Individual Information

ZACKERY RICHARD VANDEN BERG

Address:

GRAND RAPIDS, MI 49546

Status:

Active

Email:

zvandenberg@bhsins.com

Date:

02/13/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3313782	02/13/2018	Active	02/13/2018	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/13/2018	Active	02/13/2018
Property	02/13/2018	Active	02/13/2018

Company Name	Appointment Type	Status	Active Date
130765
EMCASCO INSURANCE COMPANY	Property	Active	05/23/2024
215
Company Name	Appointment Type	Status	Active Date
EMPLOYERS MUTUAL CASUALTY COMPANY	Property	Active	05/23/2024

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
Berends Hendricks Stuit Insurance Agency, LLC	Designated Resp Lic Prdcr	Agency	05/22/2020	-

1 - 1