DEPARTMENT OF INSURANCE

Name	Dervin, Kevin	DOIID	706490	NAIC NPN	4642729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/27/2009	7/31/2025
Active	Non Resident	Agent	Casualty	5/27/2009	7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/15/2011	7/31/2025

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	Arthur J. Gallagher Services Company 300 Madison Ave Fl 2826New York, NY 100176232
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(212) 994-7030