COMMONWEALTH OF MASSACHUSETTS
DIVISION OF INSURANCE PRODUCER LICENSING 1000 Washington Street, Suite 810 Boston, MA 02118-6200 FAX (617) 753-6883 http://www.mass.gov/doi
Massachusetts Licensed Surplus Lines Brokers - Individuals September 05, 2021
License Original Renewal Individual Address City State Zip Phone # Email # Approval Date ABDELNOUR, CHRISTINE 05301- 1 2070101 09/17/2018 09/17/2021 999 Putney Rd Brattleboro VT 603-762-6497 [email protected] NICOLE 5101 Arthur J Gallagher Risk 33166- 2 2148852 04/29/2021 04/29/2022 Abella, Antonio Luis Management Services Inc, 8333 Doral FL 305-666-4191 4789 NW 53rd St Ste 600 60601- 3 1836554 06/01/2007 06/01/2022 Ackerman, Samuel M 200 E Randolph St Ste 800 Chicago IL 847-913-6672 6419 Risk Placement Services, Inc., 30009- 4 1827607 09/27/2006 09/27/2022 Adair, Stephen Todd Alpharetta GA 770-829-3363 [email protected] 2400 Lakeview Pkwy Ste 675 7902 54660- 5 2153518 06/16/2021 06/16/2022 ADAMCZAK, LEIGH ANN 1021 N SUPERIOR AVE STE 4 TOMAH WI 608-377-7240 1192 02109- 6 1894859 01/03/2011 01/03/2022 Adams, Kristin J 53 State St Ste 2201 Boston MA 617-571-5668 2820 Scu Orlando, 240 E Central Pkwy Altamonte 32701- 7 1951206 02/26/2014 02/26/2022 Adams, Philip Edward FL 407-678-8771 [email protected] Ste 3000 Springs 7848 60606- Tim.adams@bgc- 8 1949009 01/21/2014 01/21/2022 ADAMS, TIMOTHY 222 W Adams St Chicago IL 773-490-6210 5312 insurance.com 30326- 9 1919450 07/30/2012 07/30/2022 Addison Stewart, Kasey 3560 Lenox Rd Ne Atlanta GA 904-334-1601 4266 85254- 10 1889352 09/27/2010 09/27/2022 Adler, Marc R 14631 N Scottsdale Rd Ste 150 Scottsdale AZ 480-296-7103 [email protected] 2785 SWETT & CRAWFORD OF 85254- 11 2002329 04/29/2016 04/29/2022 ADOLPHSEN, JENNIFER GEORGIA, INC., 16100 N 71ST SCOTTSDALE AZ 602-404-7803 [email protected] 2236 ST STE 150 Breach Insurance Solutions, Inc., 02466- 12 2158195 08/04/2021 08/04/2022 Aejaz, Eyhab M. Auburndale MA 832-239-7686 [email protected] 19 Islington Rd 1005 01801- 13 1928655 02/01/2013 02/01/2022 Aiken, James J 237 Lexington Street, Suite 209 Woburn MA 781-721-2327 [email protected] 5985 10006- 14 1998914 03/02/2016 03/02/2022 ALAIMO, JOANN 165 Broadway New York NY 917-696-5464 [email protected] 1404
Page 1 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Risk Innovations Llc, 7000 Central 30328- 15 2105924 12/03/2019 12/03/2021 Alben, Catherine Mary Atlanta GA 508-904-2454 [email protected] Pkwy Ste 1100 4592 66213- [email protected] 16 1932323 04/16/2013 04/16/2022 ALBERS, STEVEN CRAIG 13220 Metcalf Avenue, Suite #370 Overland Park KS 913-850-7951 2822 OM 02199- 17 2053901 04/09/2018 04/09/2022 Alderman, Jeremy N 101 Huntington Ave Boston MA 781-740-2590 [email protected] 7603 Marsh Usa Inc (de), 1166 Avenue 10036- 18 1878971 12/28/2009 12/28/2021 Alexander, Jennifer R New York NY 201-683-4274 Of The Americas 2708 ALEXANDER, MICHAEL 19 2109156 01/29/2020 01/29/2022 11524 FAIRVIEW ROAD LITTLE ROCK AR 72212 800-482-5968 [email protected] ELLIS JR 27617- 20 2158192 08/03/2021 08/03/2022 ALFORD, TIMOTHY D 9324 WOODEN RD RALEIGH NC 919-671-1337 8214 AMWINS BROKERAGE OF 30326- [email protected] 21 2045937 01/18/2018 01/18/2022 ALISON, COREY T GEORGIA LLC, 3630 ATLANTA GA 404-920-3789 1584 M PEACHTREE RD NE STE 1700 Five Star Specialty Programs A 32935- 22 1820694 04/11/2006 04/11/2022 Alkire, Robert B. Melbourne FL 321-421-6777 [email protected] Division, 158 N Harbor City Blvd 6700 75201- 23 1835296 04/25/2007 04/25/2022 Allen, Andrew Matson 1717 Main St Dallas TX 214-862-9072 4612 3630 PEACHTREE ROAD, NE, [email protected] 24 2142004 02/17/2021 02/17/2022 ALLEN, BRADLEY DONALD ATLANTA GA 30326 404-978-6044 SUITE 1700 M 85260- 25 1983876 07/13/2015 07/13/2022 Allen, Brent I 13880 N Northsight Blvd Bldg C Scottsdale AZ 602-702-7600 [email protected] 3666 75231- 26 1856098 08/08/2008 08/08/2022 Allen, Elgin B Jr. 8144 Walnut Hill Ln Ste 900 Dallas TX 214-360-0801 4344 AMRISC, 2500 NORTHWINDS 30009- 27 2080753 01/15/2019 01/15/2022 ALLEN, JOHN D ALPHARETTA GA 770-557-0037 [email protected] PKWY STE 225 2264 48168- Kenn.allen@insuranceinnovati 28 1860387 12/02/2008 12/02/2021 Allen, Kenn 7778 Hidden Ridge Ln Northville MI 248-910-6429 9664 onsbyallen.com AMWINS BROKERAGE OF TN, 37067- DEBBIE.MATTHEWS@AMWI 29 2048216 02/07/2018 02/07/2022 ALLEN, MARY CAPRICE 830 CRESCENT CENTRE DR FRANKLIN TN 615-628-9700 7247 NS.COM STE 400 30 2018558 12/21/2016 12/21/2021 Allen, Stuart Mahon 777 Goodale Blvd, Suite 200 Columbus OH 43212 614-857-6404 [email protected] 325 WEST MAIN STREET, SUITE 31 2148240 04/22/2021 04/22/2022 ALLGEIER, JEREMY ALAN LOUISVILLE KY 40202 502-457-6716 2400 32 1913702 03/13/2012 03/13/2022 Allman, Scott Allen 1001 Brickell Bay Dr, Ste 1100 Miami FL 33131 305-961-6112 TAPCO UNDERWRITERS, INC., 27215- 33 1927921 01/15/2013 01/15/2022 ALLRED, KEITH E BURLINGTON NC 336-438-3528 [email protected] 3060 S CHURCH ST 5153 34 1031240 10/25/1998 10/25/2021 Almy, Jennifer M 183 Davis St E Douglas MA 01516 508-963-8587 [email protected] 300 COLONIAL CENTER 35 2101014 10/03/2019 10/03/2022 ALSTON, ASHE DONNA ROSWELL GA 30076 678-438-1844 PARKWAY, SUITE 200 44022- 36 1837297 06/25/2007 06/25/2022 Althans, James Carl 543 Washington St Chagrin Falls OH 440-543-1524 [email protected] 4446
Page 2 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 19020- 37 2114226 04/23/2020 04/23/2022 ALTOMARE, HANNAH R 6694 MAYFLOWER DR BENSALEM PA 609-528-3901 1931 38 2153032 06/12/2021 06/12/2022 ALVAREZ, ELMER P 75 STATE STREET, 2ND FLOOR BOSTON MA 02109 617-699-1795 SOUTHERN CROSS ALVAREZ, ESTEBAN 33126- 39 2111237 02/27/2020 02/27/2022 UNDERWRITERS,INC, 1000 NW MIAMI FL 305-702-3838 [email protected] MANUEL 3294 57TH CT STE 670 AMWINS BROKERAGE OF THE 28210- 40 2136305 12/04/2020 12/04/2021 AMMONS, JOSH C CAROLINAS, LLC, 4725 CHARLOTTE NC 704-365-6348 4283 PIEDMONT ROW DR STE 600 panastasi@anastasiinsurance 41 2075153 11/13/2018 11/13/2021 Anastasi, Paul M 4 Brookfield Road Charlton MA 01507 508-864-4564 .com Assuredpartners Jamison Llc, 20 07016- [email protected] 42 2040743 11/16/2017 11/16/2021 ANDERSEN, MICHAEL J Cranford NJ 973-669-2351 Commerce Dr Ste 200 3617 m RISK PLACEMENT SERVICES, OKLAHOMA 73118- JANA_ANDERSON@RPSINS 43 1957549 06/19/2014 06/19/2022 ANDERSON, JANA LEE INC., 5100 N CLASSEN BLVD OK 405-340-0978 CITY 5263 .COM STE 105 ANDERSON, JEFFREY Preferred Concepts, Llc, 3424 30326- 44 2069678 09/12/2018 09/12/2022 Atlanta GA 404-309-8020 [email protected] ARTHUR Peachtree Rd NE Ste 2200 1156 AON RISK SERVICES CENTRAL 60601- KELLY.ANDERSON3@AON. 45 2012387 09/15/2016 09/15/2022 ANDERSON, KELLY M CHICAGO IL 312-397-1773 INC., 200 E RANDOLPH ST FL 13 6424 COM 12935 S West Bay Shore Dr Ste 49684- 46 1815180 11/29/2005 11/29/2021 Anderson, Matthew Robert Traverse City MI 231-932-4071 205 6218 Anderson & Murison, Inc., 800 90041- 47 1878828 12/23/2009 12/23/2021 Anderson, Melissa Louise Los Angeles CA 626-831-8654 [email protected] Colorado Blvd 1704 77056- Patricia.anderson@starrcomp 48 2038574 10/17/2017 10/17/2021 ANDERSON, PATRICIA J 5151 San Felipe St Ste 200 Houston TX 773-510-6960 3731 anies.com 10036- Stevenanderson0812@gmail. 49 2013404 09/28/2016 09/28/2022 ANDERSON, STEVEN H 1166 Avenue Of The Americas New York NY 732-851-4015 2708 com C/o Willis Of New York, Inc., 200 10281- 50 2156500 07/16/2021 07/16/2022 Andersson, Erik J New York NY 212-915-8290 Liberty St 1003 Argosy Risk Specialists, 1300 E 44114- 51 2083161 02/25/2019 02/25/2022 ANDOLSEN, TANYA Cleveland OH 440-458-2075 [email protected] 9th St Ste 1650 1504 02842- david.andrade@crvinsurance. 52 2028215 06/08/2017 06/08/2022 Andrade, V. David 2 Corporate Place Middletown RI 401-847-2402 6294 com 15219- [email protected] 53 2144877 03/17/2021 03/17/2022 Andreas, Sean Kip 301 Grant St Ste 470 Pittsburgh PA 412-736-6260 1407 om 01608- 54 1031341 12/31/1998 12/31/2021 Andreoli, John T 1 Mercantile St Ste 710 Worcester MA 508-842-6669 [email protected] 3103 02110- 55 2115772 05/27/2020 05/27/2022 Andrews, Carla E 175 Federal Street, Suite 725 Boston MA 508-528-3070 [email protected] 2202 48226- 56 2059775 06/08/2018 06/08/2022 ANKLAM, RYAN 500 Woodward Ave Fl 14 Detroit MI 313-656-5718 [email protected] 3423 ANTUNES RIOLFI, 94114- 57 2139354 01/19/2021 01/19/2022 2261 Market St # 4427 San Francisco CA 415-238-7737 [email protected] MATHEUS 1612
Page 3 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Electric Insurance Company, 75 01915- pam.ardagna@electricinsuran 58 1954646 04/30/2014 04/30/2022 Ardagna, Pamela J Beverly MA 978-681-5556 Sam Fonzo Dr 1000 ce.com 59 1894860 01/03/2011 01/03/2022 Armfield, Katherine L 20 S King St Leesburg VA 20175 703-777-2341 02747- 60 1809369 07/13/2005 07/13/2022 Armstrong, Maureen Sylvia 500 Faunce Corner Rd Ste 120 Dartmouth MA 508-993-0184 [email protected] 1255 Willis Towers Watson Midwest, 55437- 61 2035603 09/22/2017 09/22/2022 ARNDT, JONATHAN M Inc., 8400 Normandale Lake Blvd Minneapolis MN 763-302-7218 [email protected] 3837 Ste 1700 C/o Marsh Usa Inc, 1166 Avenue 10036- 62 1917873 06/25/2012 06/25/2022 Aronson, Daniel E New York NY 212-772-9812 Of The Americas Fl 24 2750 02494- [email protected] 63 1997272 02/03/2016 02/03/2022 Aronson, Steven J 958 Highland Ave Needham MA 617-244-8620 1256 m Appalachian Underwriters, Inc., 37830- 64 1796280 05/12/2004 05/12/2022 Arowood, Robert J Oak Ridge TN 865-425-1003 [email protected] 800 Oak Ridge Tpke Ste A1000 6949 65 2071109 09/26/2018 09/26/2021 ARREGUIN, PATRICIA 1740 MCKINLEY AVE BELOIT WI 53511 608-314-2108 [email protected] [email protected] 66 2072070 10/05/2018 10/05/2021 Arthur, Nancy Ann 12421 Meredith Drive Urbandale IA 50398 515-987-1997 m 77019- 67 2018864 12/29/2016 12/29/2021 ASHER, SHARI L 2929 Allen Pkwy Houston TX 713-325-7639 [email protected] 7100 19102- 68 2070102 09/17/2018 09/17/2022 ASHWORTH, ZACHARY A 1601 Cherry St Philadelphia PA 570-591-3268 [email protected] 1320 Arthur J Gallagher & Co, 18201 92612- 69 2039435 10/28/2017 10/28/2021 ATKINSON, MEG LAUREN Irvine CA 480-250-8981 [email protected] Von Karman Ave Ste 200 1069 07652- 70 2047629 01/30/2018 01/30/2022 Atkinson, Patricia Michelle 822 Carter Ln Paramus NJ 201-571-2440 [email protected] 3807 Arthur J. Gallagher & Co., 470 02210- 71 2124182 09/09/2020 09/09/2022 ATTFIELD, ROSS Boston MA 617-646-0337 [email protected] Atlantic Ave 2208 Buttine Underwriters Agency Llc, 03801- 72 1786278 09/04/2003 09/04/2022 Audet, Rejean Gaston Portsmouth NH 603-294-0660 [email protected] 22 Deer St Unit 400 7709 425 MARKET STREET SUITE SAN 73 2145296 03/22/2021 03/22/2022 AULT, KEELEY SIDOW CA 94105 847-771-0065 [email protected] 2800 FRANCISCO 74 2155639 07/08/2021 07/08/2022 AWICK, DARRYL L 233 S. WACKER, SUITE 2000 CHICAGO IL 60606 312-288-7499 ARTHUR J GALLAGHER & CO, 30338- 75 2108947 01/27/2020 01/27/2022 AYCOCK, ALEXANDER 1050 CROWN POINTE PKWY ATLANTA GA 864-561-0142 7702 STE 600 76 1861947 01/09/2009 01/09/2022 Ayer, Timothy Matthew 119 River St Montpelier VT 05602 802-223-9654 [email protected] 77 1896173 02/10/2011 02/10/2022 Azevedo, Edgar Amorim 10 Kearney Square Lowell MA 01852 978-394-7314 [email protected] Alliant Insurance Services, Inc., 62 Cumberland 04110- 78 2088402 04/26/2019 04/26/2022 Babeu, George D ME 207-771-4200 [email protected] Us Route 1 Foreside 1338 Risk Placement Services, Inc., Colorado 80919- [email protected] 79 2107883 01/09/2020 01/09/2022 BABIN, KAREN L CO 719-380-7525 5575 Tech Center Dr Ste 116 Springs 2349 M Willis Towers Watson Northeast, 10281- Michael.babushkin@willistowe 80 2091392 06/11/2019 06/11/2022 BABUSHKIN, MICHAEL New York NY 212-915-7761 Inc., 200 Liberty St 1003 rswatson.com
Page 4 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date EAST AEGIS INSURANCE SERVICES 07073- 81 2086083 03/25/2019 03/25/2022 BACHA, JANE RUTHERFOR NJ 201-618-0949 INC, 1 MEADOWLANDS PLZ 2150 D BACHMAN, KENDRA 68123- 82 2115485 05/20/2020 05/20/2022 1504 Halifax St Bellevue NE 509-850-7946 [email protected] MARIE 6821 89128- [email protected] 83 1955729 05/15/2014 05/15/2022 Bachmann, Joanne Marie 7201 W Lake Mead Blvd Ste 400 Las Vegas NV 702-275-0395 8366 om 02460- 84 2080759 01/16/2019 01/16/2022 Bagdonas, Alexander K 506 Lowell Ave Newton MA 858-457-3414 2353 20194- 85 1861291 12/18/2008 12/18/2021 Baird, Bryan Andrew 1283 Gatesmeadow Way Reston VA 703-707-8839 [email protected] 1445 06032- 86 1954962 05/02/2014 05/02/2022 Baird, Woodrow M 40 STANFORD DR STE 2 FARMINGTON CT 860-269-2159 2454 78288- 87 2088126 04/23/2019 04/23/2022 BAKER, GARY NEIL 9800 Fredericksburg Rd San Antonio TX 210-498-9204 [email protected] 0001 30211 Avenida De Las Bandera Rancho Santa 92688- 88 2151772 05/28/2021 05/28/2022 BAKER, PENNY J CA 425-919-8535 Ste 200 Margarita 2159 BALDWIN, WALTER 33607- 89 2093650 07/15/2019 07/15/2022 4211 W Boy Scout Blvd Ste 800 Tampa FL 813-230-1116 [email protected] ANDERSON 5757 412 MT. KEMBLE AVENUE, MORRISTOW 90 2111717 03/06/2020 03/06/2022 BALL, ANDREA NJ 07960 862-812-6987 SUITE 300C N Britton Gallagher, 1375 E 9th St Fl 44114- bruce_ball@britton- 91 1901370 06/22/2011 06/22/2022 Ball, Bruce Hunter Cleveland OH 216-658-8711 30 1797 gallagher.com C/o Marsh Usa Inc, 1166 Avenue 10036- 92 2113077 03/30/2020 03/30/2022 Ball, Jonathan E New York NY 631-786-5599 [email protected] Of The Americas 2708 41 LIBERTY HILL, BLDG 2, C/O 93 2106590 12/12/2019 12/12/2021 BALL, MIRIAM HENNIKER NH 03242 385-212-0270 ALTERNATIVE BALANCE HUB INTERNATIONAL 49424- 94 2095530 08/06/2019 08/06/2022 BALL, VICKI MIDWEST, 12930 JAMES ST STE HOLLAND MI 616-233-4111 8324 120 Greenwood 80111- 95 2052497 03/20/2018 03/20/2022 BANKOWSKI, MICHAEL 6400 S Fiddlers Green Cir Ste 220 CO 520-247-7682 [email protected] Village 4922 Marsh Usa, Inc (de), 3560 Lenox 30326- 96 1896954 03/01/2011 03/01/2022 Bannister, Elizabeth C Atlanta GA 404-314-4996 Rd NE Ste 2400 1298 59802- 97 2097519 08/30/2019 08/30/2022 BANZET, KELLY R 111 N Higgins Ave Ste 600 Missoula MT 509-832-2359 [email protected] 4494 98 2073100 10/19/2018 10/19/2022 Barbas, Andrew D 14 Franklin Street Quincy MA 02169 508-927-4327 [email protected] 07960- 99 1979439 04/22/2015 04/22/2022 Barber, Ryan Marsh Usa Inc, 445 South St Morristown NJ 347-421-2663 6475 02116- Robert.barberi@willistowersw 100 2135634 11/25/2020 11/25/2021 Barberi, Robert Obed Jr. 75 Arlington St Fl 10 Boston MA 617-351-7490 3936 atson.com 32301- 101 2056276 05/02/2018 05/02/2022 Bard, John Andrew 1201 Hays St Tallahassee FL 317-840-2472 2699
Page 5 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Braishfield Associates, Inc., 5750 32819- 102 2060353 06/18/2018 06/18/2022 Barfield, John D Jr. Orlando FL 863-602-1912 Major Blvd Ste 200 7971 94104- 103 2112042 03/11/2020 03/11/2022 BARGMANN, ALEXANDER 200 Pine St Ste 200 San Francisco CA 914-500-7154 2712 80202- 104 1828412 10/17/2006 10/17/2021 Barnard, Stephanie Slater 1225 17th St Denver CO 281-827-3482 [email protected] 5534 8310 N Capital Of Texas Hwy Bldg 78731- 105 2115921 05/28/2020 05/28/2022 BARNES, AARON Austin TX 212-915-8996 [email protected] 1 1023 300 COLONIAL CENTER 106 2079658 12/26/2018 12/26/2021 BARNES, CARLY VICTORIA ROSWELL GA 30076 404-444-2236 PARKWAY SUITE 200 77024- 107 1833176 03/02/2007 03/02/2022 Barnes, Denise DeMichele Usi, 9811 Katy Fwy Ste 500 Houston TX 713-490-4677 [email protected] 1227 ROLLING 108 2137188 12/16/2020 12/16/2021 BARNES, KATHLEEN 2850 W GOLF ROAD IL 60008 847-276-5449 MEADOWS Arthur J Gallagher & Co., 6300 S 80111- 109 1928331 01/28/2013 01/28/2022 Barnes, Robert Francis Centennial CO 303-882-0252 [email protected] Syracuse Way Ste 700 7305 77019- fred.barrera@worthaminsuran 110 1913490 03/06/2012 03/06/2022 Barrera, Alfredo Benjamin III 2929 Allen Pkwy Ste 2500 Houston TX 281-989-7199 2178 ce.com 111 2146184 03/31/2021 03/31/2022 BARRETT, BRIAN MICHAEL 29 CLIFFEDGE WAY RED BANK NJ 07701 732-530-1992 [email protected] BARRETT, DAVID 75252- 112 1960630 08/13/2014 08/13/2022 17950 Preston Rd Ste 420 Dallas TX 214-369-4900 [email protected] RICHARD 5758 17331- 113 2108395 01/17/2020 01/17/2022 Barrick, Brian Andrew 195 Stock St Ste 118 Hanover PA 800-673-2558 [email protected] 2272 114 2050223 02/27/2018 02/27/2022 BARRY, John J 57 BROOKFIELD ROAD ANDOVER MA 01810 978-409-2344 [email protected] Crc Insurance Services, Inc, 75240- 115 1898773 04/12/2011 04/12/2022 Bartnick, Blake Alan Dallas TX 972-371-7020 13737 Noel Rd Fl 10 1331 265 SUNRISE HIGHWAY, SUITE ROCKVILLE 116 2145961 03/29/2021 03/29/2022 BASILE, KEITH F NY 11570 516-580-0674 1196, ROCKVILLE CENTRE CENTRE 75225- 117 2150979 05/20/2021 05/20/2022 BASS, BRIAN SCOTT 8401 N CENTRAL EXPY FL 5 DALLAS TX 210-315-9999 4402 BASSETT, RACHAEL 06103- [email protected] 118 2048110 02/06/2018 02/06/2022 755 Main St Hartford CT 203-258-0362 AMANDA 2712 m 92101- 119 2019835 01/19/2017 01/19/2022 Batcheller, Edward Jerome 350 10th Ave Ste 1450 San Diego CA 619-888-8013 [email protected] 7496 30309- 120 2107884 01/09/2020 01/09/2022 BATE, ANDREW 34 The Prado Ne Atlanta GA 212-705-8770 [email protected] 3326 02109- 121 2025327 04/19/2017 04/19/2022 BATES, CHRISTOPHER 75 State St Ste 1710 Boston MA 617-692-0350 [email protected] 1807 BATTLE, BAILEY 122 2148957 04/30/2021 04/30/2022 401 GUADALUPE ST APT 1904 AUSTIN TX 78701 305-439-8429 MERIWETHER 94104- [email protected] 123 1893042 11/23/2010 11/23/2021 Bauer, Kristopher David 425 California St Ste 2400 San Francisco CA 925-283-3731 2215 m
