DEPARTMENT OF INSURANCE

Affiliations

Name	Potash, Andrew W	DOIID	973472	NAIC NPN	315872

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/19/2017	10/31/2024
Active	Non Resident	Agent	Property	10/19/2017	10/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/18/2019	10/31/2024
* 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	08/15/2024	10/31/2024
Surplus Lines Broker	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	6/14/2019
Active	AGCS Marine Insurance Company	300403	Agent - Property	6/14/2019
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	6/14/2019
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	6/14/2019
Active	American Automobile Insurance Company	300953	Agent - Casualty	6/14/2019
Active	American Automobile Insurance Company	300953	Agent - Property	6/14/2019
Active	Colony Specialty Insurance Company	724901	Agent - Casualty	2/15/2019
Active	Colony Specialty Insurance Company	724901	Agent - Property	2/15/2019
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/5/2019
Active	Fireman's Fund Insurance Company	301423	Agent - Property	2/5/2019
Active	Granite State Insurance Company	300818	Agent - Casualty	1/31/2019
Active	Granite State Insurance Company	300818	Agent - Property	1/31/2019
Active	Illinois National Insurance Company	301367	Agent - Casualty	1/31/2019
Active	Illinois National Insurance Company	301367	Agent - Property	1/31/2019
Active	Ironshore Indemnity Inc.	300088	Agent - Casualty	3/15/2019
Active	Ironshore Indemnity Inc.	300088	Agent - Property	3/15/2019
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	2/1/2019
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	2/1/2019
Active	National Surety Corporation	300087	Agent - Casualty	6/14/2019
Active	National Surety Corporation	300087	Agent - Property	6/14/2019
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/31/2019
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/31/2019
Inactive	Navigators Insurance Company	301312	Agent - Casualty	1/30/2019	12/11/2020
Inactive	Navigators Insurance Company	301312	Agent - Property	1/30/2019	12/11/2020
Active	New Hampshire Insurance Company	301670	Agent - Casualty	1/31/2019
Active	New Hampshire Insurance Company	301670	Agent - Property	1/31/2019
Active	North River Insurance Company (The)	301739	Agent - Casualty	2/1/2019
Active	North River Insurance Company (The)	301739	Agent - Property	2/1/2019
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	5/16/2019
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	5/16/2019
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	6/14/2019	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	6/14/2019	9/2/2022
Active	QBE Insurance Corporation	300515	Agent - Casualty	2/28/2019
Active	QBE Insurance Corporation	300515	Agent - Property	2/28/2019
Active	United States Fire Insurance Company	582240	Agent - Casualty	2/1/2019
Active	United States Fire Insurance Company	582240	Agent - Property	2/1/2019
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	6/14/2019	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	6/14/2019	2/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	BikeLane Insurance Services LLC	854745	Agent - Property
Denied	BikeLane Insurance Services LLC	854745	Agent - Casualty