DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Garofalo, Michael J	DOIID	623903	NAIC NPN	2152801

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/13/2006	7/31/2017
Inactive	Non Resident	Agent	Property	1/13/2006	7/31/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/10/2011	7/31/2017
* 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	MEDMARC Casualty Insurance Company	301619	Agent - Casualty	6/4/2013	10/9/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	RSG Specialty, LLC	726176	Agent - Property
Inactive	RSG Specialty, LLC	726176	Agent - Casualty	4/4/2014	10/9/2014
Inactive	RSG Specialty, LLC	726176	Surplus Lines Broker - Not Applicable	4/4/2014	5/5/2016