Agency Information

REGIONAL INSURANCE SERVICES COMPANY, LLC

Address:

333 TEXAS STREET, SUITE 1150

SHREVEPORT, LA 71101

Phone

318-698-6600

URL:

Email:

melanie.smith@riscomins.com

National Producer Number:

15650292

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3209804	12/15/2016	Active	12/15/2016	12/31/2028
Non-Res. Surplus Lines Broker	3537789	04/16/2020	Active	04/16/2020	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/15/2016	Active	12/15/2016
Property	12/15/2016	Active	12/15/2016
Surplus Lines	04/16/2020	Active	04/16/2020

Company Name	Appointment Type	Status	Active Date
168
COMMERCE AND INDUSTRY INSURANCE COMPANY	Casualty	Active	09/24/2023
	Property	Active	09/24/2023
991
Company Name	Appointment Type	Status	Active Date
IMPERIUM INSURANCE COMPANY	Casualty	Active	06/05/2023
	Property	Active	06/05/2023
11671
Company Name	Appointment Type	Status	Active Date
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA	Casualty	Active	05/16/2018
	Property	Active	05/16/2018
1096
Company Name	Appointment Type	Status	Active Date
MITSUI SUMITOMO INSURANCE USA INC	Casualty	Active	05/16/2018
	Property	Active	05/16/2018
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Casualty	Active	09/24/2023
	Property	Active	09/24/2023

row(s) 1 - 10 of 10

Name	Association Type	Agent	Begin Date	End Date
BRADLEY LYNN AVERILL	Designated Resp Lic Prdcr	Yes	04/17/2020	-
MICHAEL PATRICK DUGAN	Designated Resp Lic Prdcr	Yes	04/17/2020	-

1 - 2