Individual Information

PATRICK THOMAS

LADERA RANCH, CA 92694-1441

Active

pthomas@rsi-ins.com

04/27/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3238655	04/27/2017	Active	04/27/2017	04/30/2026
Non-Res. Surplus Lines Broker	3422593	03/15/2019	Active	03/15/2019	03/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/27/2017	Active	04/27/2017
Health	04/27/2017	Active	04/27/2017
Life	04/27/2017	Active	04/27/2017
Property	04/27/2017	Active	04/27/2017
Surplus Lines	03/15/2019	Active	03/15/2019

Company Name	Appointment Type	Status	Active Date
12714
ACCIDENT FUND INSURANCE COMPANY OF AMERICA	Casualty	Active	11/21/2017
1255
Company Name	Appointment Type	Status	Active Date
CONTRACTORS BONDING & INSURANCE COMPANY	Casualty	Active	01/11/2024
	Property	Active	01/11/2024
1739
Company Name	Appointment Type	Status	Active Date
MERCURY CASUALTY COMPANY	Casualty	Active	01/12/2024
	Property	Active	01/12/2024
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	02/09/2024
	Property	Active	02/09/2024
570
Company Name	Appointment Type	Status	Active Date
RLI INSURANCE COMPANY	Casualty	Active	01/11/2024
	Property	Active	01/11/2024
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	04/20/2023
	Property	Active	04/20/2023
728
Company Name	Appointment Type	Status	Active Date
WILSHIRE INSURANCE COMPANY	Casualty	Active	06/04/2020
	Property	Active	06/04/2020

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
RSI INSURANCE BROKERS, INC	Designated Resp Lic Prdcr	Agency	04/29/2020	-

1 - 1