Page 6 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 10036- 124 1871474 07/16/2009 07/16/2022 Bauer, Michael H 1166 Avenue Of The Americas New York NY 201-497-5921 2708 77056- 125 2105290 11/19/2019 11/19/2021 BAUGHN, WHITNEY 2 RIVERWAY STE 900 HOUSTON TX 713-403-3140 1940 75001- 126 1982621 06/19/2015 06/19/2022 BEAIRSTO, Mark A 5080 Spectrum Dr Addison TX 469-804-2610 [email protected] 4648 West 29169- 127 1949010 01/21/2014 01/21/2022 Beall, Michael B 1179 Sunset Blvd SC 803-936-1601 Columbia 6863 128 2035972 09/27/2017 09/27/2021 Bean, Philip Webb 151 WINNACUNNET ROAD HAMPTON NH 03842 603-926-3830 [email protected] 129 1806370 04/01/2005 04/01/2022 Bearce, William C III 670 Pleasant Street Brockton MA 02301 508-944-9906 [email protected] 4141 FRISCO GREEN AVE APT 75034- 130 2160962 08/26/2021 08/26/2022 BEATON, DARREL JAY FRISCO TX 512-535-6210 441 2329 The Campbell Group, 4808 49512- 131 2108044 01/13/2020 01/13/2022 Beck, Brian Kentwood MI 517-290-4880 Broadmoor Ave Se 5306 Synapse Services Llc, 198 W High 08876- 132 1910714 12/19/2011 12/19/2021 Beck, Daniel I. Somerville NJ 732-979-1746 [email protected] St 1862 Bhhc Specialty Risk, 1314 68102- 133 1887727 08/16/2010 08/16/2022 Beck, John E Omaha NE 415-675-5542 Douglas St Ste 1400 1944 Connected Risk Solutions, Llc, 30326- 134 1984785 07/23/2015 07/23/2022 BECKER, KEITH PATRICK Atlanta GA 678-525-0824 [email protected] 3340 Peachtree Rd NE Ste 1950 1018 29732- 135 1967191 10/28/2014 10/28/2021 Beckham, Jonathan F. 2883 Harlinsdale Dr Rock Hill SC 803-417-7163 0208 07932- 136 1928058 01/17/2013 01/17/2022 Beckler, Shawn T 180 Park Ave Ste 103 Florham Park NJ 973-315-0712 [email protected] 1054 National Housing Insurance 04105- 137 1939996 08/28/2013 08/28/2022 Bedard, Andrew R Falmouth ME 207-926-5691 Group, 11 Blackstrap Rd 2222 11530- 138 2085908 03/21/2019 03/21/2022 BEER, KEVIN C 900 Stewart Ave Ste 600 Garden City NY 813-222-4287 [email protected] 4869 75024- 139 2127263 10/01/2020 10/01/2021 Behan, William Bruce 5601 Granite Pkwy Ste 860 Plano TX 303-526-5300 [email protected] 8600 Swett & Crawford, 265 E River 93720- 140 1889760 10/04/2010 10/04/2021 Bell, Eric T Fresno CA 559-261-3362 Park Cir 1570 01501- 141 2139108 01/15/2021 01/15/2022 Belton, Heather R. 206 Southbridge St Auburn MA 508-885-6026 [email protected] 2504 BENAVIDEZ, SAN 78230- 142 2109980 02/10/2020 02/10/2022 11550 W IH 10 STE 230 TX 210-561-3016 CHRISTOPHER RENE ANTONIO 1036 Willis Towers Watson Northeast, 02116- Melinda.bendt@willistowerswa 143 2067738 08/31/2018 08/31/2022 Bendt, Melinda M Boston MA 617-351-7483 Inc., 75 Arlington St Fl 10 3936 tson.com BENEFIELD, GREGORY Marsh Usa Inc, 1801 W End Ave 37203- 144 1954493 04/25/2014 04/25/2022 Nashville TN 615-406-3842 [email protected] DAVID Ste 1400 2521 66211- 145 2030579 07/19/2017 07/19/2022 Benson, Emily Suzanne 6900 College Blvd Ste 1000 Overland Park KS 913-312-2867 1567
Page 7 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date BENSON, STEPHEN 37203- 146 2157217 07/23/2021 07/23/2022 3322 W End Ave Ste 500 Nashville TN 615-354-0882 [email protected] ALEXANDER 6808 147 2069418 09/10/2018 09/10/2022 BEN-ZVI, TRAVIS A One Jericho Plaza, Suite 200 Jericho NY 11753 917-971-9618 [email protected] Markel Service, Incorporated, 23060- 148 2132483 10/28/2020 10/28/2021 Berberich, Tammy Morrow Glen Allen VA 804-972-3552 4501 Highwoods Pkwy Ste 200 6153 SEATTLE SPECIALTY 98204- BARBARA.BERG@SEATTLE 149 2090990 06/05/2019 06/05/2022 BERG, BARBARA S INSURANCE SERVICE, 332A SW EVERETT WA 314-493-8000 2782 SPECIALTY.COM EVERETT MALL WAY C/o Pinkham Agency Inc, 40 11801- 150 1792252 01/28/2004 01/28/2022 Berg, Marc Hicksville NY 516-931-1414 [email protected] Commerce Pl Ste 100 5295 GUIDE ONE NATIONAL, 1111 WEST DES 151 2129203 10/09/2020 10/09/2021 BERGER, ADAM IA 50265 215-896-6371 ASHWORTH RD MOINES Nboa Marine Ins Agency, 4404 N 34234- 152 2105106 11/15/2019 11/15/2021 Berndt, Jeffrey Francis Sarasota FL 941-360-6777 [email protected] Tamiami Trl 3864 Berrian Insurance Group Inc, 80124- 153 1842718 10/03/2007 10/03/2021 Berrian, Joel Jeffrey Littleton CO 303-470-3830 [email protected] 10375 Park Meadows Dr Ste 220 6735 Arthur J Gallagher & Co, 2121 N 94596- 154 2069419 09/10/2018 09/10/2022 Berriatua, James Walnut Creek CA 415-391-1500 [email protected] California Blvd Fl 3 3572 89128- 155 1841817 09/17/2007 09/17/2022 Bertram, Kathleen Mary 7201 W Lake Mead Blvd Ste 400 Las Vegas NV 702-408-8266 [email protected] 8366 33607- Adam.besnard@besnardinsur 156 2144415 03/12/2021 03/12/2022 BESNARD, ADAM J 3000 Bayport Dr Ste 400 Tampa FL 813-287-1790 8414 ance.com ASSUREDPARTNERS OF 33904- 157 2146079 03/30/2021 03/30/2022 BEVINS, MATTHEW D FLORIDA, LLC, 3501 DEL PRADO CAPE CORAL FL 317-844-7759 7210 BLVD S STE 204 Networked Insurance Agents Llc, 95945- George.biancardi@networkedi 158 1921271 09/11/2012 09/11/2022 Biancardi, George Grass Valley CA 800-528-7692 443 Crown Point Cir Ste A 9557 ns.com 92614- 159 2032713 08/16/2017 08/16/2022 BICKOFF, REMY MATHIEU 2601 Main St Ste 720 Irvine CA 858-405-3558 [email protected] 5250 02116- Jesse.biddle@willistowerswat 160 2141344 02/10/2021 02/10/2022 Biddle, Jesse Perkins 75 Arlington St Fl 10 Boston MA 508-870-0456 3936 son.com 90071- 161 1876003 10/23/2009 10/23/2022 Biersch, Curtis Lester 515 S Figueroa St Ste 600 Los Angeles CA 213-349-4308 [email protected] 3339 01901- 162 2026709 05/12/2017 05/12/2022 Biggio-Randolph, Marie A 87 Oxford St Lynn MA 781-581-2508 [email protected] 1118 163 2151254 05/24/2021 05/24/2022 BILLINGTON, JOANNE M PO BOX 578 CAMDEN ME 04843 207-236-6636 10006- 164 2145684 03/25/2021 03/25/2022 BILLY, SAMANTHA 165 Broadway New York NY 847-771-0065 [email protected] 1404 Charity First Ins Services, 595 94105- 165 1893193 11/29/2010 11/29/2021 Binford, Benjamin Riley San Francisco CA 415-472-0436 [email protected] Market St Ste 2100 2832 23230- 166 1985981 08/10/2015 08/10/2022 BINNS, SCOTT FIELDING 2035 Maywill St Ste 100 Richmond VA 804-774-2103 [email protected] 3215
Page 8 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date BIRD, RICHARD 3817 NORTHWEST OKLAHOMA 167 2091393 06/11/2019 06/11/2022 OK 73112 405-426-5216 JONATHAN EXPRESSWAY, SUITE 1000 CITY 07302- 168 2127526 10/02/2020 10/02/2021 BIRKHOFER, JOHN C 30 Montgomery St Ste 225 Jersey City NJ 201-597-6023 [email protected] 3847 [email protected] 169 1959882 08/01/2014 08/01/2022 Bishop, Donna M 85 Main Street,, Suite 100 North Adams MA 01247 413-443-1013 m 49316- [email protected] 170 2017570 12/05/2016 12/05/2021 Bishop, Matthew Kurt 5665 N Kraft Lk SE # 2 Caledonia MI 888-327-6377 9759 m Todd_Bixler@kandkinsurance. 171 1805963 03/22/2005 03/22/2022 Bixler, Todd Walter 1712 Magnavox Way Ft Wayne IN 46804 260-438-4109 com 172 2133464 11/04/2020 11/04/2021 BLACK, JOHN 5103 N AUTUMN LN MCFARLAND WI 53558 402-827-3432 BLACKSHEAR, JOSEPH Crc Insurance Services, Inc., 725 37067- 173 1934509 05/24/2013 05/24/2022 Franklin TN 615-882-2851 [email protected] DAVID Cool Springs Blvd Ste 160 2703 Paradise 85253- 174 2016227 11/09/2016 11/09/2021 BLAKESTAD, JEROD 6648 E Horseshoe Rd AZ 612-767-0885 [email protected] Valley 2305 444 W. LAKE STREET, SUITE 175 2141180 02/08/2021 02/08/2022 BLANDFORD, PATRICK M CHICAGO IL 60606 847-729-0629 [email protected] 1950 BLEISTINE, ROBERT 176 2027015 05/17/2017 05/17/2022 600 CORPORATE PARKWAY BIRMINGHAM AL 35214 205-989-9360 [email protected] JAMES 27000 N Alma School Pkwy # 85262- 177 1791978 01/20/2004 01/20/2022 Blitz, Gary Paul Scottsdale AZ 212-441-1106 [email protected] F1012 8350 Simkiss & Block, 1041 Old Cassatt 19312- 178 2108118 01/14/2020 01/14/2022 BLOCK, BRIAN C Berwyn PA 610-520-0297 [email protected] Rd 1152 BLUMENCRANZ, BRETT IFG COMPANIES, 3440 REGULATORY@IFGCOMPA 179 2048111 02/06/2018 02/06/2022 ALPHARETTA GA 30005 678-949-9344 MICHAEL PRESTON RIDGE ROAD NIES.COM 11803- 180 2056909 05/11/2018 05/11/2022 Blumencranz, Marc J 45 Executive Dr Plainview NY 516-327-2700 [email protected] 1703 05401- 181 2147069 04/09/2021 04/09/2022 Boardman, Scott Frederick Acrisure, Llc., 346 Shelburne Rd Burlington VT 802-862-4997 [email protected] 4935 95815- 182 2088967 05/06/2019 05/06/2022 BOATMAN, DAVID JOSEPH 2180 Harvard St Ste 260 Sacramento CA 916-412-3110 [email protected] 3314 10006- [email protected] 183 1826427 09/01/2006 09/01/2022 Boatman, Sherrie Leah 165 Broadway New York NY 212-441-1296 1404 roup.com Aon Risk Services Central, Inc., 60601- 184 2000238 03/24/2016 03/24/2022 BOBLINK, TAMMY Chicago IL 312-381-1540 [email protected] 200 E Randolph St Fl 12 6423 15220- 185 2158052 08/02/2021 08/02/2022 BOBRO, LINDA M 965 GREENTREE RD STE 300 PITTSBURGH PA 412-922-7470 3353 10006- 186 2077564 12/06/2018 12/06/2021 BOCCIO, MARC MICHAEL 165 BROADWAY NEW YORK NY 212-441-1706 [email protected] 1404 44114- 187 1870976 07/07/2009 07/07/2022 Boehler, Jill D 1301 E 9th St Ste 3800 Cleveland OH 216-291-2393 1874 ARTHUR J GALLAGHER & CO., 60606- 188 2092359 06/24/2019 06/24/2022 BOEHM, MICHELLE CHICAGO IL 815-479-9073 [email protected] 300 S RIVERSIDE PLZ STE 1500 6637
Page 9 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Crc Insurance Services, Inc., 1191 98101- 189 1918385 07/05/2012 07/05/2022 Boehmer, Jill Seattle WA 206-262-5333 2nd Ave Ste 1610 3426 BOHAN, TERENCE 02045- 190 2117210 06/17/2020 06/17/2022 1122 Avalon Dr Hull MA 781-956-0507 [email protected] GREGORY 3424 10006- 191 1977595 03/23/2015 03/23/2022 Bolig, Jacquelyn Marie 165 Broadway New York NY 212-441-1397 [email protected] 1404 02601- 192 2039596 10/31/2017 10/31/2021 Bolton, Kelly C 973 Iyannough Rd Hyannis MA 508-428-2804 [email protected] 1869 Bonacorso Insurance Agency, 10 01801- 193 1797325 03/19/2004 03/19/2022 Bonacorso, John James Sr. Woburn MA 781-729-4201 [email protected] Cedar St Ste 32 6365 194 2133884 11/09/2020 11/09/2021 BOND, BRADEN ALLEN 26600 TELEGRAPH ROAD SOUTHFIELD MI 48033 760-505-6567 [email protected] 195 2153519 06/16/2021 06/16/2022 BONNET, SIMONE ROBIN 200 LIBERTY STREET NEW YORK NY 10281 212-309-9023 julien.bonneville@theguaranto 196 2078822 12/11/2018 12/11/2021 BONNEVILLE, JULIEN 407 2ND STREET BROOKLYN NY 11215 917-536-3623 rs.com Alliant Insurance Services, Inc, Newport 92660- 197 1866748 03/31/2009 03/31/2022 Boobar, Thomas Jon CA 949-260-5096 [email protected] 1301 Dove St Ste 200 Beach 2436 Insurance Office Of America Inc, 32750- [email protected] 198 1950006 02/06/2014 02/06/2022 Boornazian, Charles P Longwood FL 407-889-9515 1855 W State Road 434 5069 om 10281- 199 1997825 02/10/2016 02/10/2022 BORDEN, BLAIR A 200 Liberty St New York NY 212-915-8888 [email protected] 1003 Amwins Brokerage Of The 60603- [email protected] 200 1929580 02/27/2013 02/27/2022 BORGHESI, MICHAEL P Midwest, 10 S La Salle St Ste Chicago IL 860-305-9070 1074 m 2000 201 2100023 09/25/2019 09/25/2022 BOROWKA, WOJCIECH P 200 E RANDOLPH ST CHICAGO IL 60601 773-576-9961 202 2010472 08/25/2016 08/25/2022 BORRELLI, DENISE MARIE 105 SANFORD ST HAMDEN CT 06514 860-605-5216 [email protected] 26461 Crown Valley Pkwy, Ste 92691- 203 1869257 05/29/2009 05/29/2022 Boswell, Joe Allen Mission Viejo CA 714-492-2314 [email protected] 200 6377 Alliant Insurance Services, Inc., 02110- 204 1958799 07/11/2014 07/11/2022 Bothwell, Robert J Boston MA 617-959-4997 [email protected] 131 Oliver St Fl 4 2785 [email protected] 205 1835663 05/07/2007 05/07/2022 Bouchie, Robert E Jr. 1352 Route 28A, Po Box 400 Catumet MA 02534 508-564-4005 om Arthur J Gallagher & Co, 200 06033- 206 2023208 03/16/2017 03/16/2022 Boulais, Catherine L Glastonbury CT 860-289-7116 Glastonbury Blvd Fl 3 4418 77056- 207 2045946 01/18/2018 01/18/2022 BOULTON, RHESA F 5444 WESTHEIMER RD FL 9 HOUSTON TX 713-397-8698 [email protected] 5397 01581- 208 1790066 11/24/2003 11/24/2021 Bourcier, Kelley A 4 Technology Dr Ste 100 Westborough MA 413-279-9175 [email protected] 1791 209 2140509 02/02/2021 02/02/2022 Boutin, Kerri Ann 200 Park Street N. Reading MA 01864 978-265-5096 [email protected] 300 COLONIAL CENTER PKWY # 210 2100823 10/02/2019 10/02/2022 BOWDEN, KATIE HARMON ROSWELL GA 30076 704-302-6648 200 02142- [email protected] 211 2112608 03/20/2020 03/20/2022 BOWEN, JAMES W Energetic Insurance, 1 Broadway Cambridge MA 617-416-2923 1100 m
Page 10 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 21601- 212 2095800 08/08/2019 08/08/2022 BOWIE, CLARENCE K 21 N HANSON ST STE 105 EASTON MD 443-994-2306 3156 8144 WALNUT HILL LANE SUITE 75231- MARGARET_TROJACEK@M 213 1989478 09/18/2015 09/18/2022 BOWLES, EDWARD RYAN DALLAS TX 214-725-5273 1600 4337 HBT.COM Edgewood Partners Insurance 10014- john.bowman@towerswatson. 214 1810967 08/15/2005 08/15/2022 Bowman, John Charles Jr. New York NY 617-638-3950 Center, 350 Hudson St Fl 4 4500 com Arthur J Gallagher & Co Ins 94105- 215 1942905 10/04/2013 10/04/2022 Bowring, Douglas Boyd Brokers Of California, 595 Market San Francisco CA 415-391-1500 [email protected] 2832 St Ste 2100 216 2029888 07/07/2017 07/07/2022 BOYER, IAIN 29 MILL STREET UNIONVILLE CT 06085 203-272-8575 [email protected] 01801- 217 2054194 04/12/2018 04/12/2022 Boyle, Gerard F 445 Main St Woburn MA 781-935-7035 4298 218 1975905 02/28/2015 02/28/2022 Boyle, Margaret 50 Portland Road Kennebunk ME 04043 978-697-8265 19106- 219 1952749 03/25/2014 03/25/2022 Bozzi, Nicholas A 315 New St Apt 321 Philadelphia PA 267-663-1650 1135 Morris Corporate Center Iv, 389 07054- 220 1882841 04/20/2010 04/20/2022 Bozzo, Nicholas L Parsippany NJ 973-830-8500 Interpace Pkwy Ste 4 1132 Starr Aviation Agency, Inc., 3353 30326- 221 1919008 07/18/2012 07/18/2022 Bradberry, Robert Hodges Atlanta GA 404-869-4875 Peachtree Rd NE Ste 1000 1437 ARTHUR J GALLAGHER RISK WHITE 10604- 222 1996305 01/13/2016 01/13/2022 BRADLEY, THOMAS MANAGEMENT SERVICES INC, NY 860-575-5245 [email protected] PLAINS 3427 2 WESTCHESTER PARK DR FL 3 BRADY, MATTHEW O 2301 E LAMAR BLVD 5TH 223 2156919 07/21/2021 07/21/2022 ARLINGTON TX 76006 817-652-9090 DONNELL FLOOR STE 500 01615- bbraley@braleywellingtongrou 224 1991196 10/10/2015 10/10/2021 Braley, John W III 44 Park Avenue, P. O. Box 15127 Worcester MA 508-762-3821 0127 p.com 53783- 225 2039785 11/02/2017 11/02/2021 BRANDT, JASON D 6000 AMERICAN PKWY MADISON WI 608-469-1927 [email protected] 0001 BRANOFF, ANDREW 78731- 226 2082216 02/08/2019 02/08/2022 7000 N MO PAC EXPY STE 250 AUSTIN TX 517-505-4884 [email protected] KOSTA 3073 01608- 227 1792361 01/30/2004 01/30/2022 Branscombe, Karin I 120 Front St Ste 510 Worcester MA 508-755-6210 [email protected] 1421 98101- 228 1959341 07/22/2014 07/22/2022 BRASHEAR, MOLLY K 600 University St Ste 3100 Seattle WA 206-343-6044 [email protected] 3122 92115- 229 2053454 04/03/2018 04/03/2022 Brauner, David James 6760 University Ave, Suite 250 San Diego CA 619-865-5254 [email protected] 5804 230 1976934 03/12/2015 03/12/2022 BREIER, CHAIM 5617 12TH AVENUE BROOKLYN NY 11219 718-871-6609 [email protected] Marsh Usa Inc, 1166 Avenue Of 10036- 231 1930296 03/15/2013 03/15/2022 Brendle, Shannon M New York NY 917-613-5974 The Americas 2708 01867- [email protected] 232 1916343 05/15/2012 05/15/2022 Brennan, Adele M 78 Scotland Rd Reading MA 781-944-3385 3321 om Zillow Insurance Services, Llc., 85251- 233 2115339 05/18/2020 05/18/2022 BRENNER, JACK R Scottsdale AZ 503-504-9480 [email protected] 4343 N Scottsdale Rd Ste 390 3347
Page 11 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 30043- 234 2018742 12/27/2016 12/27/2021 Bridges, David Lynn 1720 Lakes Pkwy Lawrenceville GA 770-843-0540 8927 3407 W DR. M L KING JR. 235 2152486 06/08/2021 06/08/2022 BRIMMER, DAISY M TAMPA FL 33607 401-225-5165 [email protected] BOULEVARD, LAKESIDE 77008- 236 1888894 09/16/2010 09/16/2022 Britt, Edward G. Jr. 1111 North Loop W Ste 400 Houston TX 713-880-7100 [email protected] 4712 237 2070103 09/17/2018 09/17/2022 BROCK, SCOTT TYLER 3932 BRYN MAWR DALLAS TX 75225 214-739-5997 [email protected] BROCKINTON, STEVEN 238 1937306 07/18/2013 07/18/2022 315 W. 3RD STREET LITTLE ROCK AR 72201 501-835-4672 [email protected] DWAIN Gallo|thomas Insurance, 125 02886- 239 1915796 05/01/2012 05/01/2022 Brooks, Melissa E Warwick RI 401-884-5834 [email protected] Metro Center Blvd Ste 3001 1785 Daytona 32124- 240 1948124 01/02/2014 01/02/2022 Brostowitz, Mark A 597 Landshark Blvd FL 312-917-0548 [email protected] Beach 3783 46225- 241 1981076 05/20/2015 05/20/2022 BROUGHER, Betsy L 306 Prospect St Indianapolis IN 317-797-3683 1350 C/o Willis Of New York, 200 10281- 242 1901295 06/20/2011 06/20/2022 Brown, Cameron New York NY 212-915-8215 Liberty St 1003 Alternative Risk Company, 605 64014- 243 1928059 01/17/2013 01/17/2022 Brown, Chad E Blue Springs MO 816-650-7820 SW Us Highway 40 # 359 3232 90017- 244 1938395 08/07/2013 08/07/2022 Brown, Christopher Alan 777 S Figueroa St Ste 2550 Los Angeles CA 213-452-7060 [email protected] 5805 73102- David.brown@bks- 245 2025935 04/27/2017 04/27/2022 BROWN, David Alan 914 N Broadway Ave Ste 100 Oklahoma City OK 405-246-0251 5847 partners.com BROWN, JEFFREY NEWPORT 92663- jeff@americanmarineinsuranc 246 2045940 01/18/2018 01/18/2022 2700 NEWPORT BLVD STE 190 CA 805-886-5678 STUART BEACH 3736 e.com MARSH USA, INC (DE), 3560 30326- 247 1953278 04/03/2014 04/03/2022 BROWN, MICHAEL ATLANTA GA 770-331-8696 [email protected] LENOX RD NE STE 2400 4266 01970- 248 2042206 11/29/2017 11/29/2021 Brown, Michael S 27 Congress St Ste 407 Salem MA 781-639-4660 [email protected] 5574 Insurance Risk Partners. Llc, 914 73102- 249 2023553 03/22/2017 03/22/2022 BROWN, Paul C III Oklahoma City OK 405-850-3538 N Broadway Ave Ste 100 5847 250 1031351 11/30/1998 11/30/2021 Brown, Walter A III 377 Second Street, Po Box 2571 Fall River MA 02722 508-998-3638 [email protected] 48034- Danielle.mercurio@ameritrust 251 2136840 12/11/2020 12/11/2021 Brown, William ILG 26255 American Dr Southfield MI 810-220-9961 6112 group.com Brown-Burton, Michelle 01960- 252 2105189 11/19/2019 11/19/2021 17 Silver Leaf Way Apt 1737 Peabody MA 617-838-6004 [email protected] Antonia 8813 02150- 253 2155057 07/02/2021 07/02/2022 Brudnick, Jeffrey S 100 Everett Ave Ste 1 Chelsea MA 781-593-9000 [email protected] 2361 60601- 254 2149129 05/03/2021 05/03/2022 BRUERE, ADAM M 200 E Randolph St Chicago IL 312-381-5038 [email protected] 6436 255 2113891 04/17/2020 04/17/2022 Bruett, David Clark 11 Curtis Street Marblhead MA 01945 617-842-3518 [email protected] 06851- 256 1900868 06/13/2011 06/13/2022 Bruggeman, Elizabeth A 101 Merritt 7 Ste 300 Norwalk CT 203-967-4448 [email protected] 1059
