Agency Information

SAFEHOLD SPECIAL RISK INC

Address:

222 S RIVERSIDE PLAZA

CHICAGO, IL 60606

Phone

312-920-9177

URL:

Email:

licensing@usi.com

National Producer Number:

9142974

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3089471	07/22/2015	Active	07/22/2015	07/31/2024
Non-Res. Producer Firm	591981	04/11/2008	Active	04/11/2008	04/30/2026
Non-Res. Surplus Lines Broker	561534	09/27/2007	Active	09/27/2007	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	07/01/2018	Active	07/01/2018
Casualty	04/11/2008	Active	04/11/2008
Health	01/16/2009	Active	01/16/2009
Life	01/16/2009	Active	01/16/2009
Property	04/11/2008	Active	04/11/2008
Surplus Lines	09/27/2007	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Casualty	Active	06/30/2014
	Health	Active	09/20/2009
	Property	Active	06/30/2014
5
Company Name	Appointment Type	Status	Active Date
ACE FIRE UNDERWRITERS INSURANCE COMPANY	Casualty	Active	06/30/2014
	Property	Active	06/30/2014
6
Company Name	Appointment Type	Status	Active Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	06/30/2014
	Property	Active	06/30/2014
1256
Company Name	Appointment Type	Status	Active Date
AIG ASSURANCE COMPANY	Casualty	Active	09/21/2023
	Property	Active	09/21/2023
113
Company Name	Appointment Type	Status	Active Date
AIG PROPERTY CASUALTY COMPANY	Casualty	Active	09/21/2023
	Property	Active	09/21/2023
759
Company Name	Appointment Type	Status	Active Date
AIU INSURANCE COMPANY	Casualty	Active	09/21/2023
	Property	Active	09/21/2023
44
Company Name	Appointment Type	Status	Active Date
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY	Casualty	Active	09/22/2017
	Property	Active	09/22/2017
49
Company Name	Appointment Type	Status	Active Date
AMERICAN HOME ASSURANCE COMPANY	Casualty	Active	09/21/2023
	Property	Active	09/21/2023
1072
Company Name	Appointment Type	Status	Active Date
AMERICAN ZURICH INSURANCE COMPANY	Casualty	Active	09/22/2017
	Property	Active	09/22/2017
100311
Company Name	Appointment Type	Status	Active Date
AMTRUST INSURANCE COMPANY	Casualty	Active	08/07/2015
	Property	Active	08/07/2015
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Casualty	Active	09/19/2022
	Property	Active	09/19/2022
852
Company Name	Appointment Type	Status	Active Date
BANKERS STANDARD INSURANCE COMPANY	Casualty	Active	06/30/2014
	Property	Active	06/30/2014
168
Company Name	Appointment Type	Status	Active Date
COMMERCE AND INDUSTRY INSURANCE COMPANY	Casualty	Active	09/21/2023
	Property	Active	09/21/2023
113385
Company Name	Appointment Type	Status	Active Date
EMPLOYERS ASSURANCE COMPANY	Casualty	Active	03/31/2022
100892
Company Name	Appointment Type	Status	Active Date
EMPLOYERS COMPENSATION INSURANCE COMPANY	Casualty	Active	03/31/2022
111020
Company Name	Appointment Type	Status	Active Date
EMPLOYERS PREFERRED INSURANCE COMPANY	Casualty	Active	03/31/2022
143341
Company Name	Appointment Type	Status	Active Date
EVEREST DENALI INSURANCE COMPANY	Casualty	Active	10/20/2023
	Property	Active	10/20/2023
1345
Company Name	Appointment Type	Status	Active Date
EVEREST NATIONAL INSURANCE COMPANY	Casualty	Active	10/20/2023
	Property	Active	10/20/2023
143384
Company Name	Appointment Type	Status	Active Date
EVEREST PREMIER INSURANCE COMPANY	Casualty	Active	10/20/2023
	Property	Active	10/20/2023
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Casualty	Active	06/20/2012
	Property	Active	06/20/2012
287
Company Name	Appointment Type	Status	Active Date
GRANITE STATE INSURANCE COMPANY	Casualty	Active	09/21/2023
	Property	Active	09/21/2023
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	06/19/2009
	Property	Active	06/19/2009
1125
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ASSURANCE COMPANY	Casualty	Active	06/19/2009
	Property	Active	06/19/2009
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	06/19/2009
	Health	Active	10/19/2017
	Property	Active	06/19/2009
65
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK	Casualty	Active	06/19/2009
	Property	Active	06/19/2009
1520
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN SECURITY INSURANCE COMPANY	Casualty	Active	09/10/2010

row(s) 1 - 50 of 108

Name	Association Type	Agent	Begin Date	End Date
ANTHONY HIRSCH	Designated Resp Lic Adjuster	No	05/14/2021	-
DAVID M HATLEM	Designated Resp Lic Prdcr	Yes	10/31/2023	-
JOHN PAULK	Designated Resp Lic Prdcr	Yes	10/31/2023	-

1 - 3

SAFEHOLD SPECIAL RISK INC

Address:

Phone

URL:

Email:

National Producer Number:

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License Information

Qual Information

55 Appointments

3 Individual Associations