DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Borghesi, Michael P	DOIID	804534	NAIC NPN	2842639

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2013		1/31/2025
Active	Non Resident	Agent	Casualty	2/26/2013		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/26/2013		1/31/2025
* 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	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSUI Indemnity Company	300513	Agent - Casualty	4/1/2013
Active	RSUI Indemnity Company	300513	Agent - Property	4/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amwins Brokerage Of The Midwest, LLC	628640	Agent - Property	8/16/2017	11/30/2022
Inactive	Amwins Brokerage Of The Midwest, LLC	628640	Agent - Casualty	8/16/2017	11/30/2022
Inactive	Amwins Brokerage Of The Midwest, LLC	628640	Surplus Lines Broker - Not Applicable	8/16/2017	11/30/2022
Active	Amwins Insurance Brokerage LLC	624422	Agent - Property	7/22/2022
Active	Amwins Insurance Brokerage LLC	624422	Agent - Casualty	7/22/2022
Active	Amwins Insurance Brokerage LLC	624422	Surplus Lines Broker - Not Applicable	7/22/2022