Page 12 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date LONDONDER 257 2070104 09/17/2018 09/17/2022 BRUNELLE, TERRI B 37 SHERWOOD RD NH 03053 603-494-5612 [email protected] RY 01880- 258 2005580 06/11/2016 06/11/2022 Bruner, Brendon Thomas 401 Edgewater Pl Ste 400 Wakefield MA 978-352-8845 [email protected] 6204 BRUNESE, BENJAMIN 259 2144613 03/15/2021 03/15/2022 1 STATE ST HARTFORD CT 06103 413-262-7705 JAMES 84111- 260 2122505 08/19/2020 08/19/2022 Brunken, Jeffrey Dale 111 S Main St Ste 400 Salt Lake City UT 801-953-1812 [email protected] 2176 GLOBAL AEROSPACE, 1 07054- JBRUNO@GLOBAL- 261 1969351 11/18/2014 11/18/2021 BRUNO, JEFFREY S PARSIPPANY NJ 908-268-1824 SYLVAN WAY FL 3 3887 AERO.COM Arthur J Gallagher & Co, 1050 30338- 262 2151255 05/24/2021 05/24/2022 BRUNS, RENEE Atlanta GA 419-305-3514 [email protected] Crown Pointe Pkwy Ste 600 7702 307 INTERNATIONAL CIR STE HUNT 21030- 263 2136306 12/04/2020 12/04/2021 BRUNS, ROBERT F MD 410-319-0610 [email protected] 610 VALLEY 1484 Acrisure, Llc Dba Britton Gallagher 44114- Insurancelicensing@acrisure. 264 1879608 01/21/2010 01/21/2022 Bryant, Jeremy Allen Cleveland OH 216-658-7100 & Associates, 1375 E 9th St Fl 30 1797 com 01020- 265 1996321 01/14/2016 01/14/2022 Bubar, Lindsey Susan 711 E Main St Ste 201 Chicopee MA 413-636-6324 [email protected] 3606 66047- [email protected] 266 2140502 02/01/2021 02/01/2022 BUBLITZ, ERICH W 861 E 1259 Rd Lawrence KS 312-348-7958 9201 om 02110- 267 1845918 12/26/2007 12/26/2021 Buchan, Margaret A Marsh Usa Inc., 99 High St Boston MA 617-834-5106 2320 268 1894241 12/15/2010 12/15/2021 Buck, Frederic W. 5555 Triangle Parkway, Suite 400 Norcross GA 30092 678-969-8313 Arthur J. Gallagher & Co., 500 02171- 269 1910054 12/01/2011 12/01/2021 Buckley, Daniel J Quincy MA 781-248-5522 [email protected] Victory Rd 3139 Arthur J. Gallagher & Co., 595 94105- 270 1985064 07/28/2015 07/28/2022 BUCKLEY, JAMES San Francisco CA 925-953-5266 [email protected] Market St Ste 2100 2832 271 1879284 01/07/2010 01/07/2022 Buckner, Terry H 6550 Millrock Dr, Suite 300 Salt Lake City UT 84121 801-937-6700 [email protected] CONTROLSCAN, INC., 11475 272 2094967 07/31/2019 07/31/2022 BUCOLO, CHRIST ALPHARETTA GA 30022 717-336-6739 GREAT OAKS WAY, SUITE 300 105 EDWARDS VILLAGE BLVD # 273 2145295 03/22/2021 03/22/2022 BUDOR, NICHOLAS EDWARDS CO 81632 970-328-5513 [email protected] C201 Willis Towers Watson Midwest, 60606- 274 2027606 05/26/2017 05/26/2022 BUELOW, DAN Chicago IL 312-288-7189 [email protected] Inc, 233 S Wacker Dr Ste 2000 6400 Marsh Usa Inc., 1 Towne Sq Ste 48076- 275 1835293 04/25/2007 04/25/2022 Buhl, Susan F Southfield MI 313-670-1328 [email protected] 1100 3722 06103- 276 2021484 02/15/2017 02/15/2022 Bullen, Cristin K 20 Church St Hartford CT 917-843-6103 1246 EVIRONMENTAL RISK 49348- 277 2121991 08/13/2020 08/13/2022 BUNBURY, John C MANAGERS, INC., 4668 WAYLAND MI 231-256-2122 [email protected] 9727 DIVISION ST 300 COLONIAL CENTER 278 2138256 01/05/2021 01/05/2022 BUNN, JONATHAN LOREN ROSWELL GA 30076 470-500-1014 PARKWAY
Page 13 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 10006- 279 2048372 02/09/2018 02/09/2022 Buonocore, Harry Joseph 165 Broadway New York NY 212-441-2683 1404 48076- 280 1976168 03/03/2015 03/03/2022 Bures, John C 30555 Southfield Rd Ste 305 Southfield MI 248-760-8294 [email protected] 7742 Arthur J Gallagher & Company, 53005- 281 2055892 04/25/2018 04/25/2022 BURG, MICHAEL Brookfield WI 262-792-2234 [email protected] 245 S Executive Dr Ste 200 4204 06830- 282 1828572 10/20/2006 10/20/2021 Burger, Douglas Zoltan 500 W Putnam Ave Ste 400 Greenwich CT 877-505-3226 [email protected] 6096 Usi Insurance Services Llc, 12 02631- 283 1867315 04/03/2009 04/03/2022 Burgess, Leigh C Brewster MA 508-349-1699 Granite State Ct 2127 Arthur J Gallagher & Co, 1050 30338- 284 2005647 06/13/2016 06/13/2022 Burgoyne, Travis J Atlanta GA 617-930-0831 [email protected] Crown Pointe Pkwy Ste 600 7702 02110- 285 1922516 10/04/2012 10/04/2021 Burke, George Michael 175 Federal St Ste 1200 Boston MA 781-878-1386 [email protected] 2225 08690- heidi.burke@newmarketsagen 286 1888171 08/30/2010 08/30/2022 Burke, Heidi A 2465 Kuser Rd Ste 202 Hamilton NJ 609-670-0673 3303 cy.com 92612- 287 2054511 04/18/2018 04/18/2022 BURKE, PASCAL HENRY III 2102 Business Center Dr Ste 280 Irvine CA 949-285-1249 [email protected] 1001 288 1836673 06/06/2007 06/06/2022 Burke, Paul C 246 Durfee St Fall River MA 02720 508-672-2202 [email protected] 55124- 289 2101440 10/08/2019 10/08/2021 BURKS, TYRRE ANDRE 228 150th St W Saint Paul MN 872-202-6258 9103 290 2038465 10/17/2017 10/17/2021 BURLEIGH, LEWIS ALBERT 85 EAST INDIA ROW, APT 8C BOSTON MA 02110 617-227-7811 Colorado 80905- 291 2112043 03/11/2020 03/11/2022 Burlingame, Martin Robert 1773 S 8th St Ste 200 CO 719-487-8495 Springs 7917 01201- dburniske@berkshireinsuranc 292 2056402 05/04/2018 05/04/2022 Burniske, Darin E 43 East St Pittsfield MA 413-441-1540 6241 egroup.com Pro Financial Services Llc, 500 W 60661- 293 1938575 08/09/2013 08/09/2022 Burns, Daniel Ian Chicago IL 847-971-5484 [email protected] Madison St Ste 3260 2570 3733 UNIVERSITY BLVD W, JACKSONVIL 294 2109884 02/07/2020 02/07/2022 BURNS, MISTEY FL 32217 904-746-0997 SUITE 100 LE ARTHUR J GALLAGHER & CO, 77027- 295 2026159 05/02/2017 05/02/2022 BURNS, TANNER HOUSTON TX 316-706-7055 [email protected] 1900 WEST LOOP S STE 1600 3295 Proctor Financial, Inc., 5225 48098- 296 1865655 03/11/2009 03/11/2022 Busch, Jodi A Troy MI 248-269-5700 Crooks Rd 2823 60601- 297 1907056 10/20/2011 10/20/2021 Busch, Stephen A 200 E Randolph St Chicago IL 312-381-4413 6436 New England Excess Exchange 05641- 298 1818928 03/07/2006 03/07/2022 Buswell, Timothy Alan Barre VT 802-505-5851 [email protected] Ltd, 57 Parker Rd 9106 08260- 299 2075263 11/14/2018 11/14/2021 BYRNE, CASEY 5200 New Jersey Ave Wildwood NJ 609-522-3406 [email protected] 1449 Aegis Insurance Services Inc, 1 East 07073- 300 2052490 03/20/2018 03/20/2022 BYRNE, JUSTEN G NJ 732-612-3560 [email protected] Meadowlands Plz Rutherford 2150
Page 14 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 77056- 301 1888696 09/13/2010 09/13/2022 Cabaud, Philip Graeme III 1707 Post Oak Blvd Houston TX 713-256-9169 3801 01844- LIZBETH.CABRAL@HUBINT 302 2144304 03/12/2021 03/12/2022 CABRAL, LIZBETH 23 Barker St Methuen MA 978-305-5766 2964 ERNATIONAL.COM 303 2144416 03/12/2021 03/12/2022 CALDWELL, ADAM 300 COLONIAL CENTER PKWY ROSWELL GA 30076 888-813-7872 [email protected] Midlands Management 73112- 304 1961378 08/22/2014 08/22/2022 Caldwell, Charles Calvin Corporation, 3817 NW Oklahoma City OK 405-426-5216 [email protected] 1469 Expressway Ste 1000 05446- paul.calhoun@hubinternationa 305 1856927 08/28/2008 08/28/2022 Calhoun, Paul A 302 Mountain View Dr Ste 300 Colchester VT 802-316-0992 8081 l.com Lighthouse Specialty, Brokers, 11706- 306 2157912 07/30/2021 07/30/2022 Caligiuri, Joseph Francis Bay Shore NY 631-319-6355 [email protected] Inc135 E Main St 8306 CALLAGHAN, BRIAN 307 2139353 01/19/2021 01/19/2022 2600 N CENTRAL EXPY STE 800 RICHARDSON TX 75080 770-639-7417 GLENN 308 1863819 02/10/2009 02/10/2022 Callahan, Joseph Michael 15 Cabot Rd Woburn MA 01801 978-561-1402 06450- 309 2160001 08/18/2021 08/18/2022 CALLAHAN, SARAH 530 PRESTON AVE STE 3 MERIDEN CT 860-997-1183 4893 28277- 310 2077565 12/06/2018 12/06/2021 CALLIS, JAMES S 7911 PEMSWOOD ST CHARLOTTE NC 704-577-4088 [email protected] 2807 300 COLONIAL CENTER PKWY 311 2042360 11/30/2017 11/30/2021 CAMARENA, ALEXIS J ROSWELL GA 30076 917-671-6382 [email protected] STE 200 Arthur J. Gallagher & Co, 4250 28209- 312 1692392 12/03/2002 12/03/2021 Cammack, Katherine T. Charlotte NC 910-239-1089 [email protected] Congress St Ste 200 0038 The Fairmont Building, 199 Scott 14204- 313 2121844 08/12/2020 08/12/2022 CAMPAGNA, BETH A Buffalo NY 716-650-7669 [email protected] St 2247 Alliant Insurance Services, Inc., 92705- Christopher.campbell@alliant. 314 2005386 06/08/2016 06/08/2022 CAMPBELL, CHRIS Santa Ana CA 714-352-7823 1851 E 1st St Ste 600 4049 com ARTHUR J GALLAGHER & CO, 91203- 315 2091396 06/11/2019 06/11/2022 CAMPBELL, TERRY GLENDALE CA 818-539-1383 [email protected] 505 N BRAND BLVD STE 600 3944 Aon Risk Services Southwest, Inc., 77056- 316 1915081 04/12/2012 04/12/2022 Campbell, Walter Anderson Houston TX 832-476-6813 5555 San Felipe St Ste 1500 2739 Albert J. Tonry & Co, 300 02169- 317 2132150 10/27/2020 10/27/2022 Camplese, Lynda A Quincy MA 781-389-1733 [email protected] Congress St 0907 70005- 318 2061749 07/10/2018 07/10/2022 CAMPO, Edgar J 300 W Esplanade Ave Ste 600 Metairie LA 504-849-3816 1446 CANAPARO, CARL 94598- 319 2024556 04/05/2017 04/05/2022 2125 Ygnacio Valley Rd Ste 200 Walnut Creek CA 925-876-8884 [email protected] GEORGE JOHN 3357 fcanario@braleywellingtongro 320 1806062 01/06/2004 01/06/2022 Canario, Faith E 44 Park Avenue Worcester MA 01609 508-829-9924 up.com 321 1859680 11/03/2008 11/03/2021 Candilora, Stephen A 1166 Ave of the Americas New York NY 10036 732-521-1486 Arthur J. Gallagher Risk 64108- 322 1910053 12/01/2011 12/01/2021 Cannon, Michael D Management Services, Inc., 2345 Kansas City MO 913-492-2612 [email protected] 2625 Grand Blvd Ste 400
Page 15 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 323 1879674 01/25/2010 01/25/2022 Capone, David F P. O. Box 1012 Saugus MA 01906 617-852-4983 [email protected] INSURANCE SPECCIALTY RUTHERFOR AGENTLICENSING@WLTIC. 324 2125134 09/16/2020 09/16/2021 CARAMAGNA, CARMEL A NJ 07070 201-893-8004 AGENCY LLC, 15 UNION AVE D COM ARTHUR J. GALLAGHER RISK 10177- 325 2160961 08/26/2021 08/26/2022 CARASIA, LENORE MANAGEMENT SERVICES, INC, NEW YORK NY 973-746-8139 [email protected] 0506 250 PARK AVE FL 3 1166 AVENUE OF THE 326 2104859 11/12/2019 11/12/2021 CARDONA, MARIA NEW YORK NY 10036 732-316-1150 [email protected] AMERICAS, 38TH FLOOR CARELLI, VINCENT 37450- 327 2126405 09/25/2020 09/25/2022 605 Chestnut St Chattanooga TN 423-290-1639 [email protected] ALBERT 0003 01949- 328 1870456 05/14/2009 05/14/2022 Cares, Thomas Peter Jr. 205 S Main St Middleton MA 978-774-6126 [email protected] 2441 85254- 329 1908746 10/26/2011 10/26/2021 Carl, Janet Rose 6011 E Woodridge Dr Scottsdale AZ 610-619-5822 [email protected] 6440 10 S RIVERSIDE PLAZA SUITE 330 2113605 04/10/2020 04/10/2022 CARLSON, BROOKE E CHICAGO IL 60606 312-692-9847 1900 COCHRANE AGENCY INC, 1405 99224- 331 1991770 10/16/2015 10/16/2022 CARNEY, BRIAN M SPOKANE WA 509-838-0655 [email protected] S RUSTLE ST 2022 02109- 332 2113467 04/08/2020 04/08/2022 Carnuccio, Matthew J 1 Liberty Sq Ste 600 Boston MA 617-688-6165 [email protected] 4825 02110- 333 2061971 07/13/2018 07/13/2022 Caron, Pamela Troy 160 Federal St Fl 4 Boston MA 617-330-5710 [email protected] 1700 19341- 334 1932324 04/16/2013 04/16/2022 Caronia, Charles Anthony 415 Eagleview Blvd Ste 100 Exton PA 610-304-9627 1143 Vault Custom Risk Solutions, Llc, 10038- 335 2123754 09/02/2020 09/02/2022 CAROSI, MICHAEL New York NY 207-522-1158 [email protected] 199 Water St Fl 24 3532 Willis Towers Watson Midwest, 55437- 336 2136307 12/04/2020 12/04/2021 CARPENTER, BRIAN D Inc., 8400 Normandale Lake Blvd Minneapolis MN 763-302-7162 [email protected] 3837 Ste 1700 Willis Insurance Services Of 94105- 337 1868491 05/08/2009 05/08/2022 Carretta, Carole A California, Inc., 525 Market St Ste San Francisco CA 415-955-0219 2742 3400 92692- 338 1830100 12/04/2006 12/04/2021 Carroll, Scott Turner 22436 Rosebriar Mission Viejo CA 949-680-0223 [email protected] 4618 21030- 339 2134457 11/12/2020 11/12/2021 Carroll, Thomas Evans 307 International Cir Ste 610 Hunt Valley MD 410-560-2274 1484 60606- 340 2112858 03/25/2020 03/25/2022 CARSON, SAMUEL 111 S Wacker Dr Ste 3900 Chicago IL 248-702-1024 [email protected] 4447 Alliant Insurance Services, Inc., 94596- 341 2131887 10/23/2020 10/23/2022 Carter, Regina M Walnut Creek CA 415-990-0169 2175 N California Blvd Ste 715 3503 02116- Carly.carty@willistowerswatso 342 2141720 02/13/2021 02/13/2022 Carty, Carly Theall 75 Arlington St Fl 10 Boston MA 617-351-7500 3936 n.com Murphy Carty Insurance Agency, 02066- 343 2103299 10/25/2019 10/25/2022 Carty, Timothy Joseph Scituate MA 617-821-7524 [email protected] 183 Front St 1329
Page 16 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Housing Ins Svcs Inc, 189 06410- 344 1935527 06/13/2013 06/13/2022 Caruso, Carolyn M Cheshire CT 203-879-1017 Commerce Ct 1253 Arthur J Gallagher & Co, 22930 E Saint Clair 48080- 345 2074609 11/05/2018 11/05/2021 CASE, BRADLEY MI 313-236-2372 [email protected] 9 Mile Rd Ste Xxx Shores 1985 07945- 346 2001795 04/20/2016 04/20/2022 Case, Leslie K 2 Hilltop Rd Mendham NJ 908-268-3012 1242 920 MEMORIAL CITY WAY STE 77024- 347 1945067 11/01/2013 11/01/2021 CASE, PAUL STANDLEY HOUSTON TX 713-625-1054 [email protected] 500 2649 06155- 348 2025934 04/27/2017 04/27/2022 Castaneda, Susan Louise 1 Hartford Plz Hartford CT 858-565-2426 0001 Alliant Insurance Services, Inc., 92101- 349 1849219 03/10/2008 03/10/2022 Castle, James Daniel San Diego CA 619-849-3807 [email protected] 701 B St Fl 6 8156 CATALANO, RICHARD 1820 PRESTON PARK BLVD, 350 2017963 12/12/2016 12/12/2021 PLANO TX 75093 214-693-9953 [email protected] PATRICK STE 1100 03049- [email protected] 351 2009539 08/17/2016 08/17/2022 Caudill, Annette Marie 90 N Pepperell Rd Hollis NH 508-595-7950 6430 om 94025- 352 2111239 02/27/2020 02/27/2022 Cauthorn, Kimberly K 525 Middlefield Rd Ste 250 Menlo Park CA 713-582-1676 [email protected] 3454 Arc Excess & Surplus, Llc, 113 S 11753- 353 1887577 08/11/2010 08/11/2022 Cavallaro, Christopher John Jericho NY 516-352-5244 [email protected] Service Rd 1046 02048- 354 1912344 02/07/2012 02/07/2022 Cavallo, Benjamin Farrell 190 Chauncy St Mansfield MA 617-388-6334 [email protected] 1305 Huntington 355 1794929 04/06/2004 04/06/2022 Cavanaugh-Teti, Janice 326 Walt Whitman Rd, Suite 115 NY 11746 631-667-8783 Station Risk Placement Services, Inc., Rolling 60008- 356 1807045 05/06/2005 05/06/2022 Cavaness, Joel D IL 630-773-3800 [email protected] 2850 Golf Rd Meadows 4050 357 2091202 06/08/2019 06/08/2022 CEDRONE, Matthew 153 Coralville Rd #300 Southborough MA 01772 978-457-0860 [email protected] Marsh & Mclennan Agency, Llc, Palm Beach 33410- 358 2090105 05/22/2019 05/22/2022 Celedinas, Ray Steven FL 561-714-0131 [email protected] 4400 Pga Blvd Ste 1000 Gardens 6563 32746- shawn@seacoastunderwriters 359 2027014 05/17/2017 05/17/2022 CHAFFIN, JASON SHAWN 1525 International Pkwy Ste 4051 Lake Mary FL 407-333-7400 7643 .com 92602- TIMC@RECHAIXINSURANC 360 2013894 10/05/2016 10/05/2021 CHAIX, TIMOTHY EUGENE 3200 EL CAMINO REAL #290 IRVINE CA 949-500-6085 1382 E.COM 04009- jchalmers@chalmersinsuranc 361 1981899 06/05/2015 06/05/2022 Chalmers, James B Chalmers Group Inc, 100 Main St Bridgton ME 207-647-3311 1127 egroup.com 362 1949240 01/25/2014 01/25/2022 Chan, Frank C 220 Harrison Avenue Boston MA 02111 781-455-9282 [email protected] AON RISK INSURANCE LOS 90017- 363 2155302 07/02/2021 07/02/2022 CHAN, IRENE PUI-LIN SERVICES WEST, INC., 707 CA 847-953-2762 [email protected] ANGELES 3533 WILSHIRE BLVD STE 2600 364 2138257 01/05/2021 01/05/2022 CHAN, KENNY 165 BROADWAY NEW YORK NY 10006 212-441-1177 New Hyde 11042- 365 1973935 01/30/2015 01/30/2022 CHANG, JASON 1981 Marcus Ave Ste C108 NY 516-921-3623 [email protected] Park 1032
Page 17 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 45014- 366 1887468 08/09/2010 08/09/2022 Chapel, Dawn Shannon 6200 S Gilmore Rd Fairfield OH 513-603-5315 [email protected] 5141 75201- 367 2080089 01/04/2019 01/04/2022 CHAPPELL, Jay Richard 500 N Akard St Ste 4300 Dallas TX 972-715-2169 [email protected] 3331 70130- 368 1872602 08/13/2009 08/13/2022 Chauvin, William Pierre 840 Tchoupitoulas St Apt 204 New Orleans LA 504-838-0492 [email protected] 3683 Holmes, Murphy And Associates, Greenwood 80111- 369 2065016 07/30/2018 07/30/2022 CHAVEZ, SANDRA M CO 720-480-9020 [email protected] Llc, 7600 E Orchard Rd Ste 230s Village 2553 68310- 370 2089485 05/14/2019 05/14/2022 Chavious, Glenn T 2630 Eastside Blvd Beatrice NE 617-371-6540 [email protected] 3472 Aon Risk Services Central Inc, 19103- 371 1967192 10/28/2014 10/28/2022 CHENG, WAYNE Philadelphia PA 610-657-9413 [email protected] 1650 Market St Ste 1000 7306 Banc Insurance Agency, 1 06088- 372 1836549 06/01/2007 06/01/2022 Chesky, Jeffrey Carl East Windsor CT 413-536-2334 [email protected] Hartfield Blvd Ste 301 9576 373 2120187 07/26/2020 07/26/2022 CHHACHHI, JASPAL SINGH 501 FIFTH AVE, #608 NEW YORK NY 10017 201-224-5383 07901- 374 2086676 04/02/2019 04/02/2022 Chiarello, Joseph John 25 Deforest Ave Ste 208 Summit NJ 908-352-4444 [email protected] 2140 WILLIS TOWERS WATSON 60606- 375 2129703 10/13/2020 10/13/2022 CHIAZZA, KAITLYN ANNE MIDWEST, INC, 233 S WACKER CHICAGO IL 312-288-7171 6400 DR STE 2000 Brown & Brown Of De, Inc., 750 19713- [email protected] 376 2019834 01/19/2017 01/19/2022 Chickadel, Nancy A Newark DE 813-222-4287 Prides Xing Ste 301 6104 m 02116- meredith.chiulli@willistowersw 377 2137408 12/19/2020 12/19/2021 CHIULLI, MEREDITH 75 Arlington St Fl 10 Boston MA 617-531-7412 3936 atson.com CHIVAROLI, CHRISTIAN 200 N. WESTLAKE BLVD., SUITE WESTLAKE 378 2004703 05/25/2016 05/25/2022 CA 91362 805-371-3680 [email protected] DAMIAN 101 VILLAGE Arthur J Gallagher & Co., 11311 21031- 379 1880000 02/02/2010 02/02/2022 Chlada, Robert Ambrose Hunt Valley MD 410-329-3272 [email protected] Mccormick Rd Ste 450 8623 60601- 380 1973453 01/21/2015 01/21/2022 Chmel, Matthew R 200 E Randolph St Chicago IL 630-768-1718 6436 CHMIELEWSKI, NICHOLAS 60601- 381 2023201 03/16/2017 03/16/2022 200 E Randolph St Chicago IL 312-381-2035 [email protected] J 6436 60016- 382 1948330 01/08/2014 01/08/2022 Chopra, Akhil 1277 E Thacker St Apt 305 Des Plaines IL 312-683-7164 [email protected] 8616 383 2022590 03/06/2017 03/06/2022 CHRETIEN, NICOLE L 700 QUAKER LN WARWICK RI 02886 866-821-7804 [email protected] 02110- 384 1790692 12/08/2003 12/08/2021 Christian, Michael Benton 160 Federal St Fl 4 Boston MA 617-330-5701 [email protected] 1700 Cbiz Insurance Services, Inc., 401 Plymouth 19462- 385 2107886 01/09/2020 01/09/2022 Christian, Peter Bradford PA 610-862-2232 Plymouth Rd Ste 200 Meeting 1653 Christopherson, Melissa 60661- 386 2090695 05/31/2019 05/31/2022 540 W Madison St Ste 1200 Chicago IL 630-202-2903 Lynn 7608 LOS 387 2109053 01/28/2020 01/28/2022 CHUNG, IRENE ARUM 707 WILSHIRE BLVD, 2600 CA 90017 818-200-9854 ANGELES
