Agency Information

CAPITAL INS SERVICES CORP

4299 FIVE OAKS DR

LANSING, MI 48911-4214

517-482-7900

accounting@capitalinsurance.com

961056

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1028434	04/13/2015	Active	04/13/2015	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/13/2015	Active	04/13/2015
Property	04/13/2015	Active	04/13/2015

Company Name	Appointment Type	Status	Active Date
1416
CAPITOL INDEMNITY CORPORATION	Casualty	Active	10/02/2018
110894
Company Name	Appointment Type	Status	Active Date
CITIZENS INSURANCE COMPANY OF AMERICA	Casualty	Active	02/20/2020
	Property	Active	02/20/2020
115655
Company Name	Appointment Type	Status	Active Date
HANOVER AMERICAN INSURANCE COMPANY, THE	Casualty	Active	06/21/2019
	Property	Active	06/21/2019
309
Company Name	Appointment Type	Status	Active Date
HARTFORD FIRE INSURANCE COMPANY	Casualty	Active	06/08/2020
	Property	Active	06/08/2020
1109
Company Name	Appointment Type	Status	Active Date
LIBERTY INSURANCE UNDERWRITERS INC	Casualty	Active	11/23/2015
	Property	Active	11/23/2015
367
Company Name	Appointment Type	Status	Active Date
LIBERTY MUTUAL INSURANCE COMPANY	Casualty	Active	11/23/2015
	Property	Active	11/23/2015
110699
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS BAY INSURANCE COMPANY	Casualty	Active	04/17/2023
	Property	Active	04/17/2023
1331
Company Name	Appointment Type	Status	Active Date
MERCHANTS BONDING COMPANY	Casualty	Active	03/08/2021
492
Company Name	Appointment Type	Status	Active Date
OHIO CASUALTY INSURANCE COMPANY, THE	Casualty	Active	05/06/2015
	Property	Active	12/13/2022
1012
Company Name	Appointment Type	Status	Active Date
PLATTE RIVER INSURANCE COMPANY	Casualty	Active	10/02/2018
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	12/11/2019

row(s) 1 - 18 of 18

Name	Association Type	Agent	Begin Date	End Date
ADAM T GILROY	Designated Resp Lic Prdcr	Yes	11/18/2020	-

1 - 1