DEPARTMENT OF INSURANCE

Affiliations

Name	Burg, Michael	DOIID	639879	NAIC NPN	8511861

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/13/2006	8/31/2026
Active	Non Resident	Agent	Casualty	9/13/2006	8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/25/2018	8/31/2026
* 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	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/6/2006	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/6/2006	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	11/6/2006	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	11/6/2006	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	11/6/2006	11/5/2008
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/23/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/23/2016
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	3/16/2022
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	3/16/2022
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	3/16/2022
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	3/16/2022
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	3/16/2022
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	3/16/2022
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/15/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	2/15/2024
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	11/6/2006	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	11/6/2006	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	11/6/2006	11/5/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	5/1/2018
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	5/1/2018
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	5/1/2018