DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	BikeLane Insurance Services LLC	DOIID	854745	NAIC NPN	17369142

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/2/2014	3/31/2018
Inactive	Non Resident	Agent	Property	10/2/2014	3/31/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/5/2015	3/31/2018
* 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	Krassner, Judith Sigel	377643	Agent - Casualty	10/2/2014	3/31/2018
Inactive	Krassner, Judith Sigel	377643	Agent - Property	10/2/2014	3/31/2018
Inactive	Krassner, Judith Sigel	377643	Surplus Lines Broker - Not Applicable	2/5/2015	3/31/2018
Denied	Potash, Andrew W	973472	Agent - Casualty
Denied	Potash, Andrew W	973472	Agent - Property