2016-225-E AMS - Robert Half International, Inc. for temporary staffing services

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DocuSign Envelope ID:A41727C9-2E16-4FFD-ACC3-36FC9EBCBC9E DATE(MM/DD/YYYY) A��°® CERTIFICATE OF LIABILITY INSURANCE F3/118/2016 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 NAME: Robert Half Certificates Arthur J. Gallagher&Co. P"°NE 818-539-1463 FAX 818-539-1801 Insurance Brokers of CA, Inc. License#0726293 'C' 505 N. Brand Boulevard, Suite 600 ADDRESS:roberthalf_certificates @ajg.com Glendale CA 91203 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Federal Insurance Company 20281 INSURED ROBEHAL-03 INSURER B:Insurance Company of State of PA 19429 Robert Half International Inc. INSURER C: including Office Team 2613 Camino Ramon INSURERD: San Ramon CA 94583 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:480027392 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 35796687 6/1/2015 6/1/2016 EACH OCCURRENCE $2,000,000 IX OCCUR DAMAGE TO RENTED CLAIMS-MADE PREMISES Ea occurrence $2,000,000 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'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 X POLICY JECT PRO [::] LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Employer Liability $1,000,000 A AUTOMOBILE LIABILITY 73233217 6/1/2015 6/1/2016 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ AUTOS NED SCHEDULED BODILY INJURY(Per accident) $ UTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Comp/Coll.Ded: $1,000/$1,000 A X UMBRELLA LIAB X OCCUR 79217107 6/1/2015 6/1/2016 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$0 $ B WORKERS COMPENSATION See attached Supplemental 6/1/2015 6/1/2016 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/A` (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Insurance Only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Orange County ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8181 Hillsborough NC 27278 USA AUTHORIZED REPRESENTATIVE /,< ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD