DEPARTMENT OF INSURANCE

Name	Foundation Risk Partners, Corp. DBA : GreenRoad Insurance, Bolder Insurance Services, XL Benefits Insurance Services, Workcomp Solutions, Owens Group Insurance, KMRD Partners Risk and Insurance Solutions, The Westport Group, D W Van Dyke & Co, UIC, O'Kane & Tegay Insurance Brokers, Trustco Insurance Agency, Unland Insurance & Benefits, Cornell Insurance Services, Property Owners & Managers, Millennium Risk Management and Insurance Services, Gateway-Acentria Insurance, Huff Insurance Agency of Southwest Florida, Key West Insurance, Acentria Insurance, Tim Shaw Insurance - Acentria, Wake Zone Marine Insurance Brokerage, C & H Agency, Pinnacle Brokers Insurance Solutions, Foundation Risk Partners, Genatt Specialty Insurance Services, Genatt V, Knauf Maxell Insurance Services, Doxsee Foster & Associates Insurance Brokers, Kelly Klee Insurance Services, Insurance Office of Central Ohio, Lutheran Trust , Church Asset Management, Klein Agency, Nexus Professional Risk, Nexus Premier, Coastal Insurance, COMP360, Gaspar Insurance Services, Insurance Management Consultants, Land Design Insurance Group, Sander, Jacobs, Cassayre Insurance Services	DOIID	1026722	NAIC NPN	18547972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/28/2019	3/31/2027
Active	Non Resident	Agent	Health	1/28/2019	3/31/2027
Active	Non Resident	Agent	Property	1/28/2019	3/31/2027
Active	Non Resident	Agent	Casualty	1/28/2019	3/31/2027
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	11/2/2023	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/2/2020	3/31/2027

*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	01/15/2025	03/31/2025	02/05/2025	02/05/2025	Yes
Reinsurance Intermediary Broker	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025	02/05/2025	02/05/2025	Yes

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

Address Information

Type	Address
Business / Home Office	780 W Granada Blvd Ormond Beach, FL 321742301

Internet Information

Type	Address
Business Email	licensinginfo@foundationrp.com

Phone Information

Type	Phone
Business / Home Office	(386) 999-9001