Page 18 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Willis Towers Watson Midwest Inc, 60606- 388 1858541 10/02/2008 10/02/2022 Ciarniello, Adrian B Chicago IL 312-288-7282 233 S Wacker Dr Ste 2000 6400 389 2156095 07/14/2021 07/14/2022 Ciesielski, Jennifer A 4317 Acushnet Ave New Bedford MA 02745 508-525-9961 [email protected] 07663- 390 2079034 12/13/2018 12/13/2021 Cilente, William A 250 Pehle Ave Saddle Brook NJ 732-895-7855 5830 4185 BLACKHAWK PLAZA CIR 94506- 391 2150571 05/17/2021 05/17/2022 CINDRIC, BRIAN THOMAS DANVILLE CA 925-678-2103 STE 220 4622 Risk Placement Services, Inc., 90403- 392 1905151 09/15/2011 09/15/2022 Cius, Steven Jerome Santa Monica CA 323-932-5714 [email protected] 3130 Wilshire Blvd Ste 200 2352 CIVILLE, JAMES 45236- 393 2041964 11/21/2017 11/21/2021 5905 E GALBRAITH RD STE 6300 CINCINNATI OH 513-563-1970 [email protected] BURDETTE 2376 02038- 394 1570575 04/21/2000 04/21/2022 Clain, Laurel A 1000 Franklin Village Dr Ste 206 Franklin MA 781-247-6220 [email protected] 4002 Arthur J Gallagher & Co, 1900 77027- 395 1836613 06/05/2007 06/05/2022 Clark, Charles Richard Houston TX 713-432-7224 [email protected] West Loop S Ste 1600 3295 CLARK, CHRISTINA 300 COLONIA CENTER 396 2087190 04/08/2019 04/08/2022 ROSWELL GA 33076 407-612-5441 CHERYL PARKWAY SUITE 200 C/o Rockwood Programs Inc, 3001 19703- carl.wilson@rockwoodinsuran 397 1706465 03/25/2003 03/25/2022 Clark, Glenn Wesley Claymont DE 610-696-7178 Philadelphia Pike 2580 ce.com APPLIED RISK SERVICES, INC., 398 2115484 05/20/2020 05/20/2022 CLARK, JAKE JOHN OMAHA NE 68154 402-490-0792 10805 OLD MILL ROAD Markel Corporation, 3380 30144- 399 1978748 04/10/2015 04/10/2022 Clark, John Kinsey Chastain Meadows Pkwy NW Ste Kennesaw GA 770-598-6004 [email protected] 5882 100 Assuredpartners New England, 01144- 400 1921162 09/08/2012 09/08/2022 Clark, Peter Alan Springfield MA 413-781-6871 [email protected] Inc., 1 Monarch Pl Fl 10 1099 43215- 401 2104663 11/08/2019 11/08/2021 CLARKE, BENJAMIN 100 E Broad St Fl 15 Columbus OH 614-607-1010 [email protected] 3656 23230- regulatory.contact@jamesriver 402 2114369 04/25/2020 04/25/2022 CLARKE, JOHN GORDON 6641 W BROAD ST STE 300 RICHMOND VA 804-231-5776 1728 ins.com 92705- 403 1994882 12/11/2015 12/11/2021 CLAYTON, TED RAYMOND 1551 N Tustin Ave Ste 450 Santa Ana CA 949-681-1227 [email protected] 8665 CLEARY, CATHERINE 404 2148241 04/22/2021 04/22/2022 140 BROADWAY, 32ND FLR NEW YORK NY 10005 610-831-1918 [email protected] JESSICA 405 1802711 11/30/2004 11/30/2021 Cleary, William John 226 Causeway Street, Ste 302 Boston MA 02114 617-964-5645 [email protected] Ucpm, Inc., 335 E Germann Rd 85297- 406 1870415 06/23/2009 06/23/2022 Clegg, Timothy L Gilbert AZ 480-632-1553 [email protected] Ste 340 2924 20005- 407 1827966 10/04/2006 10/04/2022 Clements, Jon Bailey 1301 K St NW Ste 1200 Washington DC 202-674-9264 [email protected] 3317 CLEVELAND, DONALD 33445- 408 1936084 06/25/2013 06/25/2022 1200 NW 17th Ave Ste 3 Delray Beach FL 954-675-8529 [email protected] LESLIE 2512 Appalachian Underwriters, Inc, 37830- 409 1884796 06/02/2010 06/02/2022 Cleveland, Steven Mabry Oak Ridge TN 865-425-7398 800 Oak Ridge Tpke Ste A1000 6949
Page 19 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 02360- 410 2015314 10/26/2016 10/26/2021 Cluett, Bruce Edward 2 Knights Point Rd Plymouth MA 781-771-4423 [email protected] 3585 02169- 411 2126240 09/25/2020 09/25/2021 Cluett, Michael Patrick 59 Coddington St Ste 201 Quincy MA 339-832-4160 [email protected] 4510 Paragon Insurance Holdings Llc, 06001- [email protected] 412 1997729 02/10/2016 02/10/2022 Coates, Susan R Avon CT 210-342-8193 45 Nod Rd 3819 m 413 1806634 04/14/2005 04/14/2022 Cockroft, Euleon Jock PO Box 1320 Colleyville TX 76034 817-421-4402 [email protected] CODDINGTON, AMY 414 2114019 04/20/2020 04/20/2022 2465 KUSER RD, STE 202 HAMILTON NJ 08690 856-873-1269 ELIZABETH Willis Of New York, Inc., 200 10281- [email protected] 415 2156199 07/14/2021 07/14/2022 CODISPOTI, CHRISTINA New York NY 212-915-7861 Liberty St 1003 om Marsh Usa, Inc., 3560 Lenox Rd 30326- 416 1828568 10/18/2006 10/18/2021 Coe, Jeffrey Scott Atlanta GA 404-401-3827 [email protected] Ne 4266 Avondale Insurance Associates, 2 02109- 417 1814076 10/31/2005 10/31/2022 Coghlan, Peter Paul Boston MA 781-934-2697 [email protected] Oliver St 4901 10018- 418 2148853 04/29/2021 04/29/2022 COHEN, BRADY 1410 Broadway Fl 8 New York NY 646-844-9933 [email protected] 9362 C/o Willis Towers Watson 10281- 419 2155924 07/12/2021 07/12/2022 COHEN, JUSTIN New York NY 212-915-7787 [email protected] Northeast, Inc., 200 Liberty St 1003 92612- 420 2031706 08/04/2017 08/04/2022 Cohen, Paul David 19800 Macarthur Blvd Ste 300 Irvine CA 949-668-0965 2479 C/o Alliant Insurance Services Inc, 85016- 421 1870600 06/30/2009 06/30/2022 Cohn, Matthew Lovi Phoenix AZ 602-707-1917 2415 E Camelback Rd Ste 950 4288 10281- Elizabeth.cohon@willistowers 422 2116711 06/10/2020 06/10/2022 COHON, ELIZABETH 200 Liberty St New York NY 212-915-7898 1003 watson.com COLANGELO, KATHY Hull & Co/roehrig & Macduff, 970 Saint 33716- HELEN.MORGENSTERN@H 423 2018633 12/22/2016 12/22/2021 FL 727-526-8149 HAMMOND Lake Carillon Dr Ste 200 Petersburg 1130 ULLCO.COM Arthur J Gallagher & Co, 18201 92612- 424 1949161 01/23/2014 01/23/2022 COLE, BRANDON Irvine CA 303-889-2610 [email protected] Von Karman Ave Ste 200 1069 Alliant Insurance Services, Inc, 94111- 425 1844786 11/23/2007 11/23/2021 Cole, Seth A San Francisco CA 415-403-1419 [email protected] 100 Pine St Fl 11 5113 426 1945253 11/05/2013 11/05/2021 Coleman, Judith Susan 14 Mansfield Avenue West Hartford CT 06117 860-233-1020 22192- 427 1883772 05/11/2010 05/11/2022 Coleman, Laurie S 2750 Killarney Dr Ste 202 Woodbridge VA 800-468-4200 4124 Risk Placement Services, Inc., 8 37027- 428 1823494 06/15/2006 06/15/2022 Collier, Ryan Derek Brentwood TN 312-803-6360 [email protected] Cadillac Dr Ste 200 5316 Edgewood Partners Insurance, 30022- 429 1894514 12/22/2010 12/22/2021 Collings, David H Alpharetta GA 770-642-7377 3780 Mansell Rd Ste 370 1118 Arthur J Gallagher & Co., 27060 77386- 430 1891141 10/26/2010 10/26/2021 Collins, Jackie Carter Spring TX 601-829-2322 [email protected] Star Gazer Way 4204 33602- 431 1979145 04/17/2015 04/17/2022 COLON, GAIL ALLEN 100 N Tampa St Ste 2650 Tampa FL 813-727-5089 [email protected] 5871
Page 20 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 60661- 432 2136308 12/04/2020 12/04/2021 COMBS, LINDSAY 540 W Madison St Chicago IL 312-515-4203 [email protected] 2591 29201- 433 2117017 06/15/2020 06/15/2022 COMFORT, LAURIE 1320 MAIN ST STE 300 COLUMBIA SC 803-219-9930 3266 Arthur J Gallagher & Co, 2121 N 94596- 434 2069420 09/10/2018 09/10/2022 CONCANNON, JACOB Walnut Creek CA 510-861-2385 [email protected] California Blvd Fl 3 3572 95118- 435 2110949 02/24/2020 02/24/2022 CONNORS, JUSTIN BRENT 3150 Almaden Expy Ste 104 San Jose CA 800-411-0083 [email protected] 1217 98101- 436 2054512 04/18/2018 04/18/2022 CONSTANTINE, JOSEPH M 600 University St Ste 2205 Seattle WA 206-922-1819 [email protected] 1176 CONWAY E & S INC, 100 WARRENDAL 437 2153968 06/21/2021 06/21/2022 CONWAY, JEFFREY C PA 15086 724-779-9700 [email protected] ALLEGHENY DRIVE SUITE 100 E 48084- 438 1856744 08/22/2008 08/22/2022 Cook, Deepa Gupta 1050 Wilshire Dr Ste 210 Troy MI 248-205-2930 [email protected] 1582 Arthur J Gallagher & Co, 595 94105- 439 2104073 11/01/2019 11/01/2021 Cooper, Brian Francis San Francisco CA 415-288-1620 [email protected] Market St Ste 2100 2832 32713- 440 1850550 04/03/2008 04/03/2022 Cooper, Lisa Louise 133 S Highway 17 92 # 530210 Debary FL 386-668-9962 [email protected] 3265 Fourth Insurance Office, Inc., 249 33480- [email protected] 441 2104664 11/08/2019 11/08/2021 COOPER, Stephen A Palm Beach FL 561-355-5457 Royal Palm Way Ste 500 4321 m 35213- [email protected] 442 1993644 11/17/2015 11/17/2021 COOPER, WILEY HOWARD 880 Montclair Rd Ste 500 Birmingham AL 205-803-5340 1980 M 54452- 443 2051020 03/10/2018 03/10/2022 Cooper, Zolaida 3000 Schuster Lane Merrill WI 774-696-3282 [email protected] 0342 Assuredpartners Of Washington, 98370- [email protected] 444 2086084 03/25/2019 03/25/2022 Copus, Matthew Leonard Poulsbo WA 360-598-5016 Llc, 19689 7th Ave NE Ste 183 8092 m CORDOGAN, MICHAEL 38018- [email protected] 445 1986797 08/20/2015 08/20/2022 299 S Walnut Bend Rd Ste 202 Cordova TN 901-870-8580 WILLIAM 7281 m judycormack@eagleinsurance 446 1988869 09/15/2015 09/15/2022 Cormack, Judith A 100 Westminster St 10th Floor Providence RI 02903 781-248-2407 group.net ONE FINANCIAL CENTER, 13th [email protected] 447 2087816 04/17/2019 04/17/2022 CORNELL, DANIEL Q BOSTON MA 02111 413-446-9575 Floor, 13TH FLOOR M 06085- [email protected] 448 2155301 07/02/2021 07/02/2022 CORNELL, KEVIN 29 Mill St Unionville CT 475-434-0193 1497 m Csdz, Llc, 2727 Grand Prairie 50263- 449 2111395 03/02/2020 03/02/2022 CORNETT, ROGER LARRY Waukee IA 612-237-8521 Pkwy 8844 Marsh Usa Inc., 1166 Avenue Of 10036- 450 1982371 06/16/2015 06/16/2022 CORRADO, JUSTIN New York NY 610-642-6879 [email protected] The Americas 2708 3407 W Dr Martin Luther King Jr 33607- 451 1981740 06/03/2015 06/03/2022 CORRIGAN, LINDA LEE Tampa FL 813-490-4917 [email protected] Blvd Ste 200 6226 75234- 452 2106411 12/10/2019 12/10/2021 Costanza, Brian Peter 3010 Lbj Fwy # 925 Dallas TX 817-508-8205 [email protected] 7770 75234- 453 1787130 09/29/2003 09/29/2022 Costanza, Peter D 3010 Lbj Fwy # 925 Dallas TX 972-991-6084 [email protected] 7770 Page 21 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 94901- 454 1972275 01/06/2015 01/06/2022 Costello, Bryan O 1752 Lincoln Ave San Rafael CA 415-257-2100 [email protected] 1284 COSTELLO, JOSEPH 07311- 455 2022779 03/08/2017 03/08/2022 200 Hudson St Ste 800 Jersey City NJ 845-206-7568 [email protected] AUSTIN 1221 COSTELLO, PATRICK 94901- 456 2069421 09/10/2018 09/10/2022 1752 LINCOLN AVE SAN RAFAEL CA 415-257-2171 [email protected] BRYAN 1284 Edgewood Partners Insurance, 2 02111- 457 2069830 09/14/2018 09/14/2022 COUGHLAN, Lisa Mae Boston MA 617-420-4001 Financial Ctr 2620 02116- Mary.coughlin@willistowerswa 458 2140515 02/02/2021 02/02/2022 Coughlin, Mary M 75 Arlington St Fl 10 Boston MA 617-351-7416 3936 tson.com Arthur J. Gallagher & Co., 141 32174- 459 2153520 06/16/2021 06/16/2022 Coughlin, Thomas Kelley Ormond Beach FL 386-679-2436 [email protected] Sagebrush Trl Ste A 9195 03049- [email protected] 460 2077131 11/29/2018 11/29/2021 Coulter, Francis 112 N Pepperell Rd Hollis NH 603-465-7430 6430 m 1140 Avenue Of The Americas Fl 10036- 461 2147070 04/09/2021 04/09/2022 COWHEY, JEFFREY D New York NY 609-737-8749 [email protected] 5 5803 PROCTOR FINANCIAL, INC., 48098- 462 2077344 12/03/2018 12/03/2021 COX, MICHAEL A TROY MI 586-566-8977 [email protected] 5225 CROOKS RD 2823 17011- 463 1857953 09/24/2008 09/24/2022 Coy, Mark A 214 Senate Ave Ste 201 Camp Hill PA 717-532-5885 [email protected] 2336 200 EAST RANDOLPH STREET, 464 2133463 11/04/2020 11/04/2021 COZZI, ALEKSANDRA E CHICAGO IL 60601 312-381-6195 FLOOR 10 77019- 465 1830410 12/11/2006 12/11/2021 Crabb, Mary Elizabeth 2929 Allen Pkwy Houston TX 713-582-0545 7100 46033- 466 1998255 02/19/2016 02/19/2022 Craig, Timothy Allen 4728 Lisborn Dr Carmel IN 317-670-6956 2201 02109- 467 2065043 07/31/2018 07/31/2022 Craigen, David John 53 State St Ste 2201 Boston MA 978-429-6252 [email protected] 2820 02110- 468 2038477 10/17/2017 10/17/2022 Crain, Ethan E 99 High St Boston MA 617-680-8315 [email protected] 2320 100 GRANDVIEW ROAD, SUITE 469 2096506 08/20/2019 08/20/2022 CRAUN, VICTORIA B BRAINTREE MA 02184 774-991-2202 412 02109- [email protected] 470 2146193 04/01/2021 04/01/2022 Creatore, Nicholas A 28 State St Ste 2202 Boston MA 857-991-6963 1775 om CREBS, CAMERON SAINT 471 2122503 08/19/2020 08/19/2022 1336 OAK AVENUE, SUITE C CA 94574 707-320-2476 RICHARD HELENA CRESCIO, JOSEPH 472 2156768 07/20/2021 07/20/2022 21005 SHADY VISTA LANE BOCA RATON FL 33428 954-643-1088 VICTOR 77019- 473 1835292 04/25/2007 04/25/2022 Crespin, Karen Michele 2929 Allen Pkwy Houston TX 713-493-9195 [email protected] 7100 04401- 474 1868743 02/13/2009 02/13/2022 Cross, Royce Marvin Cross Insurance, 491 Main St Bangor ME 207-947-7345 [email protected] 6296
Page 22 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 04401- 475 1978175 04/01/2015 04/01/2022 Cross, Woodrow W II Cross Insurance, 491 Main St Bangor ME 207-947-7345 6296 94108- 476 1956441 05/30/2014 05/30/2022 CROUSE, GREGORY TAFT 650 California St Ste 2900 San Francisco CA 415-982-3870 [email protected] 2702 [email protected] 477 2026152 05/02/2017 05/02/2022 Crusco, Michael Francis 100 Continetal Dr., STE 450 King of Prussia PA 19406 610-513-0563 om Alliant Insurance Services, Inc., 32 10005- 478 1859277 10/29/2008 10/29/2022 Crystal, James Finesilver New York NY 212-504-5823 Old Slip Fl 29 3500 Alliant Insurance Services, Inc., 32 10005- [email protected] 479 1859276 10/29/2008 10/29/2021 Crystal, Sanford Finesilver New York NY 212-504-5919 Old Slip Fl 29 3500 M 33179- 480 2132484 10/28/2020 10/28/2022 CUAN, OSMEL LAZARO 2060 NE 199th St Miami FL 415-402-6310 [email protected] 3114 481 2035994 09/28/2017 09/28/2022 Cullen, Paul M 32 Brewster Road Newton MA 02461 888-372-7662 [email protected] CUNNINGHAM, LINDSAY 98101- 482 2076614 11/21/2018 11/21/2021 600 UNIVERSITY ST STE 3100 SEATTLE WA 206-913-3667 [email protected] SUSANNE 3122 Amwins Brokerage Of New Jersey 08837- 483 1812282 09/14/2005 09/14/2022 Curcio, Kimberly Ann Edison NJ 732-462-7129 [email protected] Inc, 105 Fieldcrest Ave Ste 200 3628 43082- Lyriciatremaine@westfieldserv 484 1851513 04/23/2008 04/23/2022 Curnutte, Patricia A. 570 Polaris Pkwy Ste 500 Westerville OH 614-796-7744 7900 ices.com Amwins Program Underwriters, 1 03801- 485 1934399 05/23/2013 05/23/2022 Curran, Daniel W Portsmouth NH 802-264-9561 [email protected] New Hampshire Ave Ste 200 2904 486 2131888 10/23/2020 10/23/2021 CURRY, SEAN 5665 N. KRAFT LAKE DR. CALEDONIA MI 49316 616-956-2815 01880- 487 1790342 12/01/2003 12/01/2021 Curtin, Sean T 401 Edgewater Pl Ste 400 Wakefield MA 978-594-8000 [email protected] 6204 488 1882891 04/21/2010 04/21/2022 Curtis, William Patrick 225 State Rd Media PA 19063 610-876-3382 [email protected] APPLIED RISK SERVICES, INC, 489 2115483 05/20/2020 05/20/2022 CURTTRIGHT, JEREMY OMAHA NE 68154 402-670-1757 [email protected] 10805 OLD MILL RD 28173- 490 2153969 06/21/2021 06/21/2022 Cusick, Dena L 1932 Chatooka Ln Waxhaw NC 646-334-7478 0178 SCOTTSVILL 491 1968508 11/06/2014 11/06/2021 DABNEY, LORI WILSON 5095 FULL MOON LANE VA 24590 888-800-7670 E DAESCHNER, ROBERT COCKEYSVIL 21030- 492 2138258 01/05/2021 01/05/2022 4 N PARK DR STE 404 MD 410-891-4201 MICHAEL LE 1886 07041- 493 1886942 07/27/2010 07/27/2022 DalCanton, James A 288 Main St Millburn NJ 973-912-5047 [email protected] 1126 Silverstone Group, Inc., 11516 68154- 494 1865560 03/11/2009 03/11/2022 Dale, Barbara Sue Omaha NE 402-597-1508 Miracle Hills Dr Ste 100 4473 92346- George.Dale@coveprograms. 495 1998498 02/24/2016 02/24/2022 DALE, GEORGE DAVID 7544 Alta Vis Highland CA 424-259-3490 5941 com 60601- [email protected] 496 2069677 09/12/2018 09/12/2022 DALEY, KATHERINE 180 N Stetson Ave Ste 4600 Chicago IL 312-576-8456 6746 OM 30326- Brplicensing@baldwinriskpart 497 2033950 09/01/2017 09/01/2022 DALY, Brian Gordon 3340 Peachtree Rd NE Ste 1950 Atlanta GA 847-999-9492 1018 ners.com
Page 23 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 80206- 498 2024063 03/29/2017 03/29/2022 Daly, Colin G 250 Fillmore St Unit 450 Denver CO 518-782-3000 [email protected] 5007 499 2161559 09/01/2021 09/01/2022 D'Amico, Lauren Norma 22 Pine Tree Drive Saugus MA 01906 781-307-7714 75225- 500 1911477 01/12/2012 01/12/2022 Damonte, James A 3015 Purdue Ave Dallas TX 214-505-6996 [email protected] 7815 Willis Towers Watson Midwest Inc, 60606- 501 2138259 01/05/2021 01/05/2022 DANIELAK, MATTHEW T Chicago IL 312-288-7835 [email protected] 233 S Wacker Dr Ste 2000 6400 02169- 502 1818929 03/07/2006 03/07/2022 Darby, Ryan Thomas Gagne 13 Temple St Quincy MA 617-471-7171 [email protected] 5110 02494- 503 1894717 12/29/2010 12/29/2021 Darcey, William M 160 Gould St Ste 122 Needham MA 781-237-1816 [email protected] 2300 American Management 72032- TAMMIE.DARTER@AMCINS. 504 1945847 11/15/2013 11/15/2021 DARTER, TAMMIE S Conway AR 501-208-2609 Corporation, 1109 Oak St 4317 COM DASILVA, MIGUEL 10006- [email protected] 505 1974446 02/06/2015 02/06/2022 165 Broadway New York NY 212-441-1771 PEREIRA 1404 M Edgewood Partners Insurance 02111- Deborah.dauphinee@epicbrok 506 2122273 08/18/2020 08/18/2022 Dauphinee, Deborah Boston MA 508-326-8132 Center, 60 South St 2759 ers.com 507 2141179 02/08/2021 02/08/2022 DAVENPORT, Joel Bay 909 HYDE PARK LANE NAPERVILLE IL 60565 630-369-5330 93063- [email protected] 508 2030580 07/19/2017 07/19/2022 DAVIS, JOHN EDMUND 4100 Guardian St Ste 170 Simi Valley CA 805-584-1000 6728 om R-t Specialty, Llc, 2 Jericho Plz 11753- 509 1929118 02/15/2013 02/15/2022 Davis, Joseph Nicholas Jericho NY 929-346-6716 [email protected] Ste 302 1681 06103- 510 1906524 10/12/2011 10/12/2022 Davis, Scott K 10 State House Sq Fl 11 Hartford CT 860-756-7379 3602 02199- Janice.dawkins@willistowersw 511 2142283 02/20/2021 02/20/2022 DAWKINS, Janice Marie 800 Boylston St Boston MA 978-660-3982 1900 atson.com HOLMES MURPHY AND 50263- 512 2070105 09/17/2018 09/17/2022 DAWSON, MARY M ASSOCIATES LLC, 2727 GRAND WAUKEE IA 515-402-9721 [email protected] 8844 PRAIRIE PKWY 80021- 513 2098190 09/09/2019 09/09/2022 DAY, KRISTEN 385 INTERLOCKEN CRES BROOMFIELD CO 720-926-3587 3492 DE BURGH CODRINGTON, 10006- 514 2018382 12/19/2016 12/19/2021 45 Broadway Fl 8 New York NY 212-509-5777 [email protected] SIMON S 3078 515 2022135 02/27/2017 02/27/2022 De Forest, Alan F 120 Wood Rd, PO Box 3270 Kingston NY 12402 845-339-6295 516 1826893 09/15/2006 09/15/2022 De Young-Asebrook, Mikaela 233 W Central Street Natick MA 01760 978-263-3009 [email protected] 517 2087961 04/19/2019 04/19/2022 DEAL, DAVID WALTER 347 HARTZ AVE DANVILLE CA 94526 707-653-3000 [email protected] 46240- 518 2158051 08/02/2021 08/02/2022 DEAN, ANDREW THOMAS 8888 Keystone Xing Ste 710 Indianapolis IN 317-810-0723 [email protected] 4615 Aon Risk Services Central Inc, 19103- 519 1936376 07/01/2013 07/01/2022 Dean, Daniel J Philadelphia PA 610-520-1578 1650 Market St Ste 1000 7306 520 2157787 07/29/2021 07/29/2022 DEAN, KEVIN 20 CHURCH STREET HARTFORD CT 06103 203-605-1121 37214- Robert.deblasio@willistowers 521 2113137 03/31/2020 03/31/2022 DeBlasio, Robert W 26 Century Blvd Nashville TN 203-491-7480 3685 watson.com Page 24 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Decotis Insurance Associates, 02184- 522 1894623 12/28/2010 12/28/2021 DeCotis, Thomas J Inc., 35 Braintree Hill Office Park Braintree MA 781-749-5797 8727 Ste 200 523 2156198 07/14/2021 07/14/2022 DELANEY, JOSEPH KANE 200 LIBERTY STREET NEW YORK NY 10281 212-309-3500 Financial & Professional Risk 60601- 524 1835493 05/03/2007 05/03/2022 Delaney, Thomas Joseph Solutions Inc, 200 E Randolph St Chicago IL 630-796-9929 6421 Fl 10 DELAUNE, SHANNON CASTROVILL 78009- 525 2115340 05/18/2020 05/18/2022 1213 FIORELLA ST TX 210-630-9869 GLASSCOCK E 4578 60614- 526 2141178 02/08/2021 02/08/2022 DELONG, YOSHA R 2659 N ASHLAND AVE APT 12 CHICAGO IL 312-952-4191 7518 527 1849675 03/19/2008 03/19/2022 DeLorey, Joan Patricia 859 Willard Street, Suite 320 Quincy MA 02169 617-825-7090 [email protected] 135 CROSSWAYS PARK DRIVE, 528 2126404 09/25/2020 09/25/2022 DELPRETE, GERALDINE WOODBURY NY 11797 516-719-8725 FLOOR 3 Dga Insurance Services, 1 Liberty 10006- mdemetriou@demetriougroup. 529 1816335 12/27/2005 12/27/2021 Demetriou, Michael Peter New York NY 516-317-4420 Plz Ste 1900 1404 com Acrisure, Llc, 365 Crossways Park 11797- 530 2145793 03/26/2021 03/26/2022 DEMOS, THEODORE R Woodbury NY 516-799-8222 [email protected] Dr 2061 33324- 531 2008471 08/02/2016 08/02/2022 DEMOTT, DAVID MATHEW 261 N University Dr Ste 510 Plantation FL 305-431-8080 [email protected] 2009 532 2077567 12/06/2018 12/06/2021 DEMOTTA, LISA MARIE 165 BROADWAY NEW YORK NY 10006 212-441-2297 [email protected] Ryan Specialty Group, Llc, 180 N 60601- 533 2020307 01/27/2017 01/27/2022 DEMPSEY, KIERAN T Chicago IL 847-922-7928 [email protected] Stetson Ave Ste 4600 6746 Commercial Insurance Associates, 37027- 534 1837068 06/15/2007 06/15/2022 Denbo, Donald Scott Brentwood TN 615-515-6008 [email protected] 103 Powell Ct Ste 200 5079 The Daniel & Henry Co., 1001 63110- [email protected] 535 1896060 02/08/2011 02/08/2022 Deneault, Conrad Marcel Saint Louis MO 314-963-9766 Highlands Plaza Dr 1337 m SIMPSONVILL 536 2119269 07/16/2020 07/16/2022 DENNIE, SHANE MARTIN 335 NEELY CROSSING LANE SC 29680 864-751-2851 E DENSON, BRUCE COBBS ALLEN, 115 OFFICE MOUNTAIN 35223- 537 2121696 08/11/2020 08/11/2022 AL 205-874-1212 [email protected] SHELTON JR PARK DR BRK 2421 Orchid Underwriters Agency, Llc, 97703- 538 2098405 09/11/2019 09/11/2021 DEROSA, Timothy Buckley Bend OR 541-215-4427 [email protected] 3240 NW Colonial Dr 5516 C/o Rms Insurance, 100 Ring Rd 11530- 539 1950996 02/24/2014 02/24/2022 Derrenberger, Mark D Garden City NY 516-742-8585 [email protected] W Unit 200 3217 10177- 540 1916825 05/29/2012 05/29/2022 Dervin, Kevin J 250 Park Ave Fl 3 New York NY 212-994-7030 0506 Desanctis Insurance Agency, Inc., 01801- [email protected] 541 1820589 04/10/2006 04/10/2022 Desanctis, Adam W Woburn MA 339-234-4354 100 Unicorn Park Dr Ste 2 3339 m X S Brokers Ins Agcy Inc, 13 02169- 542 1786306 09/08/2003 09/08/2022 Devine, Adam Walsh Quincy MA 781-740-4575 [email protected] Temple St 5110 Aegis Insurance Services Inc, 1 East 07073- 543 2085905 03/21/2019 03/21/2022 DEVINE, DANIEL NJ 516-993-8341 Meadowlands Plz Rutherford 2150
