DEPARTMENT OF INSURANCE

Affiliations

Name	Ironshore Insurance Services LLC DBA : Syndicated Risk Services, Insurematic Agency	DOIID	678918	NAIC NPN	9628159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/31/2023		3/31/2026
Active	Non Resident	Agent	Property	1/31/2023		3/31/2026
Inactive	Non Resident	Reinsurance Intermediary Broker	Not Applicable	4/17/2012	9/5/2014
Inactive	Non Resident	Reinsurance Intermediary Manager	Not Applicable	4/17/2012	6/8/2018
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/31/2023		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	Ironshore Indemnity Inc.	300088	Agent - Casualty	10/30/2009	12/20/2022
Inactive	Ironshore Indemnity Inc.	300088	Agent - Property	10/30/2009	12/20/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	10/24/2017	12/20/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	10/24/2017	12/20/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/24/2017	12/20/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/24/2017	12/20/2022
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	9/26/2017	1/2/2019
Inactive	Midvale Indemnity Company	300292	Agent - Property	9/26/2017	1/2/2019
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	11/2/2009	2/15/2021
Inactive	National Specialty Insurance Company	300993	Agent - Property	11/2/2009	2/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/4/2018	12/20/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/4/2018	12/20/2022
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	11/2/2009	3/23/2021
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	11/2/2009	3/23/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Bowser, Luna	1185232	Agent - Casualty
Pending	Bowser, Luna	1185232	Agent - Property
Active	Bowser, Luna	1185232	Surplus Lines Broker - Not Applicable	4/24/2024
Inactive	George, Joseph John	698151	Agent - Casualty	8/11/2009	1/4/2010
Inactive	George, Joseph John	698151	Agent - Property	8/11/2009	1/4/2010
Inactive	George, Joseph John	698151	Surplus Lines Broker - Not Applicable	2/16/2009	2/4/2010
Active	Harvey, Steven Richard	995302	Agent - Casualty	4/24/2024
Active	Harvey, Steven Richard	995302	Agent - Property	4/24/2024
Active	Harvey, Steven Richard	995302	Surplus Lines Broker - Not Applicable	4/24/2024
Inactive	Mammolite, Anthony	707627	Agent - Casualty	8/19/2009	11/30/2010
Inactive	Mammolite, Anthony	707627	Agent - Property	8/19/2009	11/30/2010
Inactive	Mammolite, Anthony	707627	Surplus Lines Broker - Not Applicable	8/11/2009	11/30/2010
Inactive	Mckeegan, Peter G	524214	Agent - Casualty	4/21/2008	8/11/2009
Inactive	Mckeegan, Peter G	524214	Agent - Property	4/21/2008	8/11/2009
Inactive	Montevaldo, Darcy Osgood	1135347	Agent - Casualty	1/31/2023	4/24/2024
Inactive	Montevaldo, Darcy Osgood	1135347	Agent - Property	1/31/2023	4/24/2024
Inactive	Montevaldo, Darcy Osgood	1135347	Surplus Lines Broker - Not Applicable	1/31/2023	4/24/2024
Inactive	Nadeau, Angela L	724657	Agent - Casualty	11/30/2010	9/9/2013
Inactive	Nadeau, Angela L	724657	Agent - Property	11/30/2010	9/9/2013
Inactive	Nadeau, Angela L	724657	Reinsurance Intermediary Broker - Not Applicable	4/17/2012	9/5/2014
Inactive	Nadeau, Angela L	724657	Reinsurance Intermediary Manager - Not Applicable	4/17/2012	9/5/2014
Inactive	Nadeau, Angela L	724657	Surplus Lines Broker - Not Applicable	11/30/2010	9/5/2014
Inactive	Powers, George Nagata	787405	Agent - Casualty	9/9/2013	6/8/2018
Inactive	Powers, George Nagata	787405	Agent - Property	9/9/2013	6/8/2018
Inactive	Powers, George Nagata	787405	Reinsurance Intermediary Manager - Not Applicable	9/19/2014	6/8/2018
Inactive	Powers, George Nagata	787405	Surplus Lines Broker - Not Applicable	9/19/2014	6/8/2018
Inactive	Raymond, Stephen Kenneth	852358	Agent - Casualty	6/19/2018	12/20/2022
Inactive	Raymond, Stephen Kenneth	852358	Agent - Property	6/19/2018	12/20/2022
Inactive	Raymond, Stephen Kenneth	852358	Surplus Lines Broker - Not Applicable	6/19/2018	12/20/2022