfiregete $5,000,000 DAI°JIAGE'T'o RENTED CLAIMS -MADE I X I OCCUR i_PIaLMISES(E oerll,Irrurrc) _ $2,000,000 X "' I MED EXP (Any one person) $'80,000 X n+;,, VP II' H' PER50NAII. A ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER', GENERAL AGGREGATE 21MIMIM X POLICYI"1141• LOC 1EC1 PRODUCTS • COMP/OP I Tat, ''.1: 2,00101,V1101(i OTH'ET^ Employer Liability ",llA''8Y;:8 A AUTOMOBILE LIABILITY 73233217 6/1/2018 6/1/2019 COMBINED SINGLEI,.lrM1. $1,000,000 (Ea accident) X ANY AUTO 901.91LY Ill 1Y (11er l:x+nrrrosrl I OWNED SCHEDULED 90UII...Y INJ6.11••iV'(I-Ior;aocadont) ,I AUTOS ONLY AUTOS HIRED NON -OWNED 11 I'll 0r Iti II,IPI W II IIIA Ill AUTOS ONLY AUTOS 0NI.Y ,u,,cldonlp Cumpfcall'oold: $1,0001$1,000 UMBRELLALIAB i X 79217107 A X I� C:U�•�"JI"t 6/1/2018 6/1/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAB t;t„M,IVv1S C 1A�JE r I, AGGREGATE i' $ 5,000,000 DEEP X I F'CI::,aC-I+Y°1 NSIn B WORKERS COMPENSATION Y AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUIIVE IN N/A OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below A PP.rscnalProi,.re0y w/TIB C PrglessilarnalI rlan,d'Illy C Ca IfTlel[`Idellly DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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 City of EI Segundo 350 Main Street EI Segundo CA 90245-3813 USA ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2' of 10 5233 $ Supplemental See attached Su DP 6/1/2018 6/1/2019 'y I r'Er•I Ori -I � I sT�TUTs:' I::II � E.L. EACH ACCIDENT x'1,000,000 E DISEASE - EA EMPLOYEE! $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 35798687 6/1/2018 6/1/2019 Pto)rnlly1.ln'1h $500,000 W26BC2190101 3/31/2019 3/31/2020 PerCfMmrOgfiregete $5,000,000 W26978190101 3/31/2019 3/31/2020 Each Loss $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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 City of EI Segundo 350 Main Street EI Segundo CA 90245-3813 USA ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2' of 10 5233 Liability Insurance Endorsement Policy Period Effective Date Policy Number Insured Name of Company Date Issued This Endorsement applies to the following forms: GENERAL LIABILITY Who Is An Insured Additional Insured - Scheduled Person Or Organization JUNE 1. 2018 TO JUNE I, 2019 JUNE I, 2018 3579-66-67 SFO ROBERT HALF INTERNATIONAL, INC FEDERAL INSURANCE COMPANY JUNE I, 2017 Under Who Is An Insured, die following provision is added. Persons or organizations shown in the Schedule are Insureds; but they are insureds only if you are obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by 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, Ws, 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, dial (lie 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 t UabAlty Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance. Condldons 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. Authorized Representative��,� Liabitity Insurance Iastpage Form 80-02-2367 (Rev. 5.07) Endorsement Page 2 II "' do 91 tII I•"II" A 'aMR I,„ „, 1" 11. N c . oil ." V„,.IIS uN�9!,9:mC';Vq v,lp"� ly'"intll uNtl'i til. !, &ill 111W, . o ldnl..PI' n I k'd 1w iiu111 011,'p,:,I1 NI, II• °, 'gip..%rl,'d 61'p„ I' 6:du I wwu� LI I � x d'��"VIdplV,u i'MSud'N'r�In ilP II II N',�'JId NN "!aa. ��u tlo„�n�'�i” q' u' ��1'p,'",tl�PgM.. it fl%4.'NS N ":'d'•^,","N1 ryll tivp 1..',.91"�;^"�6Bi v"�M 4Nq I I, o�l'p BI'��N',tl:V "tl ,, it„"A°,"I'.'I'tl pL,.gl9 I,Np �Ifl A'^, i,'� Ip"L'�'vig4, t,N �pl".qMy; ,, �, ",, I , 1 1l Ili 11 III ^,' i in i:I v w d w'III 0 j' , ', ^. I,' r ', dk , u p':W III' 111, 41,11, 1mw m III.I AI 111 11,11,' 1 I I I I :' III VI"I''�II'i i, L' VI,I'r �.' II''I 11h,'',; Eli'�i,'t I',I��,,u' I'I^"Pp II'v' I.I I11,li,'II 1:"IIi Iii p �'II,' IJJII41Nll a.'diJMl I�1 1. III II;h�III',' JI /', r l,lp, ISI! p! ,,Ilh VIII „P ir' li'Pl, r II,ji� 11 If I I° I,'��11'L I,'�II""I'�I„' 111 ",1, lil II'91I ���,^�, !I,,;��V�'r„'1o, N11,°.'ll''Il �•, V"'"„, 2018-2019 RHI Workers Compensation Policy Numbers P la Icvlk States Pcaticv t.nl 01 Mato I-xDate N sisin _0R a20 lRobert 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, MD, ME, MI, MN, MO, MS, MT, NO, NE, NH, NJ, NM, NV, NY, OK, OR, PA, RI, SC, RWD3001140-02 SD, TN, TX, UT, VA, VT, WV RHI/ Protiviti RWR3001141-02 WI RHI/ Protiviti Protiviti Government Services, Inc. 6/1/2018 6/1/2019 XL Insurance America, Inc. 6/1/2018 6/1/2019 XL Insurance America, Inc. AOS: AZ, CO, DC, IL, MA, MD, RWR3001142-02 INE, NH, NJ, NY, TX, VA Prot. Govt. Svs. 6/1/2018 6/1/2019 XL Insurance America, Inc. WORIKIERS EMPLOYll LI, BILfTYINS'l NtAti f."GUCY W'C 00 03'13 WAIVER OF OU11:1 RIGHT 111"0 RECOVER FROM OTHERS ENDORSEMENT We have the right to reclover our payments from aryone fiable for an injury covered by this policy. We w1fl not enforce our right against the person or organization nanned In the Schedule. (Thiis agreement applies only to the extent tt'ial you perform work tnider a wrRten contract that requk,es you to obtain Ws agreement frorn us,) This agreernent Du ll not operate direcifly or indirectly to benefit anyone not narned Vn the Schedl.fle Schedule Where required by written agreemeant !signed prior to ioss. I I I I 1 1111111 11 Jill 11 illill I q T (The informati.n, to equired only when this endorsement is issued subsequent to preparation of the pill Endorsement Effective 06/01/2018 Policy No, Endorsement No ' ,�,A Insured Robert Half International, Inc. Insurance Company Countersigned by XL Insurance America, Inc, 0 1983 National Council an Compensation Insurance,