DEPARTMENT OF INSURANCE

Affiliations

Name	Shapiro, Gary	DOIID	993058	NAIC NPN	4643121

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/2/2018	6/30/2026
Active	Non Resident	Agent	Property	5/2/2018	6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/2/2018	6/30/2026
* 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	04/15/2024	06/30/2024	04/03/2024	04/03/2024	Yes
Surplus Lines Broker	04/15/2024	06/30/2024	05/17/2024	05/17/2024	Yes

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	2/10/2021
Active	AGCS Marine Insurance Company	300403	Agent - Property	2/10/2021
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	2/10/2021
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	2/10/2021
Active	American Automobile Insurance Company	300953	Agent - Casualty	2/10/2021
Active	American Automobile Insurance Company	300953	Agent - Property	2/10/2021
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/20/2019
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/20/2019
Active	American Zurich Insurance Company	300592	Agent - Casualty	6/20/2019
Active	American Zurich Insurance Company	300592	Agent - Property	6/20/2019
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/28/2020
Active	Fireman's Fund Insurance Company	301423	Agent - Property	10/28/2020
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	2/20/2019
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	2/20/2019
Active	National Surety Corporation	300087	Agent - Casualty	1/23/2019
Active	National Surety Corporation	300087	Agent - Property	1/23/2019
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	2/10/2021	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	2/10/2021	9/2/2022
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	2/10/2021	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	2/10/2021	2/8/2022
Active	Zurich American Insurance Company	301121	Agent - Casualty	6/20/2019
Active	Zurich American Insurance Company	301121	Agent - Property	6/20/2019
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/20/2019
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Program Brokerage Corporation	578614	Agent - Property	2/8/2022
Active	Program Brokerage Corporation	578614	Agent - Casualty	2/8/2022
Active	Program Brokerage Corporation	578614	Surplus Lines Broker - Not Applicable	10/25/2018