DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pursiano, Carl L	DOIID	997573	NAIC NPN	18797992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/13/2018		1/31/2025
Active	Non Resident	Agent	Property	6/13/2018		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/19/2018		1/31/2025
* 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	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	8/23/2019
Active	American Alternative Insurance Corporation	301697	Agent - Property	8/23/2019
Active	American Family Home Insurance Company	301817	Agent - Casualty	8/26/2019
Active	American Family Home Insurance Company	301817	Agent - Property	8/26/2019
Active	American Southern Home Insurance Company	626276	Agent - Casualty	8/26/2019
Active	American Southern Home Insurance Company	626276	Agent - Property	8/26/2019
Active	Arch Insurance Company	300688	Agent - Casualty	7/12/2018
Active	Arch Insurance Company	300688	Agent - Property	7/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Celerity Professional Liability Insurance Services LLC	1101995	Agent - Casualty	10/2/2020
Active	Celerity Professional Liability Insurance Services LLC	1101995	Agent - Property	10/2/2020
Active	Celerity Professional Liability Insurance Services LLC	1101995	Surplus Lines Broker - Not Applicable	10/8/2020
Active	Freberg Environmental Inc	675010	Agent - Casualty	7/26/2018
Active	Freberg Environmental Inc	675010	Agent - Property	7/26/2018