Agency Information

RISK THEORY INS SERVICES LLC

Address:

15301 DALLAS PARKWAY

ADDISON, TX 75001

Phone

213-369-4900

URL:

Email:

license@risktheory.com

National Producer Number:

17746087

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3122603	11/16/2015	Active	11/16/2015	11/30/2027
Non-Res. Surplus Lines Broker	3131165	01/06/2016	Active	01/06/2016	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	11/16/2015	Active	11/16/2015
Property	11/16/2015	Active	11/16/2015
Surplus Lines	01/06/2016	Active	01/06/2016

Company Name	Appointment Type	Status	Active Date
10868
CLEAR BLUE INSURANCE COMPANY	Casualty	Active	10/11/2019
	Property	Active	10/11/2019
153020
Company Name	Appointment Type	Status	Active Date
ROCK RIDGE INSURANCE COMPANY	Casualty	Active	10/30/2020
	Property	Active	10/30/2020

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
EDWARD JOHN SUSTALA	Designated Resp Lic Prdcr	Yes	06/06/2022	-

1 - 1