Individual Information

PATRICK S SMALL

GLENVIEW, IL 60026-8015

Active

psmall@starwindins.com

09/11/2002

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	165641	09/11/2002	Active	07/07/2016	07/31/2025
Non-Res. Surplus Lines Broker	189816	06/14/2004	Active	07/07/2016	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/11/2002	Active	07/07/2016
Health	01/16/2009	Active	09/15/2023
Life	01/16/2009	Active	09/15/2023
Property	09/11/2002	Active	07/07/2016
Surplus Lines	06/14/2004	Active	07/07/2016

Company Name	Appointment Type	Status	Active Date
1634
ACCREDITED SURETY AND CASUALTY COMPANY INC	Casualty	Active	09/22/2022
	Property	Active	09/22/2022
622
Company Name	Appointment Type	Status	Active Date
AMERICAN SUMMIT INSURANCE COMPANY	Property	Active	02/09/2023
94
Company Name	Appointment Type	Status	Active Date
FREEDOM SPECIALTY INSURANCE COMPANY	Casualty	Active	07/24/2024
	Property	Active	07/24/2024
11243
Company Name	Appointment Type	Status	Active Date
MANUFACTURERS ALLIANCE INSURANCE COMPANY	Casualty	Active	02/20/2024
	Property	Active	02/20/2024
438
Company Name	Appointment Type	Status	Active Date
NATIONAL CASUALTY COMPANY	Casualty	Active	07/24/2024
	Property	Active	07/24/2024
807
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE	Casualty	Active	02/20/2024
	Property	Active	02/20/2024
11244
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY	Casualty	Active	02/20/2024
	Property	Active	02/20/2024
1730
Company Name	Appointment Type	Status	Active Date
SCOTTSDALE INDEMNITY COMPANY	Casualty	Active	07/24/2024
	Property	Active	07/24/2024
737
Company Name	Appointment Type	Status	Active Date
ZURICH AMERICAN INSURANCE COMPANY	Health	Active	07/08/2024

row(s) 1 - 16 of 16

Organization	Association Type	Type	Beg dte	End dte
DUAL COMMERCIAL LLC	Designated Resp Lic Prdcr	Agency	01/08/2021	-

1 - 1