DEPARTMENT OF INSURANCE

Affiliations

Name	Sivy, David A	DOIID	693054	NAIC NPN	3331843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/6/2008	10/31/2027
Active	Non Resident	Agent	Property	11/6/2008	10/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/31/2023
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/31/2023
Active	Ansur America Insurance Company	520667	Agent - Casualty	12/31/2019
Active	Ansur America Insurance Company	520667	Agent - Property	12/31/2019
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/26/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/26/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/26/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/26/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/26/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	1/26/2023
Active	FCCI Insurance Company	557454	Agent - Casualty	10/18/2012
Active	FCCI Insurance Company	557454	Agent - Property	10/18/2012
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	12/31/2019
Active	Frankenmuth Insurance Company	301481	Agent - Property	12/31/2019
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/31/2023
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/31/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/31/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/31/2023
Active	National Trust Insurance Company	300367	Agent - Casualty	6/4/2015
Active	National Trust Insurance Company	300367	Agent - Property	6/4/2015
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	9/3/2025
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	9/3/2025
Active	Selective Insurance Company of America	500018	Agent - Casualty	9/12/2025
Active	Selective Insurance Company of America	500018	Agent - Property	9/12/2025
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	9/12/2025
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	9/12/2025
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	9/12/2025
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	9/12/2025
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Property	5/31/2018
Active	Assuredpartners NL, LLC	762387	Agent - Casualty	5/31/2018