Agency Information

COMPLEX RISK AND INS ASSOC LLC

Address:

3555 ALAMEDA DE LAS PULGAS

MENLO PARK, CA 94025

Phone

650-617-0222

URL:

Email:

complexrisk@3hcs.com

National Producer Number:

17431437

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1027199	04/07/2015	Active	04/07/2015	04/30/2027
Non-Res. Surplus Lines Broker	3107931	09/24/2015	Active	09/24/2015	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/07/2015	Active	04/07/2015
Property	04/07/2015	Active	04/07/2015
Surplus Lines	09/24/2015	Active	09/24/2015

Company Name	Appointment Type	Status	Active Date
305
GREENWICH INSURANCE COMPANY	Casualty	Active	07/28/2015
	Property	Active	07/28/2015

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
RONALD C MAIRANO	Designated Resp Lic Prdcr	Yes	06/03/2025	-

1 - 1