DEPARTMENT OF INSURANCE

Name	AmWins Brokerage of Michigan, Inc	DOIID	619123	NAIC NPN	958944

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	11/21/2005	1/11/2019
Inactive	Non Resident	Agent	Property	11/21/2005	1/11/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/17/2006	1/11/2019

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Mailing	P.O. Box 111 Grand Rapids, MI 495010111
Business / Home Office	2851 Charlevoix Dr Se Suite 220Grand Rapids, MI 49546

Internet Information

Type	Address
Internet	www.amwns.com

Phone Information

Type	Phone
Business / Home Office	(616) 942-8000