DEPARTMENT OF INSURANCE

Affiliations

Name	Guy Carpenter Broking Inc	DOIID	714151	NAIC NPN	4646505

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/15/2019	3/31/2027
Active	Non Resident	Agent	Casualty	11/15/2019	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/10/2015	3/31/2027
* 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	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	6/22/2021
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	6/22/2021
Inactive	Arch Insurance Company	300688	Agent - Casualty	4/16/2010	10/8/2019
Inactive	Arch Insurance Company	300688	Agent - Property	4/16/2010	10/8/2019
Active	Continental Casualty Company	301019	Agent - Casualty	6/22/2021
Active	Continental Casualty Company	301019	Agent - Property	6/22/2021
Active	Continental Insurance Company (The)	301242	Agent - Casualty	6/22/2021
Active	Continental Insurance Company (The)	301242	Agent - Property	6/22/2021
Inactive	Federal Insurance Company	301144	Agent - Casualty	10/13/2010	10/8/2019
Inactive	Federal Insurance Company	301144	Agent - Property	10/13/2010	10/8/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Adler, Eunice E	1383310	Agent - Casualty
Denied	Adler, Eunice E	1383310	Agent - Property
Inactive	Bridenstine, Patricia	997964	Agent - Casualty	2/19/2020	8/12/2022
Inactive	Bridenstine, Patricia	997964	Agent - Property	2/19/2020	8/12/2022
Inactive	Guerriero, Frank	711513	Agent - Casualty	11/15/2019	11/30/2025
Inactive	Guerriero, Frank	711513	Agent - Property	11/15/2019	11/30/2025
Inactive	Guerriero, Frank	711513	Surplus Lines Broker - Not Applicable	6/10/2015	11/30/2025
Inactive	Mcandrew, Cynthia	749962	Agent - Casualty	12/23/2019	4/19/2021
Inactive	Mcandrew, Cynthia	749962	Agent - Property	12/23/2019	4/19/2021
Active	Nichols, Embry Lynne	837828	Agent - Casualty	3/6/2025
Active	Nichols, Embry Lynne	837828	Agent - Property	3/6/2025
Active	Nichols, Embry Lynne	837828	Surplus Lines Broker - Not Applicable	3/6/2025
Active	Pollis, Timothy Kerwin	989301	Agent - Casualty	3/6/2025
Active	Pollis, Timothy Kerwin	989301	Agent - Property	3/6/2025
Denied	Race, Robert Kempton	869301	Agent - Casualty
Denied	Race, Robert Kempton	869301	Agent - Property
Inactive	Waterman, Michael L	664187	Agent - Casualty	12/26/2019	4/30/2025
Inactive	Waterman, Michael L	664187	Agent - Property	12/26/2019	4/30/2025
Inactive	Woodbury, Marion A.	622944	Agent - Casualty	9/21/2009	10/8/2019
Inactive	Woodbury, Marion A.	622944	Agent - Property	9/21/2009	10/8/2019
Inactive	Woodbury, Marion A.	622944	Surplus Lines Broker - Not Applicable	6/10/2015	10/10/2019
Denied	Zaccagnino, Salvatore	783309	Agent - Casualty
Denied	Zaccagnino, Salvatore	783309	Agent - Property
Inactive	Zaccagnino, Salvatore	783309	Surplus Lines Broker - Not Applicable	8/2/2021	7/21/2023