Company Information

OUTDOOR & RECREATIONAL INSURANCE PROGRAM

Address:

1 N. Franklin St.

CHICAGO, IL 6-0606

Phone

312-801-6337

URL:

Email:

doleary@mandellpc.com

NAIC ID:

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Risk Purchasing Group	13295	07/19/2008	Active	07/19/2008	Illinois

Organization	Association Type	Organization Type	Begin Date	End Date
VERACITY INSURANCE SOLUTIONS	Agent/Broker	Agency	09/02/2011	-
GREAT AMERICAN E & S INSURANCE COMPANY	Risk Purchasing Group	Company	03/02/2017	-
COLONY INSURANCE COMPANY	Risk Purchasing Group	Company	05/10/2007	-
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Risk Purchasing Group	Company	10/28/2019	-

Name	Associtation Type	Beg dte	End dte
CHRIS DEMAN VAN LEEUWEN	Risk Purchasing Grp-Agnt/Brkr	03/21/2013	-
DARYLE EDWIN STAFFORD	Risk Purchasing Grp-Agnt/Brkr	01/16/2012	-