DEPARTMENT OF INSURANCE

Affiliations

Name	Sivy, David A	DOIID	693054	NAIC NPN	3331843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/6/2008	10/31/2025
Active	Non Resident	Agent	Casualty	11/6/2008	10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/31/2023
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/31/2023
Active	Ansur America Insurance Company	520667	Agent - Casualty	12/31/2019
Active	Ansur America Insurance Company	520667	Agent - Property	12/31/2019
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/26/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	1/26/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/26/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/26/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	1/26/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	1/26/2023
Active	FCCI Insurance Company	557454	Agent - Casualty	10/18/2012
Active	FCCI Insurance Company	557454	Agent - Property	10/18/2012
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	12/31/2019
Active	Frankenmuth Insurance Company	301481	Agent - Property	12/31/2019
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/31/2023
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/31/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/31/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/31/2023
Active	National Trust Insurance Company	300367	Agent - Casualty	6/4/2015
Active	National Trust Insurance Company	300367	Agent - Property	6/4/2015
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Property	5/31/2018
Active	Assuredpartners NL, LLC	762387	Agent - Casualty	5/31/2018