DEPARTMENT OF INSURANCE

Name	Fiorentino, Kelly Christopher	DOIID	728933	NAIC NPN	8801638

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/22/2010	9/30/2025
Active	Non Resident	Agent	Property	5/22/2010	9/30/2025
Denied	Non Resident	Managing General Agent	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/17/2010	9/30/2025

*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	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

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	Nbis Construction & Transport Ins Serv I 2859 Paces Ferry Rd Se Ste 800Atlanta, GA 303395733
Residence	Not Public Information

Internet Information

Type	Address
Business Email	rbankston@nbis.com

Phone Information

Type	Phone
Business / Home Office	(770) 257-1119