DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dervin, Kevin	DOIID	706490	NAIC NPN	4642729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/27/2009		7/31/2025
Active	Non Resident	Agent	Casualty	5/27/2009		7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/15/2011		7/31/2025
* 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
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/13/2009
Active	Fireman's Fund Insurance Company	301423	Agent - Property	7/13/2009
Active	XL Insurance America, Inc.	300182	Agent - Casualty	3/29/2017
Active	XL Insurance America, Inc.	300182	Agent - Property	3/29/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher & Co. of New York, Inc.	570065	Agent - Property	7/23/2009	12/31/2009
Inactive	Arthur J. Gallagher & Co. of New York, Inc.	570065	Agent - Casualty	7/23/2009	12/31/2009
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/28/2009
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/28/2009
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	6/1/2011