DEPARTMENT OF INSURANCE

Affiliations

Name	Arthur J. Gallagher & Co. of New York, Inc.	DOIID	570065	NAIC NPN	757758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/14/2004	12/31/2009
Inactive	Non Resident	Agent	Property	7/14/2004	12/31/2009
* 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
Inactive	21st Century Centennial Insurance Company	301840	Agent - Casualty	9/12/2008	12/31/2009
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	9/12/2008	12/31/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	2/17/2006	12/31/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Property	2/17/2006	12/31/2009
Inactive	ACE American Insurance Company	300625	Agent - Casualty	10/6/2004	12/31/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	10/6/2004	12/31/2009
Inactive	American Home Assurance Company	300246	Agent - Casualty	2/8/2006	12/31/2009
Inactive	American Home Assurance Company	300246	Agent - Property	2/8/2006	12/31/2009
Inactive	Arch Insurance Company	300688	Agent - Casualty	11/6/2009	12/31/2009
Inactive	Arch Insurance Company	300688	Agent - Property	11/6/2009	12/31/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/8/2006	12/9/2009
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	2/8/2006	12/31/2009
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	2/8/2006	12/31/2009
Inactive	Farmington Casualty Company	301137	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	8/8/2006	12/9/2009
Inactive	Federal Insurance Company	301144	Agent - Casualty	9/24/2004	12/31/2009
Inactive	Federal Insurance Company	301144	Agent - Property	9/24/2004	12/31/2009
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	3/13/2009	12/31/2009
Inactive	Great Northern Insurance Company	301107	Agent - Property	3/13/2009	12/31/2009
Inactive	Greenwood Insurance Company	301069	Agent - Casualty	9/12/2008	12/31/2009
Inactive	Greenwood Insurance Company	301069	Agent - Property	9/12/2008	12/31/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/8/2006	12/9/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/8/2006	12/9/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/8/2006	12/9/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/8/2006	12/9/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/8/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	8/8/2006	12/9/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/8/2006	12/9/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/8/2006	12/31/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/8/2006	12/31/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/8/2006	12/9/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/8/2006	12/9/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/8/2006	12/31/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/8/2006	12/31/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/6/2004	12/31/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/6/2004	12/31/2009
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	9/13/2007	12/31/2009
Inactive	XL Specialty Insurance Company	301605	Agent - Property	9/13/2007	12/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Antoinette, Cynthia	590985	Agent - Casualty
Denied	Antoinette, Cynthia	590985	Agent - Property
Inactive	Dervin, Kevin	706490	Agent - Casualty	7/23/2009	12/31/2009
Inactive	Dervin, Kevin	706490	Agent - Property	7/23/2009	12/31/2009
Inactive	Duran, Denis B	569071	Agent - Casualty	7/14/2004	7/1/2009
Inactive	Duran, Denis B	569071	Agent - Property	7/14/2004	7/1/2009
Inactive	La Barca, Tonianne	689154	Agent - Casualty	12/29/2008	12/31/2009
Inactive	La Barca, Tonianne	689154	Agent - Property	12/29/2008	12/31/2009
Inactive	Over, Daniel Martin	631283	Agent - Casualty	9/11/2006	12/31/2009
Inactive	Over, Daniel Martin	631283	Agent - Property	9/11/2006	12/31/2009
Denied	Perkins, John M	679069	Agent - Casualty
Denied	Perkins, John M	679069	Agent - Property
Inactive	Petrusaitis, Lori A	331558	Agent - Casualty	7/16/2009	12/31/2009
Inactive	Petrusaitis, Lori A	331558	Agent - Property	7/16/2009	12/31/2009
Inactive	Prine, Alicefay	710571	Agent - Casualty	10/27/2009	12/31/2009
Inactive	Prine, Alicefay	710571	Agent - Property	10/27/2009	12/31/2009
Denied	Robinson, Giselle J	679105	Agent - Casualty
Denied	Robinson, Giselle J	679105	Agent - Property
Denied	Siebner, Wayne C	372762	Agent - Casualty
Denied	Siebner, Wayne C	372762	Agent - Property
Inactive	Tyrrell, Thomas Richard	335392	Agent - Casualty	1/13/2009	12/31/2009
Inactive	Tyrrell, Thomas Richard	335392	Agent - Property	1/13/2009	12/31/2009
Inactive	Walsh, Patrick	632184	Agent - Casualty	9/13/2006	12/31/2009
Inactive	Walsh, Patrick	632184	Agent - Property	9/13/2006	12/31/2009