Page 25 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Arthur J Gallagher & Co, 1 Jericho 11753- 544 2056992 05/14/2018 05/14/2022 Devine, Gene Paul Jericho NY 516-992-2561 Plz Ste 200 1635 Arthur J Gallagher & Co., 2850 Rolling 60008- 545 2030260 07/14/2017 07/14/2022 DEVRON, JEFFREY IL 312-316-0902 [email protected] Golf Rd Meadows 4050 Alliant Insurance Services, Inc., 11553- 546 2038579 10/17/2017 10/17/2022 Di Biase, Robert F Uniondale NY 516-987-9943 333 Earle Ovington Blvd Ste 700 3622 12946- 547 2148959 04/30/2021 04/30/2022 DI PERNO, Mark 2047 Saranac Ave Ste 201 Lake Placid NY 518-420-9518 [email protected] 1157 548 2072071 10/05/2018 10/05/2022 DIAMOND, Steven Lance 14 FRONT ST SUITE 201 HEMPSTEAD NY 11550 683-840-4069 02110- [email protected] 549 2101808 10/11/2019 10/11/2021 DiBenedetto, Robert P 175 Federal St Fl 9 Boston MA 617-846-9460 2210 m 78216- 550 1799376 08/11/2004 08/11/2022 Dickie, David G 601 Embassy Oaks Ste 105 San Antonio TX 210-545-5153 [email protected] 2019 551 2156197 07/14/2021 07/14/2022 DICKINSON, CATHERINE 200 LIBERTY STREET NEW YORK NY 10281 212-309-3938 48084- 552 2052492 03/20/2018 03/20/2022 Dickinson, Scott Warner 1640 Axtell Dr Troy MI 248-641-7800 4431 59901- 553 1890815 10/21/2010 10/21/2022 Dickson, John Allan 1327 Us Highway 2 W Ste 100 Kalispell MT 714-655-8357 3413 DICKSON, THOMAS 3555 Alameda De Las Pulgas Ste 94025- TDICKSON@NEWENERGYR 554 2102355 10/16/2019 10/16/2021 Menlo Park CA 917-754-3200 RUSSELL 200 6509 ISK.COM Farmington 48334- 555 2113764 04/14/2020 04/14/2022 DIEFENBACH, JEFFREY L 30833 Northwestern Hwy Ste 220 MI 248-539-6040 [email protected] Hills 2582 LOS 556 2109157 01/29/2020 01/29/2022 DIEM, JANICE LUM 707 WILSHIRE BLVD., 2600 CA 90017 626-441-2438 [email protected] ANGELES 354 EISENHOWER PARKWAY, 557 2111238 02/27/2020 02/27/2022 DIETRICH, LUCAS LIVINGSTON NJ 07039 917-224-4992 PLAZA 1 WILLIAM.DIETRICH@BANKE 558 2109056 01/28/2020 01/28/2022 DIETRICH, WILLIAM J 165 BROADWAY NEW YORK NY 10006 212-441-2736 RSINSURANCESERVICE.CO M Amwins Brokerage Of The 60603- 559 1911400 01/11/2012 01/11/2022 Dillon, Thomas Frederick Midwest Llc, 10 S La Salle St Ste Chicago IL 312-601-9300 1074 2000 60601- STEPHANIE.DINGMAN@AO 560 2145792 03/26/2021 03/26/2022 DINGMAN, STEPHANIE J 200 E RANDOLPH ST CHICAGO IL 312-381-0120 6436 N.COM 02116- Elizabeth.sukay@willistowers 561 2137652 12/24/2020 12/24/2021 DINNEEN, ELIZABETH 75 Arlington St Fl 10 Boston MA 617-351-7478 3936 watson.com Arthur J Gallagher & Co, 470 02210- 562 2101183 10/05/2019 10/05/2022 Dinon, Michelle Callahan Boston MA 617-821-1391 [email protected] Atlantic Ave 2208 89128- [email protected] 563 1826364 08/30/2006 08/30/2022 Disalvatore, Denise Ann 7201 W Lake Mead Blvd Ste 400 Las Vegas NV 702-592-9058 8366 m 20001- 564 2020306 01/27/2017 01/27/2022 DISPARTE, DANTE A 2112 8th St NW Apt 827 Washington DC 202-688-3560 [email protected] 8214 C/o Brooks Group Insurance 07726- [email protected] 565 2116429 06/05/2020 06/05/2022 DITOMMASO, KRISTY M Manalapan NJ 732-615-7343 Agency, Llc, 70 Bridge Plaza Dr 1700 OM Page 26 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 566 1945705 11/14/2013 11/14/2021 DiTullio, Roy Michael 424 Adams Street, Suite 101 Milton MA 02186 781-828-1454 [email protected] RISK PLACEMENT SERVICES, FEDERAL 98003- 567 2006794 07/05/2016 07/05/2022 DIVELBISS, CONNIE WA 253-529-2773 [email protected] INC., 505 S 336TH ST STE 410 WAY 5946 08837- 568 1797320 06/15/2004 06/15/2022 Dixon, William Ernest Jr. 105 Fieldcrest Ave Ste 200 Edison NJ 732-326-4830 [email protected] 3628 02110- 569 2101811 10/11/2019 10/11/2021 Dlott, Eric Matthew 175 Federal St Fl 9 Boston MA 617-757-3320 [email protected] 2210 02054- 570 2060117 06/14/2018 06/14/2022 Dlugasch, David S. 221 Orchard St Millis MA 781-929-1459 1021 FMCNAMARA@ENDURANC 571 2016732 11/18/2016 11/18/2021 DOCKERY, JASON 2324 FINLEY RIDGE LANE RALEIGH NC 27615 914-468-8551 ESERVICES.COM 572 2001109 04/07/2016 04/07/2022 Doherty, George F III 287 Linden St Wellesley MA 02482 508-785-1875 [email protected] 06095- Ldoherty@businessriskpartner 573 1891875 11/04/2010 11/04/2021 Doherty, Lisa A 2 Waterside Xing Ste 102 Windsor CT 860-490-7303 1588 s.com [email protected] 574 1031303 05/04/1999 05/04/2022 Doherty, Sheila M 21 Elm Street Andover MA 01810 978-475-1194 om WOODBRIDG 07095- 575 2135906 11/30/2020 11/30/2021 DOHERTY, Thomas Andrew 900 ROUTE 9 N NJ 732-758-0421 E 1025 64112- 576 2091603 06/13/2019 06/13/2022 DOLAN, SEAN K 700 W 47th St Ste 1100 Kansas City MO 816-945-5510 [email protected] 2050 02169- 577 1868080 04/28/2009 04/28/2022 Dolbec, George L 250 Copeland St Quincy MA 617-471-8554 [email protected] 4073 27705- 578 2004702 05/25/2016 05/25/2022 Doles Poole, Robin Aesha Dan Services, Inc., 6 W Colony Pl Durham NC 919-598-3296 [email protected] 5588 02370- 579 2074713 11/07/2018 11/07/2021 Donley, Julianne Marie 400 Hingham St Rockland MA 781-987-1180 [email protected] 1236 75254- 580 2006420 06/27/2016 06/27/2022 DONOFRIO, GARY 14241 Dallas Pkwy Ste 700 Dallas TX 214-763-7977 [email protected] 2937 Arthur J. Gallagher & Co., 300 S 60606- 581 2004461 05/20/2016 05/20/2022 Donohue, Matthew S Chicago IL 212-763-0229 [email protected] Riverside Plz Ste 1500 6637 582 1859269 10/22/2008 10/22/2021 Donovan, Rachel Margaret 141 Tremont St 12th Fl Boston MA 02111 617-645-4673 [email protected] DORAN, GRAHAM 92037- 583 2074153 10/30/2018 10/30/2021 7979 Ivanhoe Ave Ste 500 La Jolla CA 206-661-6607 [email protected] MICHAEL 4513 75201- 584 1981811 06/04/2015 06/04/2022 DOUCET, Donna Knight 1717 Main St Dallas TX 469-779-6934 4612 10018- 585 2135915 11/30/2020 11/30/2021 DOURAMANIS, GEORGE 214 W 39TH ST RM 207 NEW YORK NY 646-302-2495 8324 Arthur J Gallagher & Co Ins 94105- 586 2113812 04/15/2020 04/15/2022 Dove, Joan M Brokers Of C, 595 Market St Ste San Francisco CA 415-536-8468 [email protected] 2832 2100 587 1928912 02/08/2013 02/08/2022 Dowd, John E Jr. 14 Bobala Road, PO Box 10300 Holyoke MA 01040 413-567-1299 [email protected] DOWHANIUK, Michelle 97201- Michelle.dowhaniuk@willistow 588 2145566 03/24/2021 03/24/2022 222 SW Columbia St Ste 600 Portland OR 503-546-7511 Rene 6645 erswatson.com
Page 27 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date DOWIE, MICHAEL Lakewood 34202- 589 1932839 04/24/2013 04/24/2022 8130 Lakewood Main St Ste 208 FL 941-806-6116 [email protected] CHRISTOPHER Ranch 5068 77019- 590 2089226 05/09/2019 05/09/2022 DOWLER, BRANDI 2929 Allen Pkwy Houston TX 713-346-1248 [email protected] 7100 DOWNING, SHANNON 300 COLONIAL CENTER PKWY., 591 2090991 06/05/2019 06/05/2022 ROSWELL GA 30076 941-706-5343 NICOLE SUITE 200 98372- 592 1813141 10/07/2005 10/07/2021 Doyle, Gina M 307 29th St NE # 107 Puyallup WA 253-678-2517 [email protected] 7048 Arthur J. Gallagher & Co., 4350 W 33607- 593 2021375 02/14/2017 02/14/2022 DOYLE, MATTHEW Tampa FL 847-830-2445 [email protected] Cypress St Ste 300 4175 Arthur J Gallagher & Co, 300 S 60606- 594 2145685 03/25/2021 03/25/2022 DOYLE, SEAN Chicago IL 708-301-1353 [email protected] Riverside Plz Ste 1500 6637 10022- 595 1878482 12/15/2009 12/15/2021 Drag, Timothy James 399 Park Ave Fl 2 New York NY 973-907-2185 5294 Willis Towers Watson Midwest, 48076- 596 1876297 10/29/2009 10/29/2021 Draper, Charles T Southfield MI 248-936-7597 [email protected] Inc, 26555 Evergreen Rd Ste 1600 4257 STEVENS 597 2071675 10/02/2018 10/02/2022 DREGER, SCOTT R 1800 NORTH POINT DR WI 54481 920-210-4689 [email protected] POINT 35233- 598 1992389 10/26/2015 10/26/2022 Drew, Robert T 2211 7th Ave S Birmingham AL 205-252-9871 [email protected] 2310 02061- 599 1859870 11/14/2008 11/14/2021 Driscoll, Dennis William 141 Longwater Dr Norwell MA 781-698-8667 [email protected] 1632 02109- 600 2121521 08/10/2020 08/10/2022 DRISCOLL, Keith E 28 State St Ste 2202 Boston MA 617-556-7031 [email protected] 1775 93551- 601 2143720 03/05/2021 03/05/2022 Driscoll, Ross Edward 41235 11th St W Ste B Palmdale CA 661-266-9391 [email protected] 1435 Alliant Insurance Services, Inc, 9 E 93720- 602 1987789 09/02/2015 09/02/2022 DROZ, GERALD BRUCE Fresno CA 559-301-8643 [email protected] River Park Pl E Ste 310 1595 Fred C. Church, Inc., 41 Wellman 01851- 603 1031451 09/04/1998 09/04/2022 Duble, Chris Lowell MA 978-352-8846 [email protected] St 5134 06757- 604 1817900 02/07/2006 02/07/2022 Dubraski, Robert J 14 Old Barn Rd Unit 2 Kent CT 858-792-4000 [email protected] 1737 78216- 605 1808031 06/09/2005 06/09/2022 Dudley, Gary Lee 9311 San Pedro Ave Ste 600 San Antonio TX 210-525-1241 [email protected] 4459 SOUTHERN INSURANCE DUESENBERG, Wesley 30022- 606 1981900 06/05/2015 06/05/2022 UNDERWRITERS,INC, 4500 ALPHARETTA GA 770-664-4407 Charles Jr. 8265 MANSELL RD Risk Placement Services, Inc., 30009- RUSSELL_DUFFEY@RPSIN 607 1928656 02/04/2013 02/04/2022 DUFFEY, JAMES RUSSELL Alpharetta GA 678-323-2022 2400 Lakeview Pkwy Ste 675 7902 S.COM 14101 Panama City Beach Pkwy Panama City 32413- 608 1915799 05/01/2012 05/01/2022 Duggan, Patrick J FL 615-604-8357 Ste 330 Beach 2872 Propel Insurance, 601 Union St 98101- 609 1890656 10/18/2010 10/18/2021 Duncan, Janet Seattle WA 425-896-2140 Ste 3400 1371
Page 28 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Risk Placement Services, Inc., 1 11753- 610 2029183 06/26/2017 06/26/2022 DUNCAN, LISA Jericho NY 646-280-8580 [email protected] Jericho Plz Ste 200 1635 92101- 611 2086299 03/27/2019 03/27/2022 DUNCAN, PHILIP DAVID 2535 Kettner Blvd Ste 3a2 San Diego CA 877-465-7473 [email protected] 1266 1166 AVENUE OF THE 10036- 612 2044495 12/21/2017 12/21/2021 DUNHAM, CHRISTOPHER NEW YORK NY 973-507-9600 [email protected] AMERICAS 2708 613 2113883 04/16/2020 04/16/2022 DUNKEL, SARA JACKSON 183 LEADER HEIGHTS ROAD YORK PA 17402 865-603-4042 5910 NORTH CENTRAL EXPWY [email protected] 614 1995959 01/07/2016 01/07/2022 DUNN, CRAIG EDWARD DALLAS TX 75206 214-561-6872 STE 500 M 37215- 615 2096279 08/15/2019 08/15/2022 DUNN, DORIS 10 Burton Hills Blvd Ste 300 Nashville TN 615-610-9489 [email protected] 9922 77056- producer.licensing@starrcomp 616 2026324 05/04/2017 05/04/2022 DUNN, DUSTIN ALLEN 5151 SAN FELIPE ST STE 200 HOUSTON TX 832-857-8992 3731 anies.com 20006- 617 1839443 08/13/2007 08/13/2022 Dunn, Joseph Clair 2001 K St NW Ste 625n Washington DC 202-429-8546 1037 Duquette, Normand East 02914- 618 1985894 08/08/2015 08/08/2022 60 Catamore Blvd RI 508-226-0726 [email protected] Raymond Jr. Providence 1206 DURDEN, NATHAN HUNT 21030- 619 2135908 11/30/2020 11/30/2021 4 N PARK DR STE 404 MD 410-891-4201 EDWARD VALLEY 1886 80202- 620 1958291 07/02/2014 07/02/2022 Duris, Ariel Gustavo 1900 16th St Ste 1000 Denver CO 303-652-7080 5229 AMERICAN RISK MANAGEMENT 53562- 621 2080200 01/07/2019 01/07/2022 DYBDAHL, David J RESOURCES NETWO, 7780 MIDDLETON WI 608-513-6101 5407 ELMWOOD AVE STE 130 Charity First Insurance Services, 94105- [email protected] 622 2123502 08/31/2020 08/31/2022 DYSON, MAUREEN San Francisco CA 415-506-4533 595 Market St Ste 2100 2832 om 10006- 623 2102754 10/21/2019 10/21/2021 DYSON, WILLIAM EDWARD 165 Broadway New York NY 703-622-2974 [email protected] 1404 84043- 624 1881405 03/12/2010 03/12/2022 Eardley, Anthony S 2600 W Executive Pkwy Ste 500 Lehi UT 801-610-2701 [email protected] 3989 625 2092049 06/19/2019 06/19/2022 EARP, MICHAEL J 200 E. RANDOLPH STREET CHICAGO IL 60601 312-381-1187 [email protected] INDIANAPOLI 46240- 626 2161983 09/03/2021 09/03/2022 EASTON, ANDREW M 8335 KEYSTONE XING STE 210 IN 317-849-6743 S 2598 60601- 627 1956173 05/27/2014 05/27/2022 Ebeling, Jennifer L 200 E Randolph St Chicago IL 312-381-4552 [email protected] 6436 628 1806592 04/12/2005 04/12/2022 Edgar, David Archer 11 Bluestone Lane Avon CT 06001 860-673-0185 Slawsby Insurance Agency Inc, 3 03054- 629 2069422 09/10/2018 09/10/2022 EDGERTON, Karen M Merrimack NH 603-320-8933 [email protected] Mound Ct Ste B 4412 78258- [email protected] 630 2114986 05/11/2020 05/11/2022 EDWARDS, HUW JEFFREY 21750 Hardy Oak Blvd Ste 104 San Antonio TX 970-989-8022 4946 om Arthur J Gallagher & Co, 2580 60174- 631 1907678 10/26/2011 10/26/2021 Egeland, Erik J. St Charles IL 630-896-6239 [email protected] Foxfield Rd Ste 203 1409
Page 29 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 10019- Andre.eichenholtz@cacspecia 632 2004528 05/23/2016 05/23/2022 EICHENHOLTZ, Andre 152 W 57th St Fl 41 New York NY 212-510-1884 3322 lty.com 633 2153521 06/16/2021 06/16/2022 ELEFANT, SHELDON 200 LIBERTY STREET NEW YORK NY 10281 917-796-5884 634 1933552 05/07/2013 05/07/2022 ELLIOTT, JACK H JR STE 400, ONE METROPLEX DR BIRMINGHAM AL 35209 205-414-2203 [email protected] 635 1031087 02/05/1999 02/05/2022 Ellis, Peter Saunders 6 Congress Street Milford MA 01757 508-473-7795 [email protected] 636 2063878 07/26/2018 07/26/2022 Ellis, Steven G 6 Congress St, PO Box 424 Milford MA 01757 508-473-4867 [email protected] 07901- 637 2022217 02/28/2017 02/28/2022 Elmasri, Joseph G 478 Morris Ave Summit NJ 201-320-4000 1523 Apollo Genl Ins Agcy Inc, 389 4th 95476- 638 1868101 04/20/2009 04/20/2022 Elster, Robert Charles Jr. Sonoma CA 707-996-2912 [email protected] St E 5717 64114- 639 2116782 06/11/2020 06/11/2022 Embry, David W 8880 Ward Pkwy Ste 200 Kansas City MO 913-904-5300 2703 Leavitt Grp Agcy Asso,Llc, 95 W 84720- 640 1884419 05/25/2010 05/25/2022 Enriquez, Rebecca Lureen Cedar City UT 435-867-5689 Harding Ave 2561 Risk Placement Services, Inc., 470 02210- [email protected] 641 2021215 02/11/2017 02/11/2022 Enwright, Christian T Boston MA 617-788-3204 Atlantic Ave 2208 m C/O Crum & Forster, ONE [email protected] 642 1979073 04/17/2015 04/17/2022 ENWRIGHT, MICHAEL BOSTON MA 02108 617-571-9633 BEACON STREET, 4TH FLOOR M INSURANCE@ASKMRFOWL 643 2016680 11/18/2016 11/18/2021 EPSTEIN, ADAM SETH 14C GOVERNORS WAY MILFORD MA 01757 240-372-2918 ER.COM 10490 LITTLE PATUXENT PKWY 21044- 644 2146580 04/05/2021 04/05/2022 EPSTEIN, CATHERINE COLUMBIA MD 610-247-0092 STE 550 4939 Arthur J Gallagher & Co, 300 S 60606- 645 1835661 05/07/2007 05/07/2022 Ergastolo, John Chicago IL 847-726-7746 [email protected] Riverside Plz Ste 1500 6637 Arthur J Gallagher & Co, 300 S 60606- 646 1972351 01/07/2015 01/07/2022 Erickson, Brian P Chicago IL 630-694-5281 Riverside Plz Ste 1500 6637 60606- 647 1892513 11/16/2010 11/16/2021 Ernst, Norman Lee 1 N Franklin St Ste 3500 Chicago IL 312-899-1480 3494 Arthur J Gallagher & Co., 18201 92612- 648 1890506 10/14/2010 10/14/2022 Erzen, Robert George Irvine CA 949-355-5140 [email protected] Von Karman Ave Ste 200 1069 Arthur J. Gallagher Risk 74119- 649 1882765 04/16/2010 04/16/2022 Eshelman, Jay A Management Services, Inc., 1300 Tulsa OK 918-712-9556 [email protected] 3218 S Main St TRUPOINT MARKETING, 221 WINSTON 650 2098191 09/09/2019 09/09/2022 EVANS, JILL H NC 27103 336-608-3245 [email protected] EXECUTIVE PARK BLVD SALEM 28202- 651 1992194 10/22/2015 10/22/2021 EVANS, TERESA C 214 N Tryon St Ste 2500 Charlotte NC 704-344-4851 [email protected] 2381 Arthur J Gallagher & Co, 470 02210- 652 2143503 03/04/2021 03/04/2022 Evanter, Mindy M Boston MA 781-639-1922 [email protected] Atlantic Ave 2208 02110- 653 2012412 09/16/2016 09/16/2022 Everts, Albert Paine 85 E India Row Apt 7g Boston MA 857-277-0370 [email protected] 3398 SAN 94111- 654 2138260 01/05/2021 01/05/2022 EWERS, CHRISTOPHER 4 EMBARCADERO CTR CA 415-806-8174 FRANCISCO 4106
Page 30 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 75080- 655 1947493 12/17/2013 12/17/2021 FABORS, SHAWN OBRIEN 2600 N Central Expy Ste 700 Richardson TX 214-561-7026 [email protected] 2063 53783- 656 2072982 10/17/2018 10/17/2021 FACKRELL, REGAN 6000 AMERICAN PKWY MADISON WI 801-554-9047 [email protected] 0001 ZACH@WELLFLEETSEASAL 657 2105030 11/15/2019 11/15/2021 FAGIANO, ZACHARY A One Beacon Street, 22nd Floor Boston MA 02108 201-321-5905 TCOMPANY.COM [email protected] 658 2023198 03/16/2017 03/16/2022 FAJEN, JONATHAN 745 Copper Creek Circle Milton GA 30004 770-462-2445 M 85297- 659 2109452 02/03/2020 02/03/2022 FALKIN, ALLISON MAY 161 E Rivulon Blvd Ste 202 Gilbert AZ 513-603-5188 [email protected] 0087 FALLETTA, JUSTINE Assuredpartners Jamison Llc, 353 06804- [email protected] 660 1951783 03/07/2014 03/07/2022 Brookfield CT 203-313-8202 WHITE Candlewood Lake Rd 1603 om 23226- 661 2057195 05/16/2018 05/16/2022 Falvey, Michael J 7231 Forest Ave Ste 205 Richmond VA 804-799-4375 [email protected] 3784 60606- Debra.fanjoy@bgc- 662 2012991 09/22/2016 09/22/2022 FANJOY, DEBRA 222 W Adams St Chicago IL 630-465-4175 5312 insurance.com Alliant Insurance Services, Inc., 1 10005- 663 1990189 09/28/2015 09/28/2022 Farber, Stuart A New York NY 203-682-6121 [email protected] Financial Sq Fl 28 3557 Bin Insurance Holdings Llc, 30 N 60602- NICOLE.NELSON@INSUREO 664 1993645 11/17/2015 11/17/2021 FARLEY, NICOLE R Chicago IL 855-804-8443 La Salle St Ste 2500 2514 N.COM Arc Excess & Surplus Of New 06457- 665 1697528 01/13/2003 01/13/2022 Farrell, Scott Christopher England, Llc, 1125 Middle St Ste Middletown CT 516-408-5732 [email protected] 1526 202b 666 2103012 10/23/2019 10/23/2021 FARRIS, ETHAN MAXWELL 470 ATLANTIC AVE, 13TH FLR BOSTON MA 02210 973-900-0766 [email protected] 90017- 667 2098406 09/11/2019 09/11/2022 FARSHADI, NILOOFAR 777 S Figueroa St Ste 2550 Los Angeles CA 909-286-5307 5805 POMPTON 07442- Marc.favata@bellclementsinc. 668 2106412 12/10/2019 12/10/2021 FAVATA, MARC 37 JAMES TER NJ 973-248-0227 LAKES 1921 com Rli Insurance Company, 9025 N 61615- 669 1996915 01/26/2016 01/26/2022 FAZAN, GEORGE Peoria IL 309-692-1000 [email protected] Lindbergh Dr 1499 06410- 670 2092050 06/19/2019 06/19/2022 FEAR, ANGELIC M 189 COMMERCE CT CHESHIRE CT 860-484-4887 [email protected] 1253 THE FEDELI GROUP, 5005 INDEPENDEN 44131- 671 2063363 07/19/2018 07/19/2022 FEDELI, NICHOLAS OH 216-328-8080 ROCKSIDE RD STE 500 CE 6827 DOWLING & O'NEIL INSURANCE FEELEY, CYNTHIA 02601- 672 2144923 03/18/2021 03/18/2022 AGENCY, 973 IYANNOUGH HYANNIS MA 508-737-5912 [email protected] BARBARA 1869 ROAD 48104- austin.feeney@chelsearhone. 673 2083881 03/07/2019 03/07/2022 FEENEY, AUSTIN MATHEW 130 S 1st St Fl 4 Ann Arbor MI 734-646-3261 1386 com 04074- 674 1911276 01/06/2012 01/06/2022 Feeney, Peter M 25 Spring St Ste 100 Scarborough ME 207-885-6214 [email protected] 8926 675 2105326 11/20/2019 11/20/2021 Feigen, Diane Tiffany 25 Newport Ave Ext 1st FL North Quincy MA 02171 617-827-5865 [email protected] 10017- 676 1847000 01/23/2008 01/23/2022 Feinberg, Celia Santana 335 Madison Ave Fl 22 New York NY 917-262-5201 [email protected] 4634
