DEPARTMENT OF INSURANCE

Name	Embroker Ins Services LLC	DOIID	901870	NAIC NPN	17701177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/15/2015		3/31/2027
Active	Non Resident	Agent	Property	12/15/2015		3/31/2027
Pending Replacement	Non Resident	Agent	Life	10/24/2016		3/31/2027
Pending Replacement	Non Resident	Agent	Health	10/24/2016		3/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/31/2017	8/1/2023

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	5214f Diamond Heights Blvd Unit 1261 San Francisco, CA 941312175

Internet Information

Type	Address
Business Email	legal@embroker.com

Phone Information

Type	Phone
Business / Home Office	(415) 859-8717