DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Kevin Bruce	DOIID	811628	NAIC NPN	14368175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/4/2013	10/7/2015
Inactive	Non Resident	Agent	Casualty	6/4/2013	10/7/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/4/2013	10/7/2015
* 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	Argonaut Insurance Company	301422	Agent - Casualty	3/25/2014	1/8/2015
Inactive	Argonaut Insurance Company	301422	Agent - Property	3/25/2014	1/8/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alteris Ins Services Inc	763010	Agent - Property	3/25/2014	1/8/2015
Inactive	Alteris Ins Services Inc	763010	Agent - Casualty	3/25/2014	1/8/2015
Inactive	Alteris Ins Services Inc	763010	Surplus Lines Broker - Not Applicable	3/24/2014	10/7/2015
Inactive	Sonoma Risk Management LLC	738885	Agent - Property	6/25/2013	7/14/2015
Inactive	Sonoma Risk Management LLC	738885	Agent - Casualty	6/25/2013	7/14/2015
Inactive	Sonoma Risk Management LLC	738885	Surplus Lines Broker - Not Applicable	6/25/2013	7/14/2015