DEPARTMENT OF INSURANCE

Affiliations

Name	Synergy Professional Assoc Inc	DOIID	614053	NAIC NPN	5735605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/21/2006	3/31/2026
Active	Non Resident	Agent	Property	2/21/2006	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/24/2007	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
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	12/15/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	12/15/2010
Active	Arch Insurance Company	300688	Agent - Casualty	2/15/2022
Active	Arch Insurance Company	300688	Agent - Property	2/15/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	12/15/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	12/15/2010
Active	Ironshore Indemnity Inc.	300088	Agent - Casualty	2/1/2023
Active	Ironshore Indemnity Inc.	300088	Agent - Property	2/1/2023
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	12/28/2023
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	12/28/2023
Active	Midvale Indemnity Company	300292	Agent - Casualty	9/13/2021
Active	Midvale Indemnity Company	300292	Agent - Property	9/13/2021
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	5/7/2008
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	5/7/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	12/15/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	12/15/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	12/15/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	12/15/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	12/15/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	12/15/2010
Active	RLI Insurance Company	301217	Agent - Casualty	1/19/2023
Active	RLI Insurance Company	301217	Agent - Property	1/19/2023
Active	Technology Insurance Company	613278	Agent - Casualty	6/28/2022
Active	Technology Insurance Company	613278	Agent - Property	6/28/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/1/2023
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/1/2023
Active	Universal Fire & Casualty Insurance Company	1236242	Agent - Casualty	1/25/2024
Active	Universal Fire & Casualty Insurance Company	1236242	Agent - Property	1/25/2024
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	12/15/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	12/15/2010
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	7/21/2023
Active	Westchester Fire Insurance Company	300990	Agent - Property	7/21/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dawer, Ira J	609232	Agent - Casualty	2/21/2006	2/28/2019
Inactive	Dawer, Ira J	609232	Agent - Property	2/21/2006	2/28/2019
Inactive	Dawer, Ira J	609232	Surplus Lines Broker - Not Applicable	8/24/2007	2/28/2019
Inactive	Ledbetter, Laura Rose	798579	Agent - Casualty	8/24/2023	2/14/2024
Inactive	Ledbetter, Laura Rose	798579	Agent - Property	8/24/2023	2/14/2024
Active	Mccrohan, Michele S	709750	Agent - Casualty	11/17/2017
Active	Mccrohan, Michele S	709750	Agent - Property	11/17/2017
Active	Mccrohan, Michele S	709750	Surplus Lines Broker - Not Applicable	11/17/2017
Inactive	Rendeiro, Margarida M	701116	Agent - Casualty	11/17/2017	12/20/2023
Inactive	Rendeiro, Margarida M	701116	Agent - Property	11/17/2017	12/20/2023
Active	Rendeiro, Margarida M	701116	Surplus Lines Broker - Not Applicable	11/17/2017
Active	Roth, Robert D	1218414	Agent - Casualty	11/1/2022
Active	Roth, Robert D	1218414	Agent - Property	11/1/2022
Active	Roth, Robert D	1218414	Surplus Lines Broker - Not Applicable	7/25/2022