Notification of Changes for Business Entity
General Information
Business Entity Name:	AON RISK INSURANCE SERVICES WEST INC
Incorporation / Formation Date:
FEIN:	953252415
Ohio License Number:	36942
NPN:	659818
DBA / Trade Name:
State of Domicile:	CA
County:	SAN FRANCISCO
Business Address
Address 1:	425 MARKET STREET
Address 2:	SUITE 2800
City:	SAN FRANCISCO
State:	CA
Zip:	94105
Phone:	4154867500
Fax:
Business Web Site Address:
Business Email Address:	KERRY.KLBECKA@AON.COM
Mailing Address
Address 1:	4 OVERLOOK POINT
Address 2:
City:	LINCOLNSHIRE
State:	IL
Zip:	60069
Indicate the type of change you are seeking
Address Change:	YES
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	KERRY KLBECKA
Title:	SR. LICENSING ADMINISTRATOR
Phone Number:	8474426468
Email Address:	KERRY.KLBECKA@AON.COM