DEPARTMENT OF INSURANCE

Affiliations

Name	Ironshore Insurance Services LLC DBA : Syndicated Risk Services, Insurematic Agency	DOIID	678918	NAIC NPN	9628159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/31/2023		3/31/2026
Active	Non Resident	Agent	Property	1/31/2023		3/31/2026
Inactive	Non Resident	Reinsurance Intermediary Broker	Not Applicable	4/17/2012	9/5/2014
Inactive	Non Resident	Reinsurance Intermediary Manager	Not Applicable	4/17/2012	6/8/2018
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/31/2023		3/31/2026
* 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	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ironshore Indemnity Inc.	300088	Agent - Casualty	10/30/2009	12/20/2022
Inactive	Ironshore Indemnity Inc.	300088	Agent - Property	10/30/2009	12/20/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	10/24/2017	12/20/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	10/24/2017	12/20/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/24/2017	12/20/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/24/2017	12/20/2022
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	9/26/2017	1/2/2019
Inactive	Midvale Indemnity Company	300292	Agent - Property	9/26/2017	1/2/2019
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	11/2/2009	2/15/2021
Inactive	National Specialty Insurance Company	300993	Agent - Property	11/2/2009	2/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/4/2018	12/20/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/4/2018	12/20/2022
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	11/2/2009	3/23/2021
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	11/2/2009	3/23/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bowser, Luna	1185232	Agent - Casualty
Denied	Bowser, Luna	1185232	Agent - Property
Active	Bowser, Luna	1185232	Surplus Lines Broker - Not Applicable	4/24/2024
Inactive	George, Joseph John	698151	Agent - Casualty	8/11/2009	1/4/2010
Inactive	George, Joseph John	698151	Agent - Property	8/11/2009	1/4/2010
Inactive	George, Joseph John	698151	Surplus Lines Broker - Not Applicable	2/16/2009	2/4/2010
Active	Harvey, Steven Richard	995302	Agent - Casualty	4/24/2024
Active	Harvey, Steven Richard	995302	Agent - Property	4/24/2024
Active	Harvey, Steven Richard	995302	Surplus Lines Broker - Not Applicable	4/24/2024
Inactive	Mammolite, Anthony	707627	Agent - Casualty	8/19/2009	11/30/2010
Inactive	Mammolite, Anthony	707627	Agent - Property	8/19/2009	11/30/2010
Inactive	Mammolite, Anthony	707627	Surplus Lines Broker - Not Applicable	8/11/2009	11/30/2010
Inactive	Mckeegan, Peter G	524214	Agent - Casualty	4/21/2008	8/11/2009
Inactive	Mckeegan, Peter G	524214	Agent - Property	4/21/2008	8/11/2009
Inactive	Montevaldo, Darcy Osgood	1135347	Agent - Casualty	1/31/2023	4/24/2024
Inactive	Montevaldo, Darcy Osgood	1135347	Agent - Property	1/31/2023	4/24/2024
Inactive	Montevaldo, Darcy Osgood	1135347	Surplus Lines Broker - Not Applicable	1/31/2023	4/24/2024
Inactive	Nadeau, Angela L	724657	Agent - Casualty	11/30/2010	9/9/2013
Inactive	Nadeau, Angela L	724657	Agent - Property	11/30/2010	9/9/2013
Inactive	Nadeau, Angela L	724657	Reinsurance Intermediary Broker - Not Applicable	4/17/2012	9/5/2014
Inactive	Nadeau, Angela L	724657	Reinsurance Intermediary Manager - Not Applicable	4/17/2012	9/5/2014
Inactive	Nadeau, Angela L	724657	Surplus Lines Broker - Not Applicable	11/30/2010	9/5/2014
Inactive	Powers, George Nagata	787405	Agent - Casualty	9/9/2013	6/8/2018
Inactive	Powers, George Nagata	787405	Agent - Property	9/9/2013	6/8/2018
Inactive	Powers, George Nagata	787405	Reinsurance Intermediary Manager - Not Applicable	9/19/2014	6/8/2018
Inactive	Powers, George Nagata	787405	Surplus Lines Broker - Not Applicable	9/19/2014	6/8/2018
Inactive	Raymond, Stephen Kenneth	852358	Agent - Casualty	6/19/2018	12/20/2022
Inactive	Raymond, Stephen Kenneth	852358	Agent - Property	6/19/2018	12/20/2022
Inactive	Raymond, Stephen Kenneth	852358	Surplus Lines Broker - Not Applicable	6/19/2018	12/20/2022