Page 31 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 02721- john.feitelberg@hubinternation 677 1942006 09/25/2013 09/25/2022 Feitelberg, John J 222 Milliken Blvd Fall River MA 508-677-0713 1623 al.com ALL RISKS LTD, 11811 N TATUM 85028- 678 1990761 10/05/2015 10/05/2021 FEITZ, JOSEPH DALY PHOENIX AZ 602-494-7200 [email protected] BLVD STE 4010 1660 21613- 679 2013893 10/05/2016 10/05/2021 Feldman, George Philip 204 Cedar St Cambridge MD 410-228-1717 [email protected] 2395 680 1921343 09/14/2012 09/14/2022 Felgenhauer, Philip R 3520 Forest Lake Dr Uniontown OH 44685 330-827-3316 60015- [email protected] 681 2066262 08/14/2018 08/14/2022 FELKER, THEODORE P 3 Parkway North Blvd Ste 500 Deerfield IL 314-452-5480 2567 m 01801- 682 1878359 12/14/2009 12/14/2021 Fennell, Donna M 12 Gill St Ste 5500 Woburn MA 617-904-4143 [email protected] 1728 683 2065586 08/06/2018 08/06/2022 Fennell, Micheal Scott 8722 South Harrison Sandy UT 84070 801-446-1791 [email protected] Arthur J. Gallagher & Co., 10050 68114- 684 2138261 01/05/2021 01/05/2022 FEREDAY, Andrew John Omaha NE 402-968-6789 Regency Cir Ste 300 3721 WEST 685 2124503 09/10/2020 09/10/2021 FERENC, LLOYD J 45 S. MAIN ST, SUITE 80 CT 06107 914-552-4838 [email protected] HARTFORD MARSH USA INC., 1166 AVENUE 686 2020305 01/27/2017 01/27/2022 FERGUSON, GEORGE NEW YORK NY 10036 646-659-6441 [email protected] OF THE AMERICAS 32256- 687 1892161 11/09/2010 11/09/2021 Ferguson, Michael Alan 8230 Nations Way Jacksonville FL 800-364-3941 [email protected] 4434 94945- 688 1887938 08/23/2010 08/23/2022 Ferraro, Michael Dino 75 Rowland Way Ste 340 Novato CA 415-878-2460 5057 EDGEWOOD PARTNERS FERREE, WILLIAM 94520- [email protected] 689 2150165 05/12/2021 05/12/2022 INSURANCE, 1390 WILLOW CONCORD CA 925-785-7366 CHRISTOPHER 7924 m PASS RD STE 800 5420 LYNDON B JOHNSON FWY 75240- 690 2112041 03/11/2020 03/11/2022 FIEKER, ANDREW WILLIAM DALLAS TX 214-585-6830 [email protected] STE 1100 2345 Morris Corporate Center Iv, 389 07054- 691 1898018 03/24/2011 03/24/2022 Field, Harold J III Parsippany NJ 212-618-0188 [email protected] Interpace Pkwy Ste 4 1132 2424 N. FEDERAL HIGHWAY, 692 1970203 12/02/2014 12/02/2021 FIGUEROA, DENISE MARIE BOCA RATON FL 33431 561-236-2280 [email protected] SUITE 314 Berkshire Fairfield Insurance 01201- 693 1930200 03/14/2013 03/14/2022 Filiault, Jon-Joe M Pittsfield MA 413-458-8788 [email protected] Agency Llc, 128 South St 6110 20006- 694 1785016 07/21/2003 07/21/2022 Fine, Sharon Palmer 2001 K St NW Ste 625n Washington DC 202-429-8570 1037 10006- 695 1996027 01/08/2016 01/08/2022 FINNEGAN, BRIAN C 165 Broadway New York NY 212-441-1545 [email protected] 1404 East 696 1842901 10/09/2007 10/09/2021 Finnegan, Charles B 60 Catemore Blvd RI 02914 401-886-1808 Providence 697 2138872 01/13/2021 01/13/2022 Finneran, David P 10 Granite Street, Floor 2 Quincy MA 02169 774-608-2055 [email protected] Risk Placement Services, Inc., 33308- STEVEN_FINVER@RPSINS. 698 2017404 12/01/2016 12/01/2021 FINVER, STEVEN MICHAEL Ft Lauderdale FL 561-212-8615 2400 E Commercial Blvd Ste 728 4052 COM
Page 32 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 30339- 699 1890312 10/12/2010 10/12/2021 Fiorentino, Kelly Christopher 2859 Paces Ferry Rd SE Ste 800 Atlanta GA 678-376-5877 5733 3333 NEW HYDE PARK ROAD, NEW HYDE 700 2012386 09/15/2016 09/15/2022 FISH, MICHAEL ALAN NY 11042 860-404-2453 [email protected] SUITE 400 PARK 78750- 701 1920202 08/20/2012 08/20/2022 Fisher, John Bryan 8904 Tweed Berwick Dr Austin TX 512-258-2369 [email protected] 3552 702 2115764 05/26/2020 05/26/2022 Fisher, Robert D 10805 Old Mill Rd Omaha NE 68154 402-317-9281 Fitts Insurance Agency Inc, 2 01745- 703 1877657 11/30/2009 11/30/2021 Fitts, Christopher Warren Southborough MA 508-529-9348 [email protected] Willow St 1020 704 2113076 03/30/2020 03/30/2022 FITTS, TANDY WALKER 2200 HIGHWAY 121, SUITE 100 BEDFORD TX 76021 913-620-8442 02136- 705 1997114 01/29/2016 01/29/2022 Fitzgerald, Michael Arthur 1270 Hyde Park Ave Hyde Park MA 508-942-3477 [email protected] 2702 10036- 706 1899963 05/16/2011 05/16/2022 Fitzmaurice, Deborah 1166 Ave of the Americas New York NY 732-741-2298 2708 Arthur J Gallagher & Co, 300 S 60606- 707 1832822 02/26/2007 02/26/2022 Fitzsimonds, Stephen Roger Chicago IL 847-867-8949 [email protected] Riverside Plz Ste 1500 6637 02110- Eflanagan@risk- 708 2033660 08/30/2017 08/30/2022 Flanagan, Edward J 160 Federal St Boston MA 617-333-5782 1700 strategies.com FLEMMING, SUSAN AMWINS, 1227 S PATRICK SATELLITE [email protected] 709 2079115 12/14/2018 12/14/2021 FL 32937 321-872-7632 BROWN DRIVE BEACH OM 10065- 710 2153954 06/21/2021 06/21/2022 FLETCHER, GRANT 667 Madison Ave Fl 5 New York NY 512-322-0301 8029 89128- 711 1826363 08/30/2006 08/30/2022 Flewellen, Patsy Catherine 7201 W Lake Mead Blvd Las Vegas NV 702-336-3156 [email protected] 8347 10006- 712 2030585 07/19/2017 07/19/2022 Flood, Vincent Kurt 165 Broadway New York NY 347-813-0012 1404 Ins Ctr Of New England, 1070 01001- 713 1873227 09/01/2009 09/01/2022 Florian, David Thomas Agawam MA 860-263-8598 [email protected] Suffield St 2931 06085- 714 2004212 05/17/2016 05/17/2022 FLORIAN, JILLIAN STELLA 29 Mill St Unionville CT 860-805-3093 [email protected] 1497 66221- 715 1976321 03/04/2015 03/04/2022 Foltz, Gary L 9303 W 148th Pl Overland Park KS 913-851-8815 [email protected] 9374 716 2159796 08/17/2021 08/17/2022 Fontaine, Shelley Lee 115 Airport Road Concord NH 03301 603-486-8294 19063- 717 1793038 02/18/2004 02/18/2022 Forbes, Gloria D 1400 N Providence Rd Ste 5025 Media PA 610-353-2922 2069 37402- 718 1828614 10/24/2006 10/24/2022 Ford, Michael 1110 Market St Ste 316b Chattanooga TN 865-583-3791 [email protected] 2253 19428- 719 1996094 01/11/2016 01/11/2022 Forgash, Lindsay M 125 E Elm St Ste 340 Conshohocken PA 813-222-4287 [email protected] 4154 FORRESTER, MEREDITH 10281- 720 2157644 07/28/2021 07/28/2022 200 Liberty St Fl 7 New York NY 404-224-5065 MCCULLOUGH 0001 08054- 721 1908838 11/10/2011 11/10/2021 Forry, Patricia A 10000 Midlantic Dr Ste 200 Mount Laurel NJ 856-912-4215 [email protected] 1520
Page 33 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 80202- 722 1947173 12/11/2013 12/11/2021 Forst, Tracy J 1900 16th St Ste 1000 Denver CO 303-972-0539 5229 33131- 723 1946616 12/03/2013 12/03/2021 FORTI, ROBERT A 1110 Brickell Ave Ste 515 Miami FL 800-747-4464 [email protected] 3136 724 2161017 08/27/2021 08/27/2022 Fortini, Beatrice F 247 Newbury St Danvers MA 01923 978-969-3005 [email protected] Crc Insurance Services, 17901 92614- 725 2069423 09/10/2018 09/10/2022 Fosdick, John Charles Irvine CA 949-477-6665 [email protected] Von Karman Ave Ste 850 5241 01845- 726 2118751 07/10/2020 07/10/2022 Foster, Michael J Acririock, Llc., 163 Main St North Andover MA 978-686-2266 [email protected] 2508 727 1804130 01/13/2005 01/13/2022 Fotopulos, Andrew James 400 Blue Hill Drive, Suite 188 Westwood MA 02090 401-435-3600 [email protected] 6200 CANOGA AVENUE, SUITE WOODLAND 728 2112540 03/18/2020 03/18/2022 FOY, JARED PATRICK CA 91367 805-341-4319 325 HILLS 91367- 729 2099033 09/17/2019 09/17/2022 Foy, Peter Charles 6200 Canoga Ave Ste 325 Woodland Hills CA 818-519-9679 [email protected] 7475 Arthur J. Gallagher & Co, 30 12110- 730 2076469 11/19/2018 11/19/2021 Frain, William T III Latham NY 518-371-4195 Century Hill Dr Ste 200 2148 FRANCIS, DANIEL 54481- 731 1948473 01/09/2014 01/09/2022 5000 Woodward Dr Ste D Stevens Point WI 715-295-1193 [email protected] DOMINIC 7703 ACRISURE LLC, 5664 PRAIRIE 732 2109158 01/29/2020 01/29/2022 FRANKEL, JAMES CALEDONIA MI 49316 800-748-0351 CREEK DR Lewis-Chester Assoc Inc, 119 07901- 733 1795583 04/21/2004 04/21/2022 Frankel, L. William Summit NJ 908-204-0277 [email protected] Summit Ave 2807 FRAZEE, LESLIE Cbiz Insurance Services, 1409 83501- 734 2001018 04/06/2016 04/06/2022 Lewiston ID 208-743-9426 [email protected] KATHERINE 23rd Ave 6340 23229- 735 1807939 06/08/2005 06/08/2022 Frazier, John William 1602 Rolling Hills Dr Rm 104 Richmond VA 804-754-7628 [email protected] 5012 FREDERICK, ZACHARY 18947- 736 2099767 09/23/2019 09/23/2022 6023a Kellers Church Rd Pipersville PA 302-668-8119 [email protected] BESON 1019 FREDERICKS, Donna 76549- 737 2152594 06/08/2021 06/08/2022 3006 Gus Dr Killeen TX 254-892-2122 [email protected] Michelle 3007 WILLIS OF NEW YORK, INC., 200 738 2083681 03/05/2019 03/05/2022 FREDRIKSSON, ANNA E NEW YORK NY 10281 212-915-8137 [email protected] LIBERTY STREET C/o Mark Edward Partners, 505 10022- 739 2109886 02/07/2020 02/07/2022 Freitas, Mark New York NY 561-655-1840 Park Ave Fl 5 9328 FRENCH, RICHARD [email protected] 740 2066176 08/13/2018 08/13/2022 230 PARK AVENUE, 4TH FLOOR NEW YORK NY 10169 917-789-3566 MAURICE m West Palm 33409- 741 2150168 05/12/2021 05/12/2022 Freudenthal, Ralph D 1801 S Australian Ave Ste 102 FL 561-307-6430 [email protected] Beach 6465 Haylor Freyer & Coon Inc, 300 S 13202- 742 1941511 09/18/2013 09/18/2022 Freyer, James D Syracuse NY 315-682-9522 [email protected] State St Ste 1000 2070 40 COMMERCE PLACE, 743 2104288 11/05/2019 11/05/2021 FRIEDER, ALAN B HICKSVILLE NY 11801 516-931-1414 SUITE#100
Page 34 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 600 SYLVAN AVE, SUITE 212, ENGLEWOOD 744 2109055 01/28/2020 01/28/2022 FRIEDMAN, PHILIP S NJ 07632 917-697-6070 [email protected] NEW JERSEY (NJ) CLIFFS 07960- 745 1954575 04/28/2014 04/28/2022 Friel, Paul A 445 South St Morristown NJ 908-518-0847 6475 Aon Risk Services Central, Inc., 19103- 746 2110950 02/24/2020 02/24/2022 FRIEL, TIMOTHY PATRICK Philadelphia PA 856-467-3312 [email protected] 1650 Market St Ste 1000 7306 92128- MFROEHLER@RISKINSBRO 747 2002002 04/25/2016 04/25/2022 FROEHLER, MISAKO 15025 Innovation Drive San Diego CA 858-350-2833 3409 KERS.COM 748 2140503 02/01/2021 02/01/2022 FRY, Robert C. 3651 N. LEAVITT STREET CHICAGO IL 60618 773-366-1302 19087- 749 2153955 06/21/2021 06/21/2022 FRY, ROBERT JAY 100 W Matsonford Rd Ste 200 Radnor PA 610-651-8267 [email protected] 4558 95831- 750 1915169 04/17/2012 04/17/2022 Fuller, Paul Roderick 19 Triumph Ct Sacramento CA 415-205-8648 [email protected] 4382 751 2063261 07/18/2018 07/18/2022 FULMER, RYAN JAIMES 2102 KIMBERTON RD, UNIT 966 KIMBERTON PA 19442 215-880-6563 [email protected] 60527- TRISTAN.GABRIEL@TDCSP 752 2082019 02/06/2019 02/06/2022 GABRIEL, TRISTAN A 15W252 62ND ST BURR RIDGE IL 630-655-5503 5203 ECIALTY.COM Arlington 60005- 753 2092455 06/25/2019 06/25/2022 GADDIS, CHRISTOPHER T 21 S Evergreen Ave Ste 220 IL 847-870-1344 [email protected] Heights 7800 C/o Starr Indemnity & Liability Co, 10022- janice.gaffney@starrcompanie 754 2005492 06/09/2016 06/09/2022 GAFFNEY, JANICE New York NY 516-785-5515 399 Park Avenue Mezzanine Floor 4614 s.com 10013- 755 2115765 05/26/2020 05/26/2022 GAGLIOTI, PAUL 154 Grand St New York NY 212-203-2412 [email protected] 3141 756 2126713 09/29/2020 09/29/2021 Gagner, Katherine Lynne 143 West Street, P.O. Box 90 Ware MA 01082 413-537-1671 [email protected] 757 2136869 12/12/2020 12/12/2021 Gagnon, Kathleen A 51 Drum Hill Rd Chelmsford MA 01824 978-484-1669 [email protected] Marsh Usa Inc., 1166 Avenue Of 10036- 758 2121209 08/06/2020 08/06/2022 Gaines, Michelle L New York NY 908-769-5454 The Americas 2708 94111- 759 1887550 08/11/2010 08/11/2022 Gaitley, Stephen L 50 California St Fl 12 San Francisco CA 415-391-2141 4646 10016- 760 2092276 06/21/2019 06/21/2022 Galanis, John James 171 Madison Ave Ste 401 New York NY 212-463-5589 [email protected] 5153 Arthur J. Gallagher & Co., 250 10177- 761 1951105 02/25/2014 02/25/2022 GALE, DAVID New York NY 201-919-7350 [email protected] Park Ave Fl 3 0506 1133 AVENUE OF THE 762 2121520 08/10/2020 08/10/2022 GALEA, MICHAEL SAMUEL NEW YORK NY 10036 917-573-9152 AMERICAS, SUITE 640 55435- [email protected] 763 2136146 12/03/2020 12/03/2021 Gallo, Natalie C 7550 France Ave S Ste 300 Minneapolis MN 781-684-7310 4765 m GALTNEY, PASCAL 77024- 764 1973936 01/30/2015 01/30/2022 820 Gessner Rd Ste 1850 Houston TX 713-932-5307 [email protected] MATTHEW 4274 765 2160474 08/23/2021 08/23/2022 GALVAN, FRANCISCO 7901 OAKPORT ST., 2800 OAKLAND CA 94621 800-657-5202 02109- 766 2050868 03/08/2018 03/08/2022 GANDOLFO, VINCENT III 53 State St Ste 2201 Boston MA 617-457-4639 [email protected] 2834 19103- 767 1982755 06/23/2015 06/23/2022 Ganguzza, Angelo T 2005 Market St Ste 1200 Philadelphia PA 267-825-9046 [email protected] 7008 Page 35 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 75230- [email protected] 768 2079659 12/26/2018 12/26/2021 GANNAWAY, MARK ALAN 5310 HARVEST HILL RD STE 200 DALLAS TX 972-855-3563 5827 om 769 1965145 10/07/2014 10/07/2022 Ganz, Felix 701 Martinsville Rd, Po Box 888 Liberty Corner NJ 07938 908-528-4643 [email protected] 16220 N SCOTTSDALE RD STE 85254- 770 1994539 12/04/2015 12/04/2021 GARCIA, Jennifer S SCOTTSDALE AZ 602-787-6102 600 1804 Dba Market International Ins. 02359- [email protected] 771 1031480 02/28/1999 02/28/2022 Garcia, Lisel Agency, 50 Mattakeesett St Ste Pembroke MA 508-209-2925 2531 om 20a 94111- 772 2112859 03/25/2020 03/25/2022 GARDEN, HOLLY DUGAN 388 Market St Ste 1300 San Francisco CA 916-250-2636 [email protected] 5316 GARDERE, HEATHER 63105- 773 2073943 10/26/2018 10/26/2021 8182 Maryland Ave Ste 250 Saint Louis MO 314-678-1200 [email protected] DANIS 4128 30009- 774 2063682 07/24/2018 07/24/2022 Garguilo, Michael Allan 2475 Northwinds Pkwy Ste 500 Alpharetta GA 610-862-2233 [email protected] 4812 75001- 775 2143714 03/05/2021 03/05/2022 GARNER, JOHN LYNN 15301 Dallas Pkwy Ste 500 Addison TX 713-594-4444 [email protected] 6707 ORLAND 60462- 776 2088403 04/26/2019 04/26/2022 GARZA, OLGA 13841 SOUTHWEST HWY IL 607-756-4970 [email protected] PARK 1354 Marsh Usa, Inc., 540 W Madison 60661- 777 1940469 09/04/2013 09/04/2022 Gasior, Tobias F. Chicago IL 630-789-6258 St Ste 1200 2591 05495- 778 1935762 06/18/2013 06/18/2022 Gaudette, Marie Freer 121 Connor Way Ste 250 Williston VT 802-391-2195 [email protected] 8236 10005- 779 1797662 06/30/2004 06/30/2022 Gautieri, Joseph Michael 140 Broadway Fl 36 New York NY 212-440-0755 1119 11787- 780 1838785 08/03/2007 08/03/2022 Gavaris, George M 93 E Main St Smithtown NY 877-242-9600 [email protected] 2802 300 COLONIAL CENTER 781 2119522 07/20/2020 07/20/2022 GAVER, ANNE CATHERINE ROSWELL GA 30076 470-500-1013 PARKWAY, SUITE 200 mgearhart@central- 782 2098301 09/10/2019 09/10/2022 GEARHART, MITCH 800 S. WASHINGTON ST. VAN WERT OH 45891 800-786-8932 insurance.com HUNTERSVIL 28078- michelle.gedney@bankofamer 783 2090106 05/22/2019 05/22/2022 GEDNEY, Michelle Rae 15026 SKYPARK DR NC 800-701-1361 LE 4319 ica.com c/o Webber & Grinnell, 8 North [email protected] 784 2150608 05/18/2021 05/18/2022 Geffin, Mathew Northampton MA 01060 413-246-5256 King St. om 10036- 785 1953279 04/03/2014 04/03/2022 Geiger, Richard W 1166 Ave of the Americas New York NY 732-317-9692 [email protected] 2708 63110- 786 1875036 10/06/2009 10/06/2022 Geimer, Catherine Lee 4220 Duncan Ave Ste 401 Saint Louis MO 847-953-7426 1108 C/o Genatt V Llc, 3333 New Hyde New Hyde 11042- 787 1948911 01/17/2014 01/17/2022 GENATT, RICHARD F NY 516-869-8666 [email protected] Park Rd Ste 400 Park 1205 Bruce Gendelman Company, 220 33480- 788 1936699 07/08/2013 07/08/2022 Gendelman, Joseph O Palm Beach FL 786-348-6071 [email protected] Sunrise Ave Ste 202 3803 Genser Insurance, 300 1st Ave 02494- 789 1983177 06/30/2015 06/30/2022 Genser, David Edward Needham MA 617-731-9342 [email protected] Ste 203 2738 Page 36 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date GENTILE, ANTONINO 02109- 790 1972300 01/07/2015 01/07/2022 53 State St Ste 2201 Boston MA 617-210-4963 [email protected] GIUSEPPE 2820 300 COLONIAL CENTER 791 2144878 03/17/2021 03/17/2022 GENTRY, DAWN ROSWELL GA 30076 203-413-1751 PARKWAY, SUITE 200 792 2160960 08/26/2021 08/26/2022 GEORGE, GIJU 11568 WAKE CIRCLE CYPRESS CA 90630 402-827-3432 GERWYCKI-CHAVES, C/O MARSH INC, 1166 AVE OF teresa.a.gerwycki- 793 1954870 05/01/2014 05/01/2022 NEW YORK NY 10036 631-345-0875 TERESA THE AMERICAS [email protected] 01775- [email protected] 794 1796096 05/10/2004 05/10/2022 Getchell, Benjamin Raymond 183 Great Rd #15 Stow MA 978-464-5429 2105 m 1000 WILSHIRE BLVD., 22ND LOS 795 2142006 02/17/2021 02/17/2022 GHARIBIAN, ANAHIT CA 90017 818-445-8538 FLOOR ANGELES Arthur J Gallagher & Co, 15 S 29601- 796 1833359 03/08/2007 03/08/2022 Giambalvo, William C Greenville SC 864-420-1743 [email protected] Main St Ste 900 2750 797 1031285 03/26/1999 03/26/2022 Giandomenico, Albert A 40 Front Street Walpole MA 02081 508-668-0982 [email protected] 798 1982058 06/10/2015 06/10/2022 Giandomenico, Alexandra 40 Front Street Walpole MA 02081 508-668-8064 799 1982059 06/10/2015 06/10/2022 Giandomenico, Donna J 40 Front Street Walpole MA 02081 508-668-2994 [email protected] 800 2133860 11/09/2020 11/09/2021 GIANNAKOULIS, ASHLEY 177 MAIN STREET FALMOUTH MA 02540 508-292-7307 [email protected] 801 1894199 12/14/2010 12/14/2021 Gibson, Charles William Jr. 36 Washington Street Wellesley MA 02481 339-203-0505 m 802 2118095 07/01/2020 07/01/2022 Gibson, Edward Hoyt 36 Washington Street Wellesley MA 02481 339-206-6517 [email protected] 803 1831857 01/24/2007 01/24/2022 Gibson, Robert Vincent 88 Pine Street 5th Floor NewYork NY 10005 212-858-8900 GILBERT, BENEDICT 804 2035605 09/22/2017 09/22/2022 125 GREENWICH AVENUE GREENWICH CT 06830 203-622-6006 [email protected] CHRISTOPHER 300 COLONIAL CENTER PKWY 805 2074610 11/05/2018 11/05/2021 GILES, KATHRYN CHLOE ROSWELL GA 30076 800-444-4813 [email protected] SUITE 200 Cbiz Insurance Services, Inc, 700 64112- 806 1998680 02/26/2016 02/26/2022 GILL, MICHAEL JOSEPH Kansas City MO 816-945-5141 [email protected] W 47th St Ste 1100 2050 Arthur J Gallagher & Co, 300 S 60606- 807 2004617 05/24/2016 05/24/2022 GILLESPIE, JEREMY Chicago IL 720-524-3680 [email protected] Riverside Plz Ste 1500 6637 10006- 808 2145294 03/22/2021 03/22/2022 Gillin, James Brian 165 Broadway New York NY 847-771-0065 1404 98119- 809 1948590 01/13/2014 01/13/2022 Gillingham, Thomas Andrew 1900 W Nickerson St Ste 300 Seattle WA 303-513-2753 [email protected] 1650 810 2137228 12/17/2020 12/17/2021 GILLIS, Jennifer Lee 1 HOLYOKE SQUARE SALEM MA 01970 508-284-4122 [email protected] 02494- 811 2139123 01/15/2021 01/15/2022 Giovanucci, Kevin Francis 958 Highland Ave Needham MA 508-238-5256 [email protected] 1256 53783- 812 2060674 06/21/2018 06/21/2022 GISI, GREGORY V 6000 AMERICAN PKWY MADISON WI 608-242-4100 [email protected] 0001 44113- [email protected] 813 2147598 04/15/2021 04/15/2022 GITERMAN, ALEX 950 Main Ave Ste 1600 Cleveland OH 216-623-4134 7201 M GITTELMAN, MARC 814 2125135 09/16/2020 09/16/2021 950 TOWER LANE, 14TH FLOOR FOSTER CITY CA 94404 402-827-3432 [email protected] CHARLES
