DEPARTMENT OF INSURANCE

Affiliations

Name	Shield Risk Insurance Services LLC	DOIID	1066830	NAIC NPN	19312057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/3/2019	2/27/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Noskowiak, Gerald J	981863	Surplus Lines Broker - Not Applicable	12/3/2019	2/18/2020