DEPARTMENT OF INSURANCE

Affiliations

Name	Intellectual Property Insurance Services Corporation	DOIID	399836	NAIC NPN	6776828

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/13/2001		3/31/2026
Active	Resident	Agent	Property	2/13/2001		3/31/2026
Inactive	Resident	Agent	General Lines	12/23/1996	8/15/2000
Active	Resident	Surplus Lines Broker	Not Applicable	5/4/2007		3/31/2026
* 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	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	12/23/1996	12/6/1999
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	11/1/2001	5/25/2005
Inactive	Greenwich Insurance Company	301754	Agent - Property	11/1/2001	5/25/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	1/27/1997	5/1/2000
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	5/9/2005	1/10/2014
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	5/9/2005	1/10/2014
Inactive	Reliance Insurance Company	300785	Agent - Casualty	2/13/2001	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - Property	2/13/2001	6/5/2001
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	2/24/2000	8/15/2000
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	8/7/2015
Active	Scottsdale Indemnity Company	300232	Agent - Property	8/7/2015
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	4/17/2001	10/30/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	4/17/2001	10/30/2007
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	2/27/2013	12/20/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	2/27/2013	12/20/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	6/28/2022
Active	United States Fire Insurance Company	582240	Agent - Property	6/28/2022
Inactive	Wesco Insurance Company	300534	Agent - Casualty	6/12/2012	5/26/2015
Inactive	Wesco Insurance Company	300534	Agent - Property	6/12/2012	5/26/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Birkenfeld, Bruce Norman	336152	Agent - Casualty	10/10/2007	9/30/2008
Inactive	Birkenfeld, Bruce Norman	336152	Agent - Property	10/18/2007	9/30/2008
Inactive	Browning, Robert	1068630	Agent - Casualty	4/27/2020	3/3/2021
Inactive	Browning, Robert	1068630	Agent - Property	4/27/2020	3/3/2021
Active	Camarata, Lisa	781529	Agent - Casualty	6/12/2012
Active	Camarata, Lisa	781529	Agent - Property	6/12/2012
Active	Camarata, Lisa	781529	Surplus Lines Broker - Not Applicable	7/14/2022
Inactive	Coldiron, Myron Emerson	326871	Agent - Casualty	9/24/2013	10/23/2015
Inactive	Coldiron, Myron Emerson	326871	Agent - Property	9/24/2013	10/23/2015
Inactive	Fletcher, Robert W	322820	Agent - Casualty	8/15/2000	7/14/2022
Inactive	Fletcher, Robert W	322820	Agent - General Lines	12/23/1996	8/15/2000
Inactive	Fletcher, Robert W	322820	Agent - Property	8/19/2008	7/14/2022
Inactive	Fletcher, Robert W	322820	Surplus Lines Broker - Not Applicable	5/4/2007	7/14/2022
Inactive	Fletcher, Timothy Robert	563310	Agent - Casualty	1/19/2005	2/1/2008
Inactive	Fletcher, Timothy Robert	563310	Agent - Property	1/19/2005	2/1/2008
Inactive	Jeffers, Charles	816449	Agent - Casualty	9/4/2013	2/7/2018
Inactive	Jeffers, Charles	816449	Agent - Property	9/4/2013	2/7/2018
Inactive	Lacefield, Logan Faye	722492	Agent - Casualty	2/27/2013	7/16/2013
Inactive	Lacefield, Logan Faye	722492	Agent - Property	2/27/2013	7/16/2013
Inactive	Lewis, Karrie Ann	369810	Agent - Casualty	2/20/2007	2/7/2018
Inactive	Lewis, Karrie Ann	369810	Agent - Property	2/20/2007	2/7/2018
Inactive	Lowe, Sarah Whittier	753979	Agent - Casualty	9/16/2011	9/13/2013
Inactive	Lowe, Sarah Whittier	753979	Agent - Property	9/16/2011	9/13/2013
Active	Ritter, William Lee	333955	Agent - Casualty	9/2/2009
Inactive	Ritter, William Lee	333955	Agent - General Lines	12/23/1996	11/29/1999
Active	Ritter, William Lee	333955	Agent - Property	9/2/2009
Inactive	Roberts, Gary Wallace	511969	Agent - Casualty	1/2/2014	8/1/2014
Inactive	Roberts, Gary Wallace	511969	Agent - Property	1/2/2014	8/1/2014
Active	Saladino, Charles James	1157809	Agent - Casualty	11/30/2021
Active	Saladino, Charles James	1157809	Agent - Property	11/29/2021
Inactive	Shepherd, James Edward	385566	Agent - Casualty	8/15/2000	7/31/2021
Inactive	Shepherd, James Edward	385566	Agent - General Lines	12/23/1996	8/15/2000
Inactive	Shepherd, James Edward	385566	Agent - Property	8/15/2000	7/31/2021
Active	VanMeter, Sheila Ann	384476	Agent - Casualty	2/24/2003
Inactive	VanMeter, Sheila Ann	384476	Agent - General Lines	12/23/1996	11/29/1999
Active	VanMeter, Sheila Ann	384476	Agent - Property	2/24/2003
Active	VanMeter, Sheila Ann	384476	Surplus Lines Broker - Not Applicable	5/4/2007
Inactive	Veterano, Maureen Lenihan	630721	Agent - Casualty	11/1/2010	6/8/2012
Inactive	Veterano, Maureen Lenihan	630721	Agent - Property	4/9/2009	6/8/2012
Inactive	Wiesenhahn, Erik Andrew	576564	Agent - Casualty	1/19/2005	9/19/2005
Inactive	Wiesenhahn, Erik Andrew	576564	Agent - Property	1/19/2005	9/19/2005
Inactive	Zahnd, Janet Lou	725161	Agent - Casualty	8/30/2010	8/1/2014
Inactive	Zahnd, Janet Lou	725161	Agent - Property	8/30/2010	8/1/2014