Agency Information

WESTERN SUMMIT, LLC

Address:

5220 S UNIVERSITY DR #C-202

FORT LAUDERDALE, FL 33328

Phone

954-475-0201

URL:

Email:

russm@western-summit.com

National Producer Number:

8096716

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	643669	03/27/2009	Active	03/27/2009	03/31/2027
Non-Res. Surplus Lines Broker	3505382	12/10/2019	Active	12/10/2019	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/27/2009	Active	03/27/2009
Property	03/27/2009	Active	03/27/2009
Surplus Lines	12/10/2019	Active	12/10/2019

Company Name	Appointment Type	Status	Active Date
1741
HUDSON INSURANCE COMPANY	Casualty	Active	04/09/2010
1109
Company Name	Appointment Type	Status	Active Date
LIBERTY INSURANCE UNDERWRITERS INC	Casualty	Active	07/02/2015
	Property	Active	07/02/2015
1666
Company Name	Appointment Type	Status	Active Date
MEDICAL PROTECTIVE COMPANY (THE)	Casualty	Active	06/10/2009
	Property	Active	06/10/2009
1525
Company Name	Appointment Type	Status	Active Date
NORCAL INSURANCE COMPANY	Casualty	Active	10/16/2019

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
CHRISTOPHER R MADIO	Designated Resp Lic Prdcr	No	02/08/2021	-

1 - 1