DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grimm, Matthew	DOIID	1218888	NAIC NPN	20394527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/25/2022		9/30/2024
Active	Non Resident	Agent	Property	7/25/2022		9/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/9/2022		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkley Casualty Company	300731	Agent - Casualty	2/13/2023
Active	Berkley Casualty Company	300731	Agent - Property	2/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acripeak, LLC	1064002	Surplus Lines Broker - Not Applicable	9/20/2022