|
'
<br /> ACCPR L CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
<br /> kiIrm..../-- 5/28/2022
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER N,CONTACT Robert Half Certificates
<br /> Arthur J. Gallagher& Co. PHONE FAX
<br /> Insurance Brokers of CA, Inc. License#0726293 (A/C.No.ExtI: 818-539-1463 (A/C,No):
<br /> 500 N. Brand Boulevard. Suite 100 ADDRESS: roberthalf_certificates@ajg.com
<br /> Glendale CA 91203 INSURER(S)AFFORDING COVERAGE NAIC 0
<br /> INSURER A:Federal Insurance Company 20281
<br /> INSURED ROBEHAL-03 INSURER a:Safety National Casualty Corporation 15105
<br /> Robert Half International Inc. INSURER C:Underwriters at Lloyd's London 15792
<br /> including Accountemps
<br /> 2613 Camino Ramon INSURERD:
<br /> San Ramon CA 94583 INSURERE:
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:766184173 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WLIMITS
<br /> LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI
<br /> A X COMMERCIAL GENERAL LIABILITY Y 3579-66-87 6/1/2022 6/1/2023 EACH OCCURRENCE $2,000,000
<br /> DAMAGE TO RENTED
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $2,000,000
<br /> X Stop Gap Em.Liab MED EXP(Any one person) - $10,000
<br /> X in OH,WA,WY,ND PERSONAL&ADV INJURY $2,000,000 _
<br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> POLICY PRO LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> X PRO-
<br /> ' OTHER: 1 Employer Liability $1,000,000
<br /> A AUTOMOBILE LIABILITY 7323-32-17 6/1/2022 6/1/2023 COMBINED SINGLE LIMIT $1,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED P SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY _ AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> _ AUTOS ONLY AUTOS ONLY (Per accident)
<br /> Comp/CoII.Ded. $1,000/$1,000
<br /> A X UMBRELLA LIAB X OCCUR 7921-71-07 6/1/2022 6/1/2023 EACH OCCURRENCE __$5,000,000
<br /> EXCESS LIAB CLAIMS-MADE . AGGREGATE $5,000,000
<br /> DED X RETENTION$n $
<br /> B WORKERS COMPENSATION See Attached Supplemental 6/1/2022 6/1/2023 X STATUTE ERH
<br /> AND EMPLOYERS'LIABILITY
<br /> YN
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE NN/ A E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED?
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$1,000,000
<br /> C Professional Liability W268C2220401 3/31/2022 3/31/2023 PerClaim/Aggregate • $5,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Rights of Subrogation have been waived with respects to General Liability as required by written contract executed prior to loss.
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> City of Pleasanton ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> P 0 Box 520
<br /> Pleasanton CA 94566 AUTHORIZED REPRESENTATIVE
<br /> USA -y 0.--,411
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
|