DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lazarz, Daniel Martin	DOIID	938976	NAIC NPN	16867309

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/7/2016		10/31/2025
Active	Non Resident	Agent	Property	12/7/2016		10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/7/2016		10/31/2025
* 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
Active	New York Marine and General Insurance Company	301932	Agent - Casualty	11/2/2021
Active	New York Marine and General Insurance Company	301932	Agent - Property	11/2/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/4/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022