SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A : NAIC #
NAME: CONTACT
(A/C, No): FAX
E-MAIL ADDRESS:
PRODUCER
(A/C, No, Ext): PHONE
INSURED
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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).
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.
OTHER:
(Per accident)
(Ea accident)
$
$
N / A
SUBR WVDADDL
INSD
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. $
$
$
$ PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person) COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOS ONLY AUTOS NON-OWNED OWNED SCHEDULED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) DESCRIPTION OF OPERATIONS below
If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
$
$
$ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEEE.L. EACH ACCIDENT EROTH- STATUTE PER
(MM/DD/YYYY) LIMITS POLICY EXP(MM/DD/YYYY) POLICY EFFLTR TYPE OF INSURANCE POLICY NUMBER INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $
$
OCCUR
CLAIMS-MADE DED RETENTION $
PRODUCTS - COMP/OP AGG $ GENERAL AGGREGATE $ PERSONAL & ADV INJURY $ MED EXP (Any one person) $
EACH OCCURRENCE $ DAMAGE TO RENTED
PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
5/25/2023
Arthur J. Gallagher Risk Management Services, LLC
500 N. Brand Boulevard, Suite 100
Glendale CA 91203
Robert Half Certificates 818-539-1463 [email protected] License#: 0D69293 Federal Insurance Company 20281 ROBEHAL-03 Underwriters at Lloyd's London 15792 Robert Half International Inc.
including Accountemps
2613 Camino Ramon
San Ramon CA 94583
Safety National Casualty Corporation 15105 417206239
A X 2,000,000 X 2,000,000 X Stop Gap Em.Liab 10,000 X in OH, WA, WY,ND 2,000,000 2,000,000 X Y Y 35796687 6/1/2023 6/1/2024
2,000,000 Employer Liability 1,000,000
A 1,000,000 XY 73233217 6/1/2023 6/1/2024
Comp/Coll.Ded: 1,000/$1,000
A X X
79217107 6/1/2023 6/1/2024
5,000,000 5,000,000 X
0 C
X
N
See Attached Supplemental 6/1/2023 6/1/2024
1,000,000 1,000,000 1,000,000
A
B
B
Personal Property w/ TIB
Professional Liability
Crime/Fidelity
35796687
W268C2230501
W26978230501
6/1/2023
3/31/2023
3/31/2023
6/1/2024
3/31/2024
3/31/2024
Property Limit
PerClaim/Aggregate
Each Loss
$500,000
$5,000,000
$5,000,000
Professional Liability coverage are claims made and reported during the policy period.
Certificate Holder is deemed Additional Insured on the above referenced General Liability and Auto Liability policies as required by written contract for liability arising out of the Named Insureds' acts or omissions. Please refer to attached Chubb General Liability form 80-02-2367 for scope of Additional Insured status.
Rights of Subrogation have been waived with respects to General Liability Policy as required by written contract executed prior to loss. Certificate Holder is completed as: The City of Redondo Beach, its officers, elected and appointed officials, employees and volunteers. City of Redondo Beach 415 Diamond Street
Redondo Beach CA 90277
Policy# States Eff. Date Exp. Date Issuing Company NAIC # LDS4064812
AOS: AK, AZ, AR, CA,
CO, CT, DE, DC, FL,
GA, HI, ID, IL, IN, IA, KS,
KY, LA, ME, MD, MA, MI,
MN, MS, MO, MT, NE,
NV, NH, NJ, NM, NY,
NC, OK, OR, PA RI, SC,
SD, TN, TX, UT, VT, VA,
WV, WY
6/1/2023 6/1/2024 Safety National Casualty Corp 15105
PS 4064813 WI 6/1/2023 6/1/2024 Safety National Casualty Corp 15105 Robert Half International Inc. and Protiviti Inc.
2023-2024 RHI Workers Compensation Policy Numbers
Additional Insured - Scheduled Person Or Organization continued 80-02-2367 (Rev. 5-07) Endorsement 1
Liability Insurance
Form Page
3579-66-87 SFO
FEDERAL INSURANCE COMPANY
JUNE 1, 2015 TO JUNE 1, 2016
JUNE 10, 2015
JUNE 1, 2015
ROBERT HALF INTERNATIONAL, INC
This Endorsement applies to the following forms:
Name of Company
Endorsement
Policy Number
Effective Date
Policy Period
Date Issued
Liability Insurance
Insured
GENERAL LIABILITY
Who Is An Insured
the following provision
only:
them
Additional Insured - but they are insured you are
Scheduled Person
Or Organization
by
this policy.
Is An Insured,
However, the person or organization is an insured
is added
;
obligated pursuant to a with
to
shown
or agreement to
are insureds
• if is
or organizations
the extent the person or organ
Persons
and then only
contract
in the Schedule
provide
Under Who
ization
.
described in the Schedule;
such insurance
s only if
as is afforded
•
for
eement; and
did not occur, in whole
requires the person or
•
agr
act
an insured
• loss, cost or expense for injury or to
status as
to damages,
or agreement
or in part, before the of
with respect
that
contract
damage which this insurance
applies.
such
;
execution the
to the extent organization to be afforded
ivities contract or
•
person
is more specifically identified
under this provision:
of the
No
section
organization is an insured
that under any other provision Who
or
(regardless of any limitation applicable thereto).
Is An Insured
•
expense for injury
absence of
, to which this insurance
person
would have in the
or
contr or agreement. This limitation does not apply cost or with
act
to any assumption of liability (of another
applies, that the
respect
damage
such contract or agreement.
liability for damages
organization
in
to the
or organization) by them a
person or
, loss,
Reference Copy
JUNE 1, 2023 TO JUNE 1, 2024
JUNE 1, 2023
JUNE 1, 2023
Additional Insured - Scheduled Person Or Organization last page 80-02-2367 (Rev. 5-07) Endorsement 2
Liability Insurance
Form Page
Liability Endorsement
(continued)
Conditions
from insurance available to such
Other Insurance –
person
Primary, Noncontributory case
Insurance – Scheduled
Person Or Organization
this insurance is primary and we
a contract or
added to the
th
shown
are obligated, pursuant to
will not seek contribution
or
you
Conditions, the following provision is
agreement,
afforded by
If
organization.
with
Schedule
Schedule
Under
in the primary insurance such as is
to
condition
provide
titled
this policy, then in such
Other Insurance.
e person or organization
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
Reference Copy
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).
Robert Half International, Inc.
Policy Number: 3579-66-87
June 1 2023 - June 1 2024
COMMERCIAL AUTOMOBILE – BLANKET ADDITIONAL INSURED – POLICY EXCERPT Insured Robert Half International, Inc
Policy Number 7323-32-17
Policy Effective June 1, 2023 – June 1, 2024; 12:01am 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.