Individual Information

PATRICK S SMALL

CHICAGO, IL 60661

Active

licenses@dualcommercial.com

09/11/2002

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	165641	09/11/2002	Active	07/07/2016	07/31/2025
Non-Res. Surplus Lines Broker	189816	06/14/2004	Active	07/07/2016	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/11/2002	Active	07/07/2016
Health	01/16/2009	Active	09/15/2023
Life	01/16/2009	Active	09/15/2023
Property	09/11/2002	Active	07/07/2016
Surplus Lines	06/14/2004	Active	07/07/2016

Company Name	Appointment Type	Status	Active Date
1634
ACCREDITED SURETY AND CASUALTY COMPANY INC	Casualty	Active	09/22/2022
	Property	Active	09/22/2022
622
Company Name	Appointment Type	Status	Active Date
AMERICAN SUMMIT INSURANCE COMPANY	Property	Active	02/09/2023
11243
Company Name	Appointment Type	Status	Active Date
MANUFACTURERS ALLIANCE INSURANCE COMPANY	Casualty	Active	02/20/2024
	Property	Active	02/20/2024
807
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE	Casualty	Active	02/20/2024
	Property	Active	02/20/2024
11244
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY	Casualty	Active	02/20/2024
	Property	Active	02/20/2024
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	05/28/2021
	Property	Active	05/28/2021

row(s) 1 - 11 of 11

Organization	Association Type	Type	Beg dte	End dte
DUAL COMMERCIAL LLC	Designated Resp Lic Prdcr	Agency	01/08/2021	-

1 - 1