DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zifcak, George M	DOIID	645382	NAIC NPN	3697533

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/4/2006	8/31/2019
Inactive	Non Resident	Agent	Property	12/4/2006	8/31/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/1/2009	8/17/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/30/2010	8/31/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	4/30/2010	8/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Risk Services Northeast Inc	503768	Agent - Property	3/31/2014	9/6/2018
Inactive	Aon Risk Services Northeast Inc	503768	Agent - Casualty	3/31/2014	9/6/2018
Inactive	Aon Risk Services Northeast Inc	503768	Surplus Lines Broker - Not Applicable	3/31/2014	8/17/2018