DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bertoldi, Jason	DOIID	1233627	NAIC NPN	20372784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/29/2022		1/31/2026
Active	Non Resident	Agent	Casualty	9/29/2022		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/29/2022		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/12/2022
Active	American Zurich Insurance Company	300592	Agent - Property	10/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	10/21/2022
Active	Willis Towers Watson Northeast Inc	537673	Agent - Property	10/21/2022
Active	Willis Towers Watson Northeast Inc	537673	Surplus Lines Broker - Not Applicable	10/21/2022