DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amtrust Agriculture Insurance Services LLC	DOIID	805339	NAIC NPN	16848301

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/13/2013	12/1/2020
Inactive	Non Resident	Agent	Property	3/13/2013	12/1/2020
Inactive	Non Resident	Managing General Agent	Not Applicable	11/15/2013	12/1/2020
* 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
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	3/19/2013	8/26/2015
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	3/19/2013	8/26/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Christensen, Trent Robert	779609	Agent - Casualty	3/13/2013	1/14/2016
Inactive	Christensen, Trent Robert	779609	Agent - Property	3/13/2013	1/14/2016
Inactive	Hollander, Stuart Dov	579477	Agent - Casualty	1/14/2016	1/9/2018
Inactive	Hollander, Stuart Dov	579477	Agent - Property	1/14/2016	1/9/2018
Inactive	Trivison, Delynn Dotherow	622432	Agent - Casualty	1/9/2018	9/30/2020
Inactive	Trivison, Delynn Dotherow	622432	Agent - Property	1/9/2018	9/30/2020