DEPARTMENT OF INSURANCE

Affiliations

Name	Procore Insurance Services, Inc.	DOIID	1218993	NAIC NPN	20403302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/26/2022	3/31/2026
Active	Non Resident	Agent	Property	7/26/2022	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/21/2022	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	AGCS Marine Insurance Company	300403	Agent - Casualty	2/13/2023
Active	AGCS Marine Insurance Company	300403	Agent - Property	2/13/2023
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	2/13/2023	2/27/2023
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	2/13/2023	2/27/2023
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	2/13/2023	2/27/2023
Inactive	American Automobile Insurance Company	300953	Agent - Property	2/13/2023	2/27/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/23/2022
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/23/2022
Active	American Zurich Insurance Company	300592	Agent - Casualty	8/23/2022
Active	American Zurich Insurance Company	300592	Agent - Property	8/23/2022
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	5/31/2023
Active	Arch Indemnity Insurance Company	301459	Agent - Property	5/31/2023
Active	Arch Insurance Company	300688	Agent - Casualty	5/31/2023
Active	Arch Insurance Company	300688	Agent - Property	5/31/2023
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	8/23/2022
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	8/23/2022
Active	CorePointe Insurance Company	300406	Agent - Casualty	12/4/2023
Active	CorePointe Insurance Company	300406	Agent - Property	12/4/2023
Active	Developers Surety and Indemnity Company	516432	Agent - Casualty	12/4/2023
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/23/2022
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/23/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/13/2023	2/27/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	2/13/2023	2/27/2023
Active	Gray Insurance Company (The)	301532	Agent - Casualty	8/30/2023
Inactive	National Surety Corporation	300087	Agent - Casualty	2/13/2023	2/27/2023
Inactive	National Surety Corporation	300087	Agent - Property	2/13/2023	2/27/2023
Active	RLI Insurance Company	301217	Agent - Casualty	8/16/2022
Active	RLI Insurance Company	301217	Agent - Property	8/16/2022
Active	The Gray Casualty & Surety Company	661857	Agent - Casualty	8/30/2023
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/2/2022	11/16/2023
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/2/2022	11/16/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	8/23/2022
Active	Zurich American Insurance Company	301121	Agent - Property	8/23/2022
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/23/2022
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/23/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bell, Melody Harmony	1187637	Agent - Casualty
Denied	Bell, Melody Harmony	1187637	Agent - Property
Active	Bell, Melody Harmony	1187637	Surplus Lines Broker - Not Applicable	10/26/2023
Denied	Dantuono, Michael F	1268414	Agent - Casualty
Denied	Dantuono, Michael F	1268414	Agent - Property
Active	Dechiaro, Nicole J	1207432	Agent - Casualty	9/1/2023
Active	Dechiaro, Nicole J	1207432	Agent - Property	9/1/2023
Active	Dietz, Anthony John	1125297	Agent - Casualty	10/26/2023
Active	Dietz, Anthony John	1125297	Agent - Property	10/26/2023
Active	Dietz, Anthony John	1125297	Surplus Lines Broker - Not Applicable	10/26/2023
Denied	Farino, David Thomas	1268415	Agent - Casualty
Denied	Farino, David Thomas	1268415	Agent - Property
Active	Grillo, Michael P	1207479	Agent - Casualty	9/1/2023
Active	Grillo, Michael P	1207479	Agent - Property	9/1/2023
Active	Martin, Adam	925934	Agent - Casualty	9/1/2023
Active	Martin, Adam	925934	Agent - Property	9/1/2023
Denied	Swain, Dana Marie	1268413	Agent - Casualty
Denied	Swain, Dana Marie	1268413	Agent - Property
Inactive	Wexler, Jason	1192449	Agent - Casualty	7/26/2022	1/22/2024
Inactive	Wexler, Jason	1192449	Agent - Property	7/26/2022	1/22/2024
Inactive	Wexler, Jason	1192449	Surplus Lines Broker - Not Applicable	11/21/2022	1/22/2024