Agency Information

1ST Community Insurance Services, Inc.

Address:

400 S FARRELL DRIVE

PALM SPRINGS, CA 92262

Phone

760-325-7400

URL:

WWW.CISPS.COM

Email:

insurancelicensing@nfp.com

National Producer Number:

3421211

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	756235	05/25/2011	Active	05/25/2011	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/25/2011	Active	05/25/2011
Property	05/25/2011	Active	05/25/2011

Company Name	Appointment Type	Status	Active Date
1474
CRESTBROOK INSURANCE COMPANY	Casualty	Active	07/09/2018
	Property	Active	07/09/2018
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	07/09/2018
	Property	Active	07/09/2018
11537
Company Name	Appointment Type	Status	Active Date
NEVADA CAPITAL INSURANCE COMPANY	Casualty	Active	10/10/2017
	Property	Active	10/10/2017

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
STEPHEN MASARU MORIYAMA	Designated Resp Lic Prdcr	Yes	04/08/2020	-

1 - 1