Agency Information

CORPORATE INS LLC

8686 N. CENTRAL AVE SUITE 202

PHOENIX,, AZ 85020

602-309-0793

susanh@corpinsurance.net

17587859

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1039543	06/04/2015	Active	06/04/2015	06/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/04/2015	Active	06/04/2015
Personal Lines	06/04/2015	Active	06/04/2015
Property	06/04/2015	Active	06/04/2015

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
1776
Company Name	Appointment Type	Status	Active Date
OHIO SECURITY INSURANCE COMPANY	Casualty	Active	01/09/2023
	Property	Active	01/09/2023
109340
Company Name	Appointment Type	Status	Active Date
PARK NATIONAL INSURANCE COMPANY	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	09/28/2015
	Property	Active	09/28/2015
114609
Company Name	Appointment Type	Status	Active Date
WESTERN NATIONAL MUTUAL INSURANCE COMPANY	Casualty	Active	03/14/2017

row(s) 1 - 17 of 17

Name	Association Type	Agent	Begin Date	End Date
SUSAN BETH HUBBARD	Designated Resp Lic Prdcr	Yes	11/17/2020	-

1 - 1