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	Property	12/7/2016		10/31/2025
Active	Non Resident	Agent	Casualty	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025
Surplus Lines Broker	08/15/2025	10/31/2025

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