DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Surowitz, Mitchell	DOIID	1041621	NAIC NPN	17488491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/8/2023		5/31/2026
Active	Non Resident	Agent	Casualty	8/8/2023		5/31/2026
Active	Non Resident	Agent	Life	8/8/2023		5/31/2026
Active	Non Resident	Agent	Property	8/8/2023		5/31/2026
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	9/5/2023
Active	AGCS Marine Insurance Company	300403	Agent - Property	9/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	6/11/2019	2/1/2023
Denied	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Life
Denied	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Health
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	6/11/2019	2/1/2023
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	9/19/2023
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Life
Denied	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Health
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	9/19/2023