Agency Information

CAPTIVE RESOURCES INS SERVICES INC

1100 NORTH ARLINGTON HEIGHTS ROAD

ITASCA, IL 60143

847-781-1400

gcarlson@captiveresources.com

663514

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	6817	10/01/2001	Active	10/01/2001	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	01/14/2013	Active	01/14/2013
Property	10/01/2001	Active	10/01/2001

Company Name	Appointment Type	Status	Active Date
737
ZURICH AMERICAN INSURANCE COMPANY	Casualty	Active	09/26/2017
	Property	Active	09/26/2017

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
GLENN G CARLSON	Designated Resp Lic Prdcr	Yes	04/10/2020	-

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