DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Provenzo, Gregory Paul	DOIID	1055291	NAIC NPN	3014156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/9/2019		4/30/2026
Active	Non Resident	Agent	Property	9/9/2019		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/31/2022		4/30/2026
* 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	Berkley Insurance Company	301355	Agent - Casualty	12/28/2021
Active	RLI Insurance Company	301217	Agent - Casualty	7/2/2020
Active	RLI Insurance Company	301217	Agent - Property	7/2/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/10/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	2/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSG Specialty, LLC	726176	Agent - Casualty	10/11/2020
Active	RSG Specialty, LLC	726176	Agent - Property	10/11/2020