Agency Information

PATRIOT OF CALIFORNIA INSURANCE SERVICES, LLC

24461 RIDGE ROUTE DRIVE SUITE A230

LAGUNA HILLS, CA 92653

813-892-7680

ilarson@patriotgis.com

19350201

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3499310	11/18/2019	Active	11/18/2019	11/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	11/18/2019	Active	11/18/2019
Property	11/18/2019	Active	11/18/2019

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	05/31/2023
	Property	Active	05/31/2023
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	05/31/2023
	Property	Active	05/31/2023
579
Company Name	Appointment Type	Status	Active Date
SAFECO INSURANCE COMPANY OF AMERICA	Casualty	Active	10/17/2023
	Property	Active	10/17/2023
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	05/31/2023
	Property	Active	05/31/2023
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	05/31/2023
	Property	Active	05/31/2023
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	05/31/2023
	Property	Active	05/31/2023
814
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA	Casualty	Active	08/24/2022
	Property	Active	08/24/2022
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	05/31/2023
	Property	Active	05/31/2023

row(s) 1 - 16 of 16

Name	Association Type	Agent	Begin Date	End Date
MATTHEW P GARDNER	Designated Resp Lic Prdcr	Yes	11/28/2020	-

1 - 1