Individual Information

BRADLEY WILLIAM RICKEY

CICERO, IN 46034-9533

Active

brickey@crcgroup.com

01/23/2023

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3868891	01/23/2023	Active	01/23/2023	01/31/2029
Non-Res. Surplus Lines Broker	3969906	12/21/2023	Active	12/21/2023	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/23/2023	Active	01/23/2023
Property	01/23/2023	Active	01/23/2023
Surplus Lines	12/21/2023	Active	12/21/2023

Organization	Association Type	Type	Beg dte	End dte
PERFORMANCE INS SERVICES INC	Designated Resp Lic Prdcr	Agency	06/05/2023	-

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