Agency Information

SPECIAL INS SERVICES INC

401 W FAYETTE AVE # 417

SPRINGFIELD, IL 62704-2732

217-753-2500

bill.kelso@spriska.com

2106754

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	817466	05/07/2012	Active	04/07/2016	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/07/2012	Active	04/07/2016
Personal Lines	05/07/2012	Active	04/07/2016
Property	05/07/2012	Active	04/07/2016

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	07/13/2017
	Property	Active	07/13/2017
113385
Company Name	Appointment Type	Status	Active Date
EMPLOYERS ASSURANCE COMPANY	Casualty	Active	05/09/2019
100892
Company Name	Appointment Type	Status	Active Date
EMPLOYERS COMPENSATION INSURANCE COMPANY	Casualty	Active	05/09/2019
111020
Company Name	Appointment Type	Status	Active Date
EMPLOYERS PREFERRED INSURANCE COMPANY	Casualty	Active	05/09/2019
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	07/13/2017
	Property	Active	07/13/2017
109340
Company Name	Appointment Type	Status	Active Date
PARK NATIONAL INSURANCE COMPANY	Casualty	Active	03/04/2019
	Property	Active	03/04/2019
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	07/13/2017
	Property	Active	07/13/2017
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	04/15/2019
	Property	Active	04/15/2019
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	07/13/2017
	Property	Active	07/13/2017
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	07/13/2017
	Property	Active	07/13/2017

row(s) 1 - 17 of 17

Name	Association Type	Agent	Begin Date	End Date
WILLIAM D KELSO	Designated Resp Lic Prdcr	Yes	03/28/2022	-

1 - 1