DEPARTMENT OF INSURANCE

Affiliations

Name	Fiorentino, Kelly Christopher	DOIID	728933	NAIC NPN	8801638

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/22/2010	9/30/2025
Active	Non Resident	Agent	Casualty	5/22/2010	9/30/2025
Denied	Non Resident	Managing General Agent	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/17/2010	9/30/2025
* 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	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	2/24/2014	1/12/2016
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	2/24/2014	1/12/2016
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/25/2014	1/16/2020
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/25/2014	1/16/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	2/25/2014	1/16/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Property	2/25/2014	1/16/2020
Active	General Security National Insurance Company	301484	Agent - Casualty	2/5/2024
Active	General Security National Insurance Company	301484	Agent - Property	2/5/2024
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/9/2015	4/21/2025
Inactive	Granite State Insurance Company	300818	Agent - Property	6/9/2015	4/21/2025
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	6/9/2015	4/21/2025
Inactive	Illinois National Insurance Company	301367	Agent - Property	6/9/2015	4/21/2025
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	3/7/2018
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	3/7/2018
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	6/9/2015	4/21/2025
Inactive	New Hampshire Insurance Company	301670	Agent - Property	6/9/2015	4/21/2025
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	3/7/2018
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	3/7/2018
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	3/7/2018
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	3/7/2018
Inactive	Tower Insurance Company of New York	624823	Agent - Casualty	8/11/2010	6/8/2016
Inactive	Tower Insurance Company of New York	624823	Agent - Property	8/11/2010	6/8/2016
Inactive	Tower National Insurance Company	300972	Agent - Casualty	8/11/2010	6/6/2016
Inactive	Tower National Insurance Company	300972	Agent - Property	8/11/2010	6/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nbis Construction & Transport Insurance Services, Inc	643989	Agent - Casualty	7/3/2019	2/28/2025
Inactive	Nbis Construction & Transport Insurance Services, Inc	643989	Agent - Casualty	1/22/2025	2/28/2025
Inactive	Nbis Construction & Transport Insurance Services, Inc	643989	Agent - Property	9/8/2020	2/28/2025
Inactive	Nbis Construction & Transport Insurance Services, Inc	643989	Agent - Property	1/22/2025	2/28/2025
Active	Nbis Construction & Transport Insurance Services, Inc	643989	Surplus Lines Broker - Not Applicable	9/29/2010