DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stonebridge Underwriters Inc	DOIID	754455	NAIC NPN	15765750

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/16/2011	5/29/2015
Inactive	Non Resident	Agent	Property	5/16/2011	5/29/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/16/2011	5/29/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Larsen, Merwyn R	740773	Agent - Casualty	5/16/2011	12/9/2013
Inactive	Larsen, Merwyn R	740773	Agent - Property	5/16/2011	12/9/2013
Inactive	Larsen, Merwyn R	740773	Surplus Lines Broker - Not Applicable	5/16/2011	12/9/2013
Inactive	Meyer, Bryan D	817329	Agent - Casualty	12/31/2013	5/29/2015
Inactive	Meyer, Bryan D	817329	Agent - Property	12/31/2013	5/29/2015
Inactive	Meyer, Bryan D	817329	Surplus Lines Broker - Not Applicable	12/31/2013	3/26/2019