DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kennedy, Timothy Daniel	DOIID	1278202	NAIC NPN	19881003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/5/2023		10/31/2024
Active	Non Resident	Agent	Property	6/5/2023		10/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2023		10/31/2024
* 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	08/15/2024	10/31/2024
Surplus Lines Broker	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/28/2023
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ambridge Partners LLC	596183	Agent - Casualty	8/28/2023
Active	Ambridge Partners LLC	596183	Agent - Property	8/28/2023
Active	Ambridge Partners LLC	596183	Surplus Lines Broker - Not Applicable	8/3/2023