Page 37 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 13420 Park Commons Blvd, Suite 815 2018135 12/14/2016 12/14/2021 Giuliani Santos, Christina Fort Meyers FL 33912 781-706-9870 [email protected] 105 FORT 33301- 816 2085907 03/21/2019 03/21/2022 GLASSMAN, EVAN 1 W LAS OLAS BLVD STE 200 FL 561-929-3188 [email protected] LAUDERDALE 1852 Arthur J. Gallagher & Co. Ins 91203- 817 1858539 09/19/2008 09/19/2022 Glickman, Alexandra Salima Brokers Of Ca, 505 N Brand Blvd Glendale CA 818-769-4552 [email protected] 3944 Ste 600 Arthur J Gallagher & Co, 250 Park 10177- 818 2125136 09/16/2020 09/16/2022 Godfrey, Francis T New York NY 212-994-7022 [email protected] Ave Fl 3 0506 35242- 819 1903012 08/02/2011 08/02/2022 Godfrey, James Harold 100 Corporate Pkwy Ste 2 Birmingham AL 205-995-0713 2982 77019- alan.godso@worthaminsuranc 820 1848483 02/26/2008 02/26/2022 Godso, Alan Kurt 2929 Allen Pkwy Houston TX 832-360-0167 7100 e.com 821 1880712 02/24/2010 02/24/2022 Godwin, James Creighton One 13th St Charlestown MA 02129 781-492-0096 [email protected] 05446- 822 2019337 01/10/2017 01/10/2022 Goedken, Andrea J 236 Justin Morgan Dr Colchester VT 802-872-0717 7136 59 ROUTE 59, SUITE 148, 59 823 2096488 08/19/2019 08/19/2022 GOLDBERG, BEN Z MONSEY NY 10952 845-425-8266 ROUTE 59, SUITE 148 02116- 824 1891868 11/04/2010 11/04/2021 Goldberg, Joan L 192 Commonwealth Ave Apt 3 Boston MA 617-513-1578 [email protected] 2712 02115- 825 1926256 12/06/2012 12/06/2021 Goldfien, Benjamin Jay 177 Huntington Ave Ste 1703 Boston MA 508-339-0564 [email protected] 3153 R-t Specialty, Llc, 1345 Avenue Of 10105- Michelle.goldman@rtspecialty. 826 1844507 11/19/2007 11/19/2021 Goldman, Michelle Jean New York NY 212-437-1416 The Americas Fl 4 0302 com GOLDMAN, SHELDON Arthur J. Gallagher & Co., 2600 S Bloomfield 48302- 827 2028036 06/06/2017 06/06/2022 MI 248-332-3100 [email protected] ARTHUR Telegraph Rd Ste 100 Hills 0968 GOLDSMITH, GRANT 60173- 828 2076468 11/19/2018 11/19/2021 1475 E Woodfield Rd Ste 500 Schaumburg IL 832-599-3421 [email protected] EDWIN 4903 5185 PEACHTREE PKWY STE 30092- 829 2045475 01/10/2018 01/10/2022 GOLDTHORP, ZANE W NORCROSS GA 770-200-8000 [email protected] 230 6539 830 2124502 09/10/2020 09/10/2022 GOLZ, RICHARD H 200 E. RANDOLPH STREET CHICAGO IL 60601 312-381-5587 C/O MARSH USA INC, 1166 831 2026646 05/10/2017 05/10/2022 GOMEZ, JULIO NEW YORK NY 10036 908-688-4037 [email protected] AVENUE OF THE AMERICAS GONZALEZ, GUILLERMO Alliant Insurance Services, Inc., 90071- [email protected] 832 1951784 03/07/2014 03/07/2022 Los Angeles CA 818-844-2020 ERNESTO 333 S Hope St Ste 3700 3046 m ARTHUR J. GALLAGHER & CO., HUNT 21031- 833 2157911 07/30/2021 07/30/2022 GOODE, MICHAEL MD 410-750-0876 11311 MCCORMICK RD STE 450 VALLEY 8623 19103- 834 1979719 04/28/2015 04/28/2022 GOODMAN, SARAH 1650 Market St Ste 1000 Philadelphia PA 215-255-1901 [email protected] 7306 10281- 835 2156196 07/14/2021 07/14/2022 GOODWIN, BRENDAN 200 LIBERTY ST NEW YORK NY 212-309-3723 1003 30327- 836 1870431 06/24/2009 06/24/2022 Goodwyne, James C 4401 Northside Pkwy NW Ste 800 Atlanta GA 404-450-9668 3093
Page 38 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date WILLIS TOWERS WATSON MIDWEST INC, 8400 MINNEAPOLI 55437- 837 2131889 10/23/2020 10/23/2021 GORDON, DENISE N MN 763-302-7158 NORMANDALE LAKE BLVD STE S 3837 1700 Whitehouse 08889- 838 1903969 08/22/2011 08/22/2022 Gordon, Joann 202 Halls Mill Rd NJ 908-572-2308 Station 3435 C/o Marsh Usa Inc, 1166 Avenue 10036- 839 1872032 08/03/2009 08/03/2022 Gorman, Maureen A New York NY 917-573-3968 Of The Americas 2708 10006- 840 1981742 06/03/2015 06/03/2022 Gormley, Sean P 165 Broadway New York NY 212-441-1215 1404 U.s. Risk, Inc., 8401 N Central 75225- 841 1783593 06/05/2003 06/05/2022 Goss, Randall George Dallas TX 469-335-8966 [email protected] Expy Ste 1000 4405 Apogee Insurance Group, 1170 19087- 842 1858228 09/23/2008 09/23/2022 Gotro, Ryan Thomas Wayne PA 610-466-0377 [email protected] Devon Park Dr 2128 C/o Marsh Usa Inc, 1166 Avenue 10036- 843 1868485 05/08/2009 05/08/2022 Gould, Martin T New York NY 718-845-0820 Of The Americas 2708 MANCHESTE 844 2151988 06/01/2021 06/01/2022 GOW, ETHAN 1000 ELM STREET, SUITE 1900 NH 03101 603-219-2242 R GRACE, KENNETH 30263- 845 2125629 09/21/2020 09/21/2022 47 Postal Pkwy Newnan GA 770-463-0588 MERRILL 2885 846 2085609 03/19/2019 03/19/2022 GRACE, MARIA JOSE 28 STATE ST BOSTON MA 02109 781-646-3898 847 2136839 12/11/2020 12/11/2021 GRAF, SARAH 4916 E BROADWAY STE 200 MADISON WI 53716 608-212-1563 06901- 848 1944845 10/29/2013 10/29/2021 GRAFSTEIN, DAVID 1010 Washington Blvd Fl 9 Stamford CT 203-461-9943 [email protected] 2202 849 1876242 10/28/2009 10/28/2021 Graham, Bruce W 51 Mill Street, Suite E-20 Hanover MA 02339 781-709-0400 [email protected] 01867- [email protected] 850 2061384 07/04/2018 07/04/2022 Graham, Charlene R 64 Grand St Reading MA 781-944-9199 2413 m Alliant Insurance Services, Inc., 90071- 851 1905654 09/26/2011 09/26/2022 Graham, Craig Scott Los Angeles CA 213-443-2462 333 S Hope St Ste 3750 3047 89128- 852 1951361 02/28/2014 02/28/2022 GRAHAM, FELEESHA 7201 W Lake Mead Blvd Ste 400 Las Vegas NV 702-823-6022 [email protected] 8366 02109- 853 1868482 05/08/2009 05/08/2022 Graham, John W Jr. 53 State St Ste 2201 Boston MA 617-457-7608 2820 Graham-Helwig, Roland 94402- 854 1918672 07/11/2012 07/11/2022 1528 S El Camino Real Ste 309 San Mateo CA 650-207-5500 Henry 3067 5420 LYNDON B JOHNSON FWY 75240- 855 2114017 04/20/2020 04/20/2022 GRAMM, MICHAEL DALLAS TX 210-949-9107 [email protected] STE 1100 2345 02176- 856 2135766 11/26/2020 11/26/2021 GRAVEL, LESLIE A 91 Crescent Ave Melrose MA 617-351-7517 [email protected] 4525 01880- 857 2053172 03/29/2018 03/29/2022 Gregory, Thomas Ian III 201 Edgewater Dr Ste 293 Wakefield MA 781-435-6080 [email protected] 6252 30076- CGRESHAM@PUREPROGR 858 2077568 12/06/2018 12/06/2021 GRESHAM, CHANZODIA 300 Colonial Center Pkwy Ste 200 Roswell GA 914-367-1888 8844 AMS.COM
Page 39 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date GRESHAM, JAMES Amwins Access Insurance 30281- BTHOMPSON@GRESHAMIN 859 1947047 12/09/2013 12/09/2021 Stockbridge GA 770-233-0135 ANTHONY Services, Llc, 1 Gresham Lndg 6341 C.COM 300 WILSON ROAD, BUILDING NANCY.GRESHAM@SHUINS 860 2021802 02/21/2017 02/21/2022 GRESHAM, NANCY ANN GRIFFIN GA 30224 678-688-3677 300 .COM Progressive Insurance, 300 861 2149404 05/05/2021 05/05/2022 Griffin, Ryan P Woburn MA 01801 603-329-2841 Unicorn Park Dr 98005- 862 1915806 05/01/2012 05/01/2022 Griffin, Van C 2375 130th Ave Ne Bellevue WA 425-456-0135 1758 PROFESSIONAL RISK GRIMES, FREDERICK 07059- 863 2108679 01/22/2020 01/22/2022 SOLUTIONS, 37 MOUNTAIN WARREN NJ 908-834-8401 [email protected] ARTHUR 2622 BLVD STE 3 30326- 864 2026157 05/02/2017 05/02/2022 GRIMES, LINDSAY 3560 Lenox Rd Ne Atlanta GA 770-880-1127 [email protected] 4266 Amwins Brokerage Of New 06032- 865 2106348 12/09/2019 12/09/2021 Grindle, Gary Libby Farmington CT 860-777-2821 England, Llc, 308 Farmington Ave 1913 01748- 866 2154109 06/23/2021 06/23/2022 GRISE, JOHN M 35 Parkwood Dr Hopkinton MA 704-943-9000 [email protected] 1699 02115- 867 2026810 05/13/2017 05/13/2022 GRISWOLD, JACK 177 Huntington Ave Ste 1703 Boston MA 978-369-1059 [email protected] 3153 APPLIED RISK SERVICES, INC., 868 2115341 05/18/2020 05/18/2022 GROSS, JOSEPH ALAN OMAHA NE 68154 402-203-3337 10805 OLD MILL ROAD 07656- 869 2091835 06/17/2019 06/17/2022 Grossberg, Matthew S 229 Cambridge Oaks Park Ridge NJ 917-414-5483 [email protected] 2617 GROWNEY, JOHN 48348- 870 1923651 10/25/2012 10/25/2021 8031 Ortonville Rd Ste 100 Clarkston MI 248-568-1001 [email protected] GUINNAN 4485 871 2026184 05/03/2017 05/03/2022 Gruenberg, Stephen P 4 Punchard Avenue Andover MA 01810 978-604-1681 [email protected] HOLMES, MURPHY AND CEDAR 52401- 872 2087191 04/08/2019 04/08/2022 GRUIS, MICHELLE R ASSOCIATES, LLC, 201 1ST ST IA 319-551-9959 RAPIDS 1424 SE STE 700 WORTHINGT 43085- 873 2049852 02/20/2018 02/20/2022 GUARASCI, RALPH 7100 N HIGH ST STE 300 OH 614-848-3000 [email protected] ON 2316 10006- 874 1912214 02/02/2012 02/02/2022 Guarino, Vincent Joseph 165 Broadway New York NY 646-276-8629 1404 02109- 875 1922728 10/10/2012 10/10/2022 Guerrero, Joseph Michael 53 State St Ste 2201 Boston MA 781-875-1320 2820 Guy Carpenter Broking, 1166 Ave 10036- 876 2017056 11/25/2016 11/25/2021 Guerriero, Frank W New York NY 516-364-6552 Of The Americas 2708 10017- 877 2115482 05/20/2020 05/20/2022 Guiltinan, Timothy J 555 5th Ave Fl 10 New York NY 908-334-4003 [email protected] 2416 44114- Drew.gunn@willistowerswatso 878 1985774 08/06/2015 08/06/2022 GUNN, ANDREW BARTON 1001 Lakeside Ave E Ste 1500 Cleveland OH 614-326-4933 1151 n.com 879 2156195 07/14/2021 07/14/2022 GUO, HONG 445 PARK AVENUE, 9TH FLOOR NEW YORK NY 10022 203-817-7170
Page 40 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 68102- LICENSING@NATIONALIND 880 2053898 04/09/2018 04/09/2022 GUPTA, RAKESH 1314 Douglas St Ste 1400 Omaha NE 402-916-3030 1944 EMNITY.COM 881 2053145 03/28/2018 03/28/2022 GUSTAFSON, CAROLYN 200 E. RANDOLPH STREET CHICAGO IL 60601 312-381-5699 [email protected] 882 1880243 02/10/2010 02/10/2022 Guy, Steven G 5 Centennial Drive Peabody MA 01960 978-884-9700 [email protected] 883 2072983 10/17/2018 10/17/2021 HA, EDWARD S 217-04 NORTHERN BLVD BAYSIDE NY 11361 718-461-8300 [email protected] 884 2153696 06/17/2021 06/17/2022 Haase, Steven Harold 1301 Hightower Trail, Suite 120 Atlanta GA 30305 678-691-5378 [email protected] HACKETT, TANNER 91789- 885 2108045 01/13/2020 01/13/2022 340 S LEMON AVE # 7008 WALNUT CA 949-939-3654 KENNETH 2706 886 1810296 08/03/2005 08/03/2022 Hagan, Philip Stephen 7557 Rambler Road, Suite 300 Dallas TX 75231 214-265-2637 [email protected] 07722- 887 2105291 11/19/2019 11/19/2021 HAGGER, DOMINIC J 14 OLD STABLE WAY COLTS NECK NJ 732-577-0935 2217 888 2139352 01/19/2021 01/19/2022 HAGGERTY, RYAN 103 CONANT ROAD, NH NASHUA NH 03062 603-521-7956 [email protected] 32751- 889 2140621 02/02/2021 02/02/2022 Hagle, Christopher Russell 240 Lookout Pl Maitland FL 321-274-2754 4492 HAGOOD, CAROLINE 300 COLONIAL CENTER PKWY 890 2088969 05/06/2019 05/06/2022 ROSWELL GA 30076 914-367-1888 [email protected] REARDEN SUITE 200 1325 AVENUE OF THE 10019- 891 2005491 06/09/2016 06/09/2022 HAHN, KEVIN M NEW YORK NY 212-293-2929 [email protected] AMERICAS 6026 892 2086805 04/03/2019 04/03/2022 Haldeman, Harry H. 800 W. 6th Street, Suite 1800 Los Angeles CA 90017 213-236-4597 [email protected] 11556- 893 2139878 01/25/2021 01/25/2022 HALEY, ROBERT 725 RXR PLZ UNIONDALE NY 631-335-6844 3817 894 1863905 01/22/2009 01/22/2022 Hall, Alisa Lynn 6301 Southwest Blvd, Suite 101 Fort Worth TX 76132 817-738-6899 [email protected] Arthur J Gallagher & Co., 4000 08054- 895 1970797 12/09/2014 12/09/2021 Hall, Brian James Mount Laurel NJ 610-399-1809 Midlantic Dr Ste 200 1558 105 BLUEGRASS COMMONS HENDERSON 37075- 896 2156194 07/14/2021 07/14/2022 HALL, SANDY JOY TN 615-943-2346 BLVD STE C VILLE 2772 897 2018077 12/14/2016 12/14/2021 Hall, Timothy 420 Washington St Braintree MA 02185 781-952-4146 CHARLESTO 898 2156193 07/14/2021 07/14/2022 HALL, WILLIAM 19 ENGEL STREET SC 29403 207-756-0997 N 60606- 899 2136311 12/04/2020 12/04/2021 HALLSTROM, DAVID 233 S WACKER DR STE 2000 CHICAGO IL 312-288-7859 6400 11791- 900 1980914 05/18/2015 05/18/2022 HALPERN, JOSHUA DAVID 1238 Moores Hill Rd Syosset NY 816-960-9000 [email protected] 9631 77056- Pamela.Robberson@impactris 901 1880323 02/12/2010 02/12/2022 Halvorsen, Marc Vern 5444 Westheimer Rd Ste 900 Houston TX 832-485-4034 5306 ksolutions.com 10036- 902 2144417 03/12/2021 03/12/2022 Hambsch, Eva-Marie 1166 Avenue Of The Americas New York NY 203-226-9910 [email protected] 2708 98021- 903 2103814 10/30/2019 10/30/2021 HAMBY, MICHAEL E 22522 29th Dr SE Ste 212 Bothell WA 206-340-8489 [email protected] 4443 BEAZLEY USA SERVICES, INC., 06032- [email protected] 904 1954257 04/22/2014 04/22/2022 HAMILTON, CAROL A FARMINGTON CT 860-677-3709 30 BATTERSON PARK RD 2579 m
Page 41 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Alliant Insurance Services, Inc., 92123- 905 1977841 03/26/2015 03/26/2022 HAMILTON, TYLER MARK San Diego CA 858-505-4011 [email protected] 9665 Chesapeake Dr Ste 220 1349 Schager Hampson Aviation 01730- 906 1999674 03/15/2016 03/15/2022 Hampson, David Bradley Insurance Agency Llc, 200 Bedford MA 603-502-6730 [email protected] 2620 Hanscom Dr Ste 309 2121 Lohman's Crossing Road,, 78734- 907 2047627 01/30/2018 01/30/2022 HAMPTON, Jason Wade Lakeway TX 512-261-9071 Suite 504-297 5217 19087- 908 2029042 06/22/2017 06/22/2022 Haney, Patricia H 5 Radnor Corporate Ctr Radnor PA 610-254-5663 4542 PROFESSIONAL LIABILITY INSURANCE SERVICE, 5802 78645- 909 2079394 12/19/2018 12/19/2021 HANLEY, DAVID JOHNSON LAGO VISTA TX 512-267-7437 [email protected] THUNDERBIRD ST BLDG 10 STE 5887 100 Propel Insurance, 1201 Pacific 98402- [email protected] 910 1885527 06/24/2010 06/24/2022 Hanley, Elim A Tacoma WA 253-759-2200 Ave Ste 1000 4321 om HANLEY, PATRICK Socius Insurance Services, Inc., 94596- [email protected] 911 2106267 12/06/2019 12/06/2021 Walnut Creek CA 415-796-0601 EDMUND 1350 Carlback Ave 7299 m ROONEY INSURANCE AGENCY, 74146- kevin.hanover@rooneyinsuran 912 2070945 09/25/2018 09/25/2022 HANOVER, KEVIN LYNN INC., 4700 S GARNETT RD STE TULSA OK 918-274-9122 5222 ce.com 200 Arthur J Gallagher & Co, 1625 K 20006- [email protected] 913 1993982 11/23/2015 11/23/2021 HANSARD, LARRY Washington DC 214-507-3564 St NW Ste 330 1618 M 35801- 914 2158309 08/04/2021 08/04/2022 Harbarger, Mark Phillips 201 Washington St Ne Huntsville AL 256-551-0060 [email protected] 4844 94105- 915 2080569 01/11/2019 01/11/2022 HARIPRASAD, VISHAAL 625 Market St Ste 200 San Francisco CA 561-234-0190 [email protected] 3304 02451- [email protected] 916 2026959 05/17/2017 05/17/2022 HARNDEN, ERIC H 1601 Trapelo Rd Ste 280 Waltham MA 617-413-7464 7341 M Alliant Insurance Services, Inc., 60654- vertafore@license- 917 1808098 06/09/2005 06/09/2022 Harney, John Patrick Chicago IL 312-595-7347 353 N Clark St Fl 11 4704 support.com 85051- dharnois@affinityagencygroup 918 2151253 05/24/2021 05/24/2022 Harnois, David A 3320 W Cheryl Dr Ste B122 Phoenix AZ 480-214-3698 9560 .com 919 2160473 08/23/2021 08/23/2022 HARPAZ, MEITAV 150 FOREST AVE PALO ALTO CA 94301 650-810-3452 89148- [email protected] 920 2035974 09/27/2017 09/27/2022 HARPER, BRENT TRAVIS 8918 Spanish Ridge Ave Ste 200 Las Vegas NV 800-592-0047 1528 M 921 2159108 08/11/2021 08/11/2022 HARPER, COLIN 2708 KENNEDY ST HOUSTON TX 77003 847-254-8083 02494- 922 1818998 03/08/2006 03/08/2022 Harper, Robert S Jr. 50 Cabot St Needham MA 508-481-1820 [email protected] 2819 94111- 923 2103543 10/28/2019 10/28/2021 HARRIS, ALBERT RHEA 388 Market St Ste 1300 San Francisco CA 916-416-8500 [email protected] 5316 HARRIS, ANASTASIA 80205- 924 2144291 03/11/2021 03/11/2022 2825 LARIMER ST DENVER CO 713-819-5586 NICHOLE 2222
Page 42 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date LIBERTY INSURANCE MILLSTONE 925 2053457 04/03/2018 04/03/2022 HARRIS, ANDREW C ASSOCIATES, 525 STATE HWY NJ 08535 732-501-4040 [email protected] TWP. 33 Alliant Insurance Services, Inc., Thousand 91360- 926 1848715 02/28/2008 02/28/2022 Harris, Blaise Andrew CA 206-454-8020 325 E Hillcrest Dr Ste 250 Oaks 7791 MONTGOMER 927 2157502 07/27/2021 07/27/2022 HARRIS, DONALD WAYNE 3500 EASTERN BOULEVARD AL 36116 334-244-2517 Y Assuredpartners Gulf Coast 70501- Lori.migues@assuredpartners 928 1964478 09/29/2014 09/29/2022 Harris, Frankie S III Insurance Agency, Llc, 600 Lafayette LA 337-266-2365 8922 .com Jefferson St Ste 200 92705- 929 1848201 02/13/2008 02/13/2022 Harris, Laurie Jean 2677 N Main St Ste 600 Santa Ana CA 714-480-3625 [email protected] 6629 HARRIS, LILAH 300 COLONIAL CENTER DR STE 930 2042892 12/08/2017 12/08/2021 ROSWELL GA 30076 770-462-2453 [email protected] ALEXANDER 200 Quadrant Ins Managers, 501 W 43081- 931 1828188 10/11/2006 10/11/2022 Harris, Mark D Westerville OH 740-548-4418 [email protected] Schrock Rd Ste 301 8049 Arthur J Gallagher & Co, 250 Park 10177- 932 1918384 07/05/2012 07/05/2022 Harrison, William W New York NY 609-436-4853 [email protected] Ave Fl 3 0506 91355- virginia@yourinsuranceresour 933 1944757 10/28/2013 10/28/2021 Hart, Virginia S 25020 Avenue Stanford Ste 110 Valencia CA 661-257-6242 4672 ce.com HARTMAN, STEVEN 934 2149405 05/05/2021 05/05/2022 8308 SOCIETY PLACE RALEIGH NC 27615 919-830-0907 JAMES HARTMANN, ALFRED WASHINGTO 20006- 935 2116539 06/08/2020 06/08/2022 2001 K ST NW STE 625N DC 703-729-1903 ANTHONY N 1037 HARTMANN, Thomas Arthur J. Gallagher & Co., 200 07981- 936 2123845 09/03/2020 09/03/2022 Whippany NJ 973-818-4635 [email protected] Michael Jefferson Park 1069 Healthcare Professionals Services, 30043- 937 2140620 02/02/2021 02/02/2022 Harvey, Parker Lawrenceville GA 214-282-1570 Inc., 313 Swanson Dr 8533 Liberty Mutual Insurance - 02116- [email protected] 938 2057496 05/22/2018 05/22/2022 Harvey, Steven Richard Boston MA 617-281-1899 Mailstop T07a, 175 Berkeley St 5066 om 98012- 939 2048714 02/15/2018 02/15/2022 HASKELL JR, John C 1313 141ST ST SE MILL CREEK WA 415-226-4312 1362 SENTRYWEST/MIKE HASLAM, SALT LAKE 940 2150008 05/11/2021 05/11/2022 HASLAM, MICHAEL JOHN UT 84109 801-943-8629 P.O. BOX 9289 CITY 90071- 941 2138262 01/05/2021 01/05/2022 HAU, DAVID 633 W 5th St Ste 1200 Los Angeles CA 323-610-3159 [email protected] 2095 01757- 942 1859075 10/22/2008 10/22/2021 Haughey, Devin Barry 194 West St Ste 7 Milford MA 508-277-0300 [email protected] 2274 48226- 943 2127071 09/30/2020 09/30/2022 HAUPT, THOMAS J 151 W CONGRESS ST STE 420 DETROIT MI 248-856-5676 3204 85016- arlene_stevens@wellsfargois. 944 1910875 12/22/2011 12/22/2021 Havard, William Jay 2375 E Camelback Rd Ste 250 Phoenix AZ 480-657-0899 3491 com 12801- 945 2027546 05/25/2017 05/25/2022 Hay, Loreen Michelle 333 Glen St Ste 302 Glens Falls NY 518-654-6812 [email protected] 3578
