DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brokkrr Insurance Services LLC	DOIID	1189555	NAIC NPN	20085035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/18/2022		3/31/2026
Active	Non Resident	Agent	Health	8/18/2022		3/31/2026
Active	Non Resident	Agent	Life	8/18/2022		3/31/2026
Active	Non Resident	Agent	Casualty	8/18/2022		3/31/2026
Withdrawn	Non Resident	Managing General Agent	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/22/2022		3/31/2026
* 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	Berkley National Insurance Company	515028	Agent - Casualty	9/18/2023
Active	Berkley National Insurance Company	515028	Agent - Property	9/18/2023
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	9/18/2023
Active	Berkley Regional Insurance Company	300920	Agent - Property	9/18/2023
Active	Great Divide Insurance Company	301636	Agent - Casualty	9/18/2023
Active	Great Divide Insurance Company	301636	Agent - Property	9/18/2023
Active	New York Marine and General Insurance Company	301932	Agent - Casualty	10/11/2023
Active	New York Marine and General Insurance Company	301932	Agent - Property	10/11/2023
Active	Riverport Insurance Company	301714	Agent - Casualty	9/18/2023
Active	Riverport Insurance Company	301714	Agent - Property	9/18/2023
Active	StarNet Insurance Company	502746	Agent - Casualty	9/18/2023
Active	StarNet Insurance Company	502746	Agent - Property	9/18/2023
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	9/18/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	1/23/2023
Active	United States Fire Insurance Company	582240	Agent - Health	1/23/2023
Active	United States Fire Insurance Company	582240	Agent - Property	1/23/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hardy, Kevin William	1135754	Agent - Health	8/18/2022
Active	Hardy, Kevin William	1135754	Agent - Life	8/18/2022
Active	Mitilier, Jared Jay	634563	Agent - Casualty	8/18/2022
Active	Mitilier, Jared Jay	634563	Agent - Property	8/18/2022
Active	Mitilier, Jared Jay	634563	Surplus Lines Broker - Not Applicable	2/22/2022