Agency Information

EBAY INSURANCE SERVICES INC

2145 HAMILTON AVE

SAN JOSE, CA 95125-5905

408-967-6606

mslattery@ebay.com

8551403

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	503368	09/11/2006	Active	05/12/2010	05/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/11/2006	Active	05/12/2010
Property	09/11/2006	Active	05/12/2010

Company Name	Appointment Type	Status	Active Date
1124
AGCS MARINE INSURANCE COMPANY	Casualty	Active	10/10/2018
	Property	Active	10/10/2018
757
Company Name	Appointment Type	Status	Active Date
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY	Casualty	Active	10/10/2018
	Property	Active	10/10/2018
28
Company Name	Appointment Type	Status	Active Date
AMERICAN AUTOMOBILE INSURANCE COMPANY	Casualty	Active	10/10/2018
	Property	Active	10/10/2018
397
Company Name	Appointment Type	Status	Active Date
BCS INSURANCE COMPANY	Casualty	Active	09/28/2018
	Property	Active	09/28/2018
249
Company Name	Appointment Type	Status	Active Date
FIREMANS FUND INSURANCE COMPANY	Casualty	Active	10/10/2018
	Property	Active	10/10/2018
349
Company Name	Appointment Type	Status	Active Date
JEFFERSON INSURANCE COMPANY	Casualty	Active	09/28/2018
	Property	Active	09/28/2018
454
Company Name	Appointment Type	Status	Active Date
NATIONAL SURETY CORPORATION	Casualty	Active	10/10/2018
	Property	Active	10/10/2018

row(s) 1 - 14 of 14

Name	Association Type	Agent	Begin Date	End Date
ALAN KUBITZ	Designated Resp Lic Prdcr	Yes	02/19/2021	-

1 - 1