Agency Information

OBIE INSURANCE GROUP, LLC

1134 W HUBBARD ST.

CHICAGO, IL 60642

773-820-7132

aaron@obieinsurance.com

20001929

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3715355	08/30/2021	Active	08/30/2021	08/31/2027
Non-Res. Surplus Lines Broker	3733855	10/11/2021	Active	10/11/2021	10/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	08/30/2021	Active	08/30/2021
Property	08/30/2021	Active	08/30/2021
Surplus Lines	10/11/2021	Active	10/11/2021

Name	Association Type	Agent	Begin Date	End Date
AARON PETER LETZEISER	Designated Resp Lic Prdcr	Yes	08/30/2021	-
Amy Carlisle	Designated Resp Lic Prdcr	Yes	01/02/2026	-

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