Agency Information

GREEN SHIELD RISK SOLUTIONS LLC

1613 MONTEREY DR.

GLENVIEW, IL 60026

312-914-9242

pblandford@decoqcapital.com

20393124

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3834006	09/19/2022	Active	09/19/2022	09/30/2025
Non-Res. Surplus Lines Broker	3834047	09/19/2022	Active	09/19/2022	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/19/2022	Active	09/19/2022
Property	09/19/2022	Active	09/19/2022
Surplus Lines	09/19/2022	Active	09/19/2022

Name	Association Type	Agent	Begin Date	End Date
PATRICK M BLANDFORD	Designated Resp Lic Prdcr	Yes	09/19/2022	-

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