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DBA: LSI INSURANCE SERVICES

License Type and/or Qualification Original Issue Date Status Status Date Expiration Date
Casualty Broker-Agent 03/11/2011 Active 04/02/2019 03/31/2023
Property Broker-Agent 03/11/2011 Active 04/02/2019 03/31/2023
Surplus Lines Broker 03/11/2011 Active 04/02/2019 03/31/2023

Business Address: 1990 N CALIFORNIA BLVD WALNUT CREEK CA, 94596
Bond Amount Bond # Surety Company
$50,000 SL - 105550017 31194 - TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA

This licensee is authorized to transact on behalf of the following insurers:

Name Qualification Effective Date
HUDSON INSURANCE COMPANY Casualty Broker-Agent 10/14/2019
HUDSON INSURANCE COMPANY Property Broker-Agent 10/14/2019