Loading...
PROOF OF INSURANCE (2020 - 2020) CLOSEDC CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDD/YYYY) 'Ill5/31 /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), PRODUCER NAME: Robert Half Certificates Arthur J. Gallagher & Co. PHONE" 505 N. Brand Boulevard, Suite 600 pR l&tro., Insurance Brokers of CA, Inc. License #0726293 818 539 463 (a c, Ne) m8 a39 180'1 I MAIL berthaff erti'flcales0aiq.com Glendale CA 91203 INSURER(S) AFFORDING COVERAGE NAIC# INSURED ROBEHAL-03 Robert Half International Inc 2613 Camino Ramon San Ramon, CA 94583 INSURER A: Federal Insurance Company 20281 INSURER B: XL Insurance America, Inc. 24554 ...._ INSURER C,:,.Lloy s'^ Syndicate „2623/623 (Beazley Furlonqe Ltd) INSURER D : INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1707798250 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. 1: L bubR DYY EFF'1 (M ............................................. .(LTR rl� P POLICYEXP (' LIMIT S CE TYPE OF INSURANCE POLICYNUMBER RMO M/DDIYYYY) A COMM�IMIS-MADEE�LLIABILITY 3579-66-87 6/1/2019 6/1/2020 EACH $2,000.000 Y X° C X PRE.dJRpSESURRENCE iSAt�a8'9dENCf'l— tct:urrpnoa1 $ 2,000,000 _ ! ,OCCUR r.,..X_ Stop Gap Em Liab MED EOPC(�t�e II .._ Any one person) V $ 10,000 ................. .. ... ....,, in OH, WA, WY.ND mPE....9ONA...... 000.... L 8 ADV INJURY $ 2,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE V $2„000,000 POLICY❑JET ' F—] LOC MPIOP AGG., 2.000,000 ..$.1,000,000........... �. �yTJ-6ER� EmploVerLiability A AUTOMOBILE LIABILITY 7323-32-17 6/1/2019 6/1/2020 _ COMOINED SINGLE LIMIT [(rp rzcci¢gent � $1,000,000 ... X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident)..$............... .� AUTOS ONLY HIRED AUTOS NON -OWNED $........ ....................... ......................._. Okbi iE�RTY' d;S, A6 AUTOS ONLY ,...... AUTOS ONLY .Qr?ar aocidentb ................. -- ComplColl.Ded $1,000/$1,000 8 UMBRELLA A X..' OCCUR 7921-71-07 R, NC $ 5,000,000 EXCESS LIAB M L.AB CLAIMS -MADE ...E... $ 5.000.000 AGGREGATE E.......m............__. ..... .REX ..r ....�...L....., DED RETENTION $ n .................. $ B WORKERS COMPENSATION Y See Attached Supplemental 6/1/2019 6/1/2020 PP X PER OTH smlql� AND EMPLOYERS' LIABILITY N 11,95 ACCIDENT $1,000.000 mPARTNER/EXECUTIVEN__S OFF MNIA (Mandatory in E.,LLEA,CH............�..„ DSE-EA EMPLOYEE $1,000,000 , ,T If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT $ 1,000,000 A Personal Prapany W TIB 3579-66-87 6/1/2019 6/1/2020 Property Limit $500,000 C Professional Liability W26BC2190101 3/31/2019 3/31/2020 PerClaim/Aggregate $5,000,000 C rnrnelFldehly W26978190101 3/31/2019 3/31/2020 Each Loss $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured includes the fol'towin Accountemps, Office Team, Robert Half Finance & Accounting, Robert Half Technology, Robert Half Management Resources, Robert Half Legal, and Tie Creative Group which are direct subsidiaries of the parent company, Robert Half International 2613 Camino Ramon; San Ramon CA 94583 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 USA \ f (1 p� i ©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 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, 2019 TO JUNE 1, 2020 JUNE 1, 2019 3579-66-87 SFO ROBERT HALF INTERNATIONAL, INC FEDERAL INSURANCE COMPANY JUNE 1, 2019 Under Who Is An Insured, the 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, 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 Other 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 WRITTEN CONTRACT OR AGREEMENT BETWEEN YOU AND SUCH PERSON OR ORGANIZATION, TO PROVIDE WITH SUCH INSURANCE AS IS AFFORDED BY THIS POLICY; BUT THEY ARE INSUREDS ONLY IF AND TO THE MINIMUM EXTENT THAT SUCH CONTRACT OR AGREEMENT REQUIRES THE PERSON OR ORGANIZATION TO BE AFFORDED STATUS AS AN INSURED. HOWEVER, NO PERSON OR ORGANIZATION IS AN INSURED UNDER THIS PROVISION WHO IS MORE SPECIFICALLY DESCRIBED UNDER ANY OTHER PROVISION OF THE WHO IS INSURED SECTION OF THIS POLICY (REGARDLESS OF ANY LIMITATION APPLICABLE THERETO). All other terms and conditions remain unchanged. Authorized Representative Liability Insurance last page Form 80-02-2367 (Rev. 5-07) Endorsement Page 2 Robert Half International, Inc. Policy Number: 3579-66-87 June 1 2019 - June 1 2020 Cond...1ti>rions (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 betixe such loss. To the extent that the insured'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 alter 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 dues not apply to medical expenses. Liability Insurance Form 80-02-2000 (Rev. 4-01) Contract Page 24 of 32 COMMERCIAL AUTOMOBILE — BLANKET ADDITIONAL INSURED — POLICY EXCERPT Insured Robert Half International, Inc Policy Number 7323-32-17 Policy Effective June 1, 2019 —June 1, 2020; 12:01 am Standard Time Form Number 16-02-0292 (rev. 11-16) BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form. 2. BROAD FORM INSURED D. Persons And Organizations As Insureds Under A Written Insured Contract Paragraph A.1 — WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: f. Any person or organization 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 injury" 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 been issued to you. 2019-2020 RHI Workers Compensation Policy Numbers Policy# States PolicyEntlt Eff, Date Exp. Date Issuing Company Robert 1Irate. aAd Pr ,lw;100 Cir' 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, NC, ND, NE, NH, NJ, NM, NV, NY, OK, OR, PA, RI, SC, RWD3001140-03 SD, TN, TX, LIT, VA, VT, WV, WY RWR3001141-03 WI IProtiviti GiCN'6Yrer'not"N;nt, yryq„Mt"1n"''ig"Jhe. RHI/ Protiviti 6/1/2019 6/1/2020 XL Insurance America, Inc. RHI/ Protiviti 6/1/2019 6/1/2020 XL Insurance America, Inc. RWR3001142-03 AOS AZ, CA, DC, MD, OK, TX, VA Prot. Govt. Svs. 6/1/2019 6!1/2020 XL Insurance America, Inc. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT WC 00 03 13 (Ed. 4-84) We have the right to recover our payments from anyone liable 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 anyone not named in the Schedule. Schedule Where required by written agreement signed prior to loss. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured Robert Half International Inc. Insurance Company XL Insurance America, Inc. WC 00 03 13 (Ed. 4-84) 0 1983 National Council on Compensation Insurance. Policy No. RWD3001140-03 Countersigned by Endorsement No. Premium Included