Page 43 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 946 2023206 03/16/2017 03/16/2022 Haynes, Roger A 470 Atlantic Avenue Boston MA 02210 617-696-9131 [email protected] 29585- [email protected] 947 2045938 01/18/2018 01/18/2022 HAYS, DAVID E 241 Willbrook Blvd Pawleys Island SC 843-286-5144 7789 m 33761- 948 2155034 07/01/2021 07/01/2022 HAYS, MATHEW LEWIS 2535 Landmark Dr Ste 102 Clearwater FL 813-431-2213 [email protected] 3930 33480- 949 1884060 05/19/2010 05/19/2022 Heath, David N 140 Royal Palm Way Palm Beach FL 646-379-7135 4279 94133- 950 2088480 04/29/2019 04/29/2022 HEDGE, TRAVIS RICHARD 831 Montgomery St San Francisco CA 614-946-4981 [email protected] 5108 Alliant Insurance Services, Inc., 10 95113- 951 1849220 03/10/2008 03/10/2022 Hefferman, Michael Joseph San Jose CA 408-352-6701 [email protected] Almaden Blvd Ste 650 2237 08690- 952 2114101 04/21/2020 04/21/2022 HEFT, JOHN 2465 Kuser Rd Ste 202 Hamilton NJ 610-639-7279 3310 02171- 953 2083197 02/26/2019 02/26/2022 Hegarty, John F 2 Heritage Dr Ste 301 Quincy MA 781-335-5027 [email protected] 2165 954 2129202 10/09/2020 10/09/2022 HEINRICH, STEPHEN 8821 DAVIS BLVD, SUITE 500 KELLER TX 76248 305-773-7672 45202- 955 1889110 09/22/2010 09/22/2022 Hellman, Robert M 312 Elm St Fl 24 Cincinnati OH 513-312-0556 2701 HELSTEN, DAVID 85012- 956 2017961 12/12/2016 12/12/2021 5225 N CENTRAL AVE STE 110 PHOENIX AZ 602-505-9770 [email protected] CHARLES 1400 91203- 957 1993903 11/20/2015 11/20/2021 Henderson, Jerry Franklin 505 N Brand Blvd Ste 600 Glendale CA 818-790-0256 [email protected] 3944 958 2107484 01/02/2020 01/02/2022 HENDERSON, KATIE L 41 LIBERTY HILL RD, BLDG 2 HENNIKER NH 03242 603-547-7981 Alliant Insurance Services, Inc., 20151- [email protected] 959 2095115 08/01/2019 08/01/2022 HENKEN, DOUGLAS JOHN Chantilly VA 267-757-7164 4530 Walney Rd Ste 200 2285 M 11786- 960 1847203 01/28/2008 01/28/2022 Henry, Brendan C 127 Briarcliff Rd Shoreham NY 631-271-1721 [email protected] 1001 75001- 961 2138263 01/05/2021 01/05/2022 HENRY, DAVID SCOTT 15301 Dallas Pkwy Ste 500 Addison TX 361-550-1903 6707 75231- 962 1857952 09/24/2008 09/24/2022 Herbert, Andrew John 7557 Rambler Rd Ste 300 Dallas TX 214-672-2739 [email protected] 2388 Willis Towers Watson Insurance 85254- Darlene.herdrich@willistowers 963 1898766 04/12/2011 04/12/2022 Herdrich, Darlene G Services West, Inc., 16220 N Scottsdale AZ 602-787-6063 1804 watson.com Scottsdale Rd Ste 600 964 1850089 03/24/2008 03/24/2022 Herlihy, Michael 859 Willard St, Suite 320 Quincy MA 02169 508-303-0805 [email protected] Insurance Marketing Agencies, 01608- 965 2019707 01/18/2017 01/18/2022 Herman, Peter Howard Worcester MA 508-753-7233 [email protected] Inc., 306 Main St 1550 Herman-Strohecker, Laura 01608- 966 2111663 03/06/2020 03/06/2022 306 Main St Worcester MA 508-471-1135 [email protected] Beth 1550 78230- [email protected] 967 2069424 09/10/2018 09/10/2022 HERNANDEZ, ROGELIO 9830 Colonnade Blvd San Antonio TX 210-487-9263 2202 om 80601- 968 2000163 03/23/2016 03/23/2022 Herr, Matthew Robert 123 N Main St Brighton CO 303-842-2203 [email protected] 1626
Page 44 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date HERRINGTON, CECIL 23230- 969 1943197 10/08/2013 10/08/2022 3435a W Leigh St Richmond VA 804-288-8717 [email protected] PRESTON III 4441 75056- 970 1786949 09/22/2003 09/22/2022 Herrmann, Carl Ludwig III 624 Royal Minister Blvd Lewisville TX 626-375-7100 [email protected] 6397 OKLAHOMA 971 2094192 07/22/2019 07/22/2022 HERVIG, ANGELA 13439 BROADWAY EXT STE 200 OK 73114 405-501-7408 CITY 02110- 972 1946919 12/06/2013 12/06/2021 HESTER, ABIGAIL A 99 High St Boston MA 781-773-1934 [email protected] 2320 INSURICA, 5100 N CLASSEN OKLAHOMA 73118- 973 2106266 12/06/2019 12/06/2021 HESTER, JOHN G OK 405-523-2100 [email protected] BLVD STE 300 CITY 5263 66210- 974 1808171 06/10/2005 06/10/2022 Hewitt, Jeffrey Byron 10895 Lowell Ave Ste 300 Overland Park KS 913-652-7500 1679 C/o Willis Of New York Inc, 200 10281- 975 1921038 09/05/2012 09/05/2022 Hicks, Kenneth S. New York NY 212-915-8712 Liberty St 1003 02108- 976 2148403 04/27/2021 04/27/2022 HILARIO, BENTON 1 Beacon St Fl 15 Boston MA 617-482-4700 [email protected] 3107 91765- 977 2122905 08/24/2020 08/24/2022 Hildebrand, William Andrew 1008 Hourglass Pl Diamond Bar CA 909-860-2741 [email protected] 4276 Hill Program Managers, 155 S 80209- 978 2065587 08/06/2018 08/06/2022 Hill, Michael J Denver CO 303-549-3182 [email protected] Madison St Ste 302 3014 18901- dpilla@signaturecaptivesolutio 979 2027013 05/17/2017 05/17/2022 Hill, Robert Brian 196 W Ashland St Doylestown PA 215-918-2017 4040 ns.com 84004- larry.hilton@dominioninsuranc 980 1969352 11/18/2014 11/18/2021 Hilton, Lawrence Dean 341 S Main St Ste 100 Alpine UT 801-492-1710 1999 e.com 981 2113204 04/01/2020 04/01/2022 HILTON, WESLEY CARL 341 S. MAIN STREET, SUITE 100 ALPINE UT 84004 925-457-4615 J.a. Hinke & Company, Inc, 1031 West Des 982 2142008 02/17/2021 02/17/2022 HINKE, Joseph Alan IA 50263 515-865-4809 [email protected] Office Park Rd Ste 1 Moines 983 1887469 08/09/2010 08/09/2022 Hintze, Scott Edward 6200 South Gilmore Rd Fairfield OH 45014 513-755-7737 01608- 984 2007445 07/15/2016 07/15/2022 Hirbour, Lisa M 446 Main St Ste 1403 Worcester MA 508-476-3728 [email protected] 2361 HOFFBERGER, CHARLES HOFFBERGER INSURANCE 985 2131909 10/23/2020 10/23/2021 BALTIMORE MD 21209 410-853-7883 PETER GROUP, 5700 SMITH AVE 02481- ghoffman@hoffmaninsurance. 986 1623553 06/20/2001 06/20/2022 Hoffman, Gregory G 16 Laurel Ave Ste 220 Wellesley Hills MA 617-281-2103 7531 com HOFFMANN, STEPHEN [email protected] 987 1959098 07/17/2014 07/17/2022 29 HUNTINGTON LITTLE ROCK AR 72207 501-661-1417 FREDRIC OM Arthur J Gallagher & Co., 615 E 73114- 988 1996532 01/19/2016 01/19/2022 Hogue, Michael C Oklahoma City OK 405-471-6470 Britton Rd 7710 HOHLBEIN, JEFFREY 989 2146579 04/05/2021 04/05/2022 6610 SIERRA COLLEGE BLVD. ROCKLIN CA 95677 916-346-6025 MICHAEL c/o Russell Bond & Co, 295 Main 14203- 990 1851790 04/30/2008 04/30/2022 Hollederer, Gary A Buffalo NY 716-471-8412 [email protected] St Ste 866 2595
Page 45 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Aon Risk Services Southwest, Inc., 77056- 991 1917056 06/04/2012 06/04/2022 Holley, Kevin Darrell Houston TX 832-476-6511 5555 San Felipe St Ste 1500 2739 Morris Corporate Center Iv, 389 07054- 992 1872217 08/06/2009 08/06/2022 Holloway, Bernice Parsippany NJ 862-286-3518 Interpace Pkwy Ste 4 1132 NH UNDERWRITERS, 14 DIXON 03301- 993 2002926 05/10/2016 05/10/2022 HOLMAN, SUSAN L CONCORD NH 603-931-3103 [email protected] AVE STE 203 4957 64068- 994 2048112 02/06/2018 02/06/2022 Holmes, Robert 916 Paw Paw Ln Liberty MO 816-792-4296 4346 HOLMES, ROXANNE 30076- 995 2098408 09/11/2019 09/11/2022 300 Colonial Center Pkwy Ste 200 Roswell GA 210-391-2018 [email protected] AMANDA RAMOS 8844 64108- 996 2101441 10/08/2019 10/08/2022 HOLT, TRAVIS SCOTT 520 W Pennway St Kansas City MO 210-896-3101 2572 Aon Risk Services, 200 E 60601- 997 2019833 01/19/2017 01/19/2022 HOLZ, PETER Chicago IL 773-818-4481 [email protected] Randolph St 6436 03110- 998 1876006 10/16/2009 10/16/2022 Hood, Sean C Usi, 3 Executive Park Dr Unit 300 Bedford NH 603-774-4776 [email protected] 6921 C/O WILLIS OF TEXAS, INC., 920 77024- 999 2063262 07/18/2018 07/18/2022 HOOD, SHEILA B HOUSTON TX 713-625-1120 [email protected] MEMORIAL CITY WAY STE 500 2649 100 PENN 2108680 01/22/2020 01/22/2022 HOOG, David T 415 OLD GULPH RD PA 19072 610-996-2522 0 VALLEY 100 01608- 2001548 04/15/2016 04/15/2022 Hooper, Cheryl L 100 Front St Ste 800 Worcester MA 508-595-7978 [email protected] 1 1435 100 60604- Samantha.engelmann@hubint 2150570 05/17/2021 05/17/2022 HOPKINS, SETH M 55 E JACKSON BLVD FL 14A CHICAGO IL 312-241-3992 2 4466 ernational.com 100 Redondo 1898802 04/13/2011 04/13/2022 Hopkins, Winfield 1815 Via El Prado, #401 CA 90277 310-543-5701 3 Beach 100 ARTHUR J. GALLAGHER & CO., 84047- 2151509 05/26/2021 05/26/2022 HORMAN, JANIS MIDVALE UT 801-641-8271 4 6967 S RIVER GATE DR STE 200 1504 100 Arthur J Gallagher & Co., 615 E 73114- 2020064 01/24/2017 01/24/2022 HORTON, RICHARD Oklahoma City OK 405-507-2125 [email protected] 5 Britton Rd 7710 100 15317- 1834086 03/28/2007 03/28/2022 Horton, Timothy W 1000 Town Center Way Ste 300 Canonsburg PA 724-356-3146 [email protected] 6 5847 100 40222- 2006036 06/20/2016 06/20/2022 Houghlin, David Brian 9300 Shelbyville Rd Ste 905 Louisville KY 773-742-8490 [email protected] 7 5167 100 1946046 11/19/2013 11/19/2021 Hover, Brian Lee 88 A Main Street Hilton Head SC 29926 843-681-3550 8 100 C/o Marsh Usa Inc, 1166 Avenue 10036- 1895399 01/20/2011 01/20/2022 Howe, Robert F New York NY 908-679-4485 9 Of The Americas 2708 101 2110382 02/14/2020 02/14/2022 HOWER, ANNETTE C 561 W CENTER ST WIND GAP PA 18091 732-754-4831 0 Accelerant Underwriting 101 30350- 2145959 03/29/2021 03/29/2022 HOWLEY, Christine Managers, Inc, 400 Northridge Rd Sandy Springs GA 630-310-0653 [email protected] 1 3354 Ste 800
Page 46 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date ALLIANT INSURANCE 101 60606- 1993139 11/06/2015 11/06/2021 HOWSER, CRAIG W SERVICES, INC., 200 S WACKER CHICAGO IL 312-930-1472 [email protected] 2 5815 DR STE 3030 101 Ponte Vedra 32082- 1993901 11/20/2015 11/20/2021 Howson, Bruce Kenneth 822 A1a N Ste 310 FL 904-543-4504 [email protected] 3 Beach 8209 101 06450- 1812610 09/23/2005 09/23/2022 Hrubala, Ronald R Usi Connecticut, 530 Preston Ave Meriden CT 860-871-2292 4 4893 101 HUBBARD, BENJAMIN 80205- 2107568 01/03/2020 01/03/2022 2825 Larimer St Denver CO 202-243-9086 5 LOWRY 2222 101 HUBBUCH, NICHOLAS 60603- 2159107 08/11/2021 08/11/2022 19 S LA SALLE ST STE 301 CHICAGO IL 312-610-0992 6 JOHN 1401 101 HUERTA, ANTHONY Westlake 91362- 2114987 05/11/2020 05/11/2022 5655 Lindero Canyon Rd Ste 420 CA 805-814-7676 [email protected] 7 STEVEN Village 4046 101 BLINSURANCE@CSCGLOBA 2016594 11/16/2016 11/16/2021 HUFF, DAVID L 6405 WALNUT RIDGE TRAIL PROSPECT KY 40059 502-649-3827 8 L.COM 101 HUGHES, FOREST Insurance Program Managers Inc, New Smyrna 32169- 1981812 06/04/2015 06/04/2022 FL 407-718-3964 [email protected] 9 INGRAM 210 Florida Ave Beach 2528 102 35203- 2117209 06/17/2020 06/17/2022 Hull, Christopher Scott 2101 6th Ave N Ste 725 Birmingham AL 205-868-1364 [email protected] 0 2776 102 02116- Kevin.humason@willistowers 2140537 02/02/2021 02/02/2022 Humason, Kevin John 75 Arlington St Fl 10 Boston MA 617-351-7516 1 3936 watson.com 102 2112539 03/18/2020 03/18/2022 Hunt, Bobby Hal 1300 S. Main Tulsa OK 74101 918-274-0530 2 102 3407 W Dr Martin Luther King Jr 33607- Annette.hunter@willistowersw 2138473 01/07/2021 01/07/2022 HUNTER, ANNETTE MARIE Tampa FL 813-323-9585 3 Blvd Ste 200 6226 atson.com 102 300 COLONIAL CENTER PKWY 30076- 2030268 07/14/2017 07/14/2022 HUNTER, DENNIS S ROSWELL GA 770-569-9091 [email protected] 4 STE 200 8844 102 Arthur J Gallagher & Co., 470 02210- 1971235 12/13/2014 12/13/2021 Hunter, Gregory Otis Boston MA 978-443-4176 [email protected] 5 Atlantic Ave 2208 102 92130- 2096598 08/20/2019 08/20/2022 HUNTER, NATHAN DAVID 11452 El Camino Real Ste 250 San Diego CA 717-409-3057 [email protected] 6 3004 102 Assuredpartners Of Washington, 98370- 1875461 10/13/2009 10/13/2021 Hurd, Ashley Loren Poulsbo WA 360-598-5013 7 Llc, 19689 7th Ave NE Ste 183 8092 102 2047242 01/25/2018 01/25/2022 HURLEY, TRICIA 1 Nashua St., Apt 2806 Boston MA 02114 315-657-8818 [email protected] 8 102 48009- 2136838 12/11/2020 12/11/2021 HURTT, KENNETH J 725 S Adams Rd Ste L-140 Birmingham MI 248-845-4498 9 6987 103 6263 N SCOTTSDALE RD, SUITE 2144418 03/12/2021 03/12/2022 HUSUNG, HAILEY SCOTTSDALE AZ 85250 833-389-7872 [email protected] 0 245 103 80222- 1898411 04/04/2011 04/04/2022 Iacino, James A 2000 S Colorado Blvd Denver CO 303-218-4039 1 7900 103 02110- 2106265 12/06/2019 12/06/2021 Iannone, Eileen R 99 High St Boston MA 315-406-5215 [email protected] 2 2320
Page 47 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 103 NEW 2123501 08/31/2020 08/31/2022 IANNOTTI, JOHN E 7 LONDON TERRACE NY 10804 914-235-0216 3 ROCHELLE 103 02494- 1801277 10/13/2004 10/13/2022 Idelson, Marc D 160 Gould St Ste 121 Needham MA 781-433-0256 [email protected] 4 2300 103 Infinger Insurance, 1205 Eastman Center 03813- 2078675 12/10/2018 12/10/2021 Infinger, Nathan Thomas NH 603-662-8273 5 Rd Conway 4225 103 Arthur J Gallagher & Co, 1050 30338- 2001282 04/11/2016 04/11/2022 INGRAM, KIRBY Atlanta GA 678-393-5283 [email protected] 6 Crown Pointe Pkwy Ste 600 7702 103 02109- 2107669 01/07/2020 01/07/2022 INGRAM, RASHAAD KAMAL 75 State St Lbby 2 Boston MA 614-397-6498 7 1948 103 Kw Insurance Agency, Llc, 414 02026- 2005210 06/05/2016 06/05/2022 Issokson, Alan Gould Dedham MA 617-982-7179 [email protected] 8 Washington St 4446 103 37450- 2081000 01/18/2019 01/18/2022 Ivey, Gary E 605 Chestnut St Ste 500 Chattanooga TN 423-267-8310 [email protected] 9 0021 104 24502- 2010366 08/24/2016 08/24/2022 Izard, William B Jr. 1301 Old Graves Mill Rd Lynchburg VA 434-832-2100 [email protected] 0 4317 BROUWER HANSEN & IZDEBSKI 104 2098066 09/06/2019 09/06/2021 IZDEBSKI, JOHANNA ASSOCIATES, 240 MAIN TOMS RIVER NJ 08753 732-674-1909 [email protected] 1 STREET 104 Brouwer, Hansen & Izdebski 08753- 2094968 07/31/2019 07/31/2022 IZDEBSKI, JOHN A Toms River NJ 732-239-9091 [email protected] 2 Associates, 240 Main St 7469 104 30326- 2090995 06/05/2019 06/05/2022 JACKSON, ALLAH 3560 Lenox Rd Ne Atlanta GA 470-363-8224 [email protected] 3 4266 104 1826915 09/15/2006 09/15/2022 Jackson, Edward Powell 6951 W Sunrise Blvd Plantation FL 33313 954-252-5717 [email protected] 4 104 Arthur J Gallagher & Co., 240 60014- 1980384 05/07/2015 05/07/2022 Jackson, John C Crystal Lake IL 847-458-3072 [email protected] 5 Commerce Dr 3549 104 The James B. Oswald Company, 44114- msarnowski@oswaldcompani 1812574 09/21/2005 09/21/2022 Jacobs, David Clark Cleveland OH 440-899-1995 6 1100 Superior Ave E Ste 1500 2544 es.com 104 Ins Solutions & Svcs Inc, 619 08837- 1899497 05/03/2011 05/03/2022 Jacobs, Frank G Edison NJ 732-671-7926 [email protected] 7 Amboy Ave 3584 104 1792058 01/22/2004 01/22/2022 Jacobs, Glenn R 25 Fairview Ave Verona NJ 07044 973-887-0996 8 104 19046- 1959781 07/30/2014 07/30/2022 JADACH, STEVEN 101 WEST AVE STE 150 JENKINTOWN PA 215-779-3252 [email protected] 9 2039 105 89128- melissa.jaffa- 1826362 08/30/2006 08/30/2022 Jaffa-Abeyta, Melissa Jean 7201 W Lake Mead Blvd Ste 401 Las Vegas NV 702-499-4905 0 8347 [email protected] 105 1120 Avenue Of The Americas Ste 10036- 1983567 07/07/2015 07/07/2022 JAIN, SUNIL New York NY 973-865-2226 [email protected] 1 1610 6700 105 66210- 1887147 07/22/2010 07/22/2022 James, Med D III 8595 College Blvd, Suite 200 Overland Park KS 913-707-4085 [email protected] 2 2617 105 JARBOE, JEFFREY 30305- 1941115 09/12/2013 09/12/2022 3405 Piedmont Rd NE Ste 470 Atlanta GA 770-457-4760 [email protected] 3 PARRAN 1799
Page 48 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 105 10005- 2154222 06/23/2021 06/23/2022 JAROSLAWSKY, ANATOLI 140 Broadway Ste 4640 New York NY 732-303-8024 [email protected] 4 1108 105 West 1970364 12/04/2014 12/04/2021 Jarry, David R 662 Riverdale Street MA 01089 413-219-4587 [email protected] 5 Springfield 105 Brown & Brown Of CA, 681 S 92868- 1921066 09/06/2012 09/06/2022 Jasinski, John P. Orange CA 714-939-7333 [email protected] 6 Parker St Ste 300 4738 105 Jeewanjee, Zainuddean 95125- 2129201 10/09/2020 10/09/2022 1494 Hamilton Ave Ste 101 San Jose CA 408-898-0042 [email protected] 7 Akbar 4535 105 08690- Christopher.jeffery@rtspecialt 2114020 04/20/2020 04/20/2022 JEFFERY, CHRISTOPHER 2465 Kuser Rd Ste 202 Hamilton NJ 609-528-3892 8 3310 y.com 105 ARTHUR J GALLAGHER & CO, 8 37027- 2107270 12/26/2019 12/26/2021 JENNINGS, DEANNA BRENTWOOD TN 615-237-3444 9 CADILLAC DR STE 200 5316 106 JESSELLI, ROBERT 10006- [email protected] 1998188 02/18/2016 02/18/2022 165 Broadway New York NY 631-368-3954 0 JOSEPH 1404 OM 106 R-t Specialty, Llc, 330 W Newberry 06002- 1889355 09/27/2010 09/27/2022 Jezerski, Alexander Bloomfield CT 860-463-1662 [email protected] 1 Rd 1393 106 2155776 07/09/2021 07/09/2022 JI, ANNA AHRM 17875 VON KARMAN IRVINE CA 92614 949-823-8684 2 106 Fort 33312- 2000316 03/25/2016 03/25/2022 Johnson, Anthony Laighton 2800 W State Road 84 Ste 116 FL 954-602-9390 [email protected] 3 Lauderdale 4812 106 Aon Risk Services Central Inc., 19103- 1919243 07/25/2012 07/25/2022 Johnson, Earl J Philadelphia PA 215-255-1725 4 1650 Market St Ste 1000 7306 106 91304- 2101150 10/04/2019 10/04/2021 Johnson, Emmanuel I. 8407 Fallbrook Ave Ste 200 West Hills CA 818-200-6845 5 3250 106 1899168 04/22/2011 04/22/2022 Johnson, Francis Gaillard 200 Wingo Way, Ste 200 Mt. Pleasant SC 29464 843-883-5057 [email protected] 6 106 JOHNSON, HARRY LOCKE MT 29464- 2144290 03/11/2021 03/11/2022 200 WINGO WAY STE 200 SC 843-856-2221 7 II PLEASANT 1816 106 27517- 1969353 11/18/2014 11/18/2021 Johnson, Jimmy Lee 6320 Quadrangle Dr Ste 300 Chapel Hill NC 336-586-2834 [email protected] 8 7815 106 C/O APPLIED RISK SERVICES, 2115481 05/20/2020 05/20/2022 JOHNSON, KIRBY LEE OMAHA NE 68154 308-627-1670 9 INC., 10805 OLD MILL ROAD 107 85250- [email protected] 2081607 01/30/2019 01/30/2022 JOHNSON, Kristin 6263 N Scottsdale Rd Ste 245 Scottsdale AZ 813-385-7661 0 5409 m 107 92868- 1876066 10/26/2009 10/26/2022 Johnson, Lynn Kimmel 681 S Parker St Ste 300 Orange CA 310-375-1806 [email protected] 1 4738 WILLIS TOWERS WATSON 107 2154221 06/23/2021 06/23/2022 JOHNSON, MALCOLM NORTHEAST, INC., 200 LIBERTY NEW YORK NY 10281 212-915-8433 2 ST 107 JOHNSON, MARY 33607- 2112860 03/25/2020 03/25/2022 4211 W Boy Scout Blvd Ste 800 Tampa FL 804-314-0413 3 BERTOLASIO 5757 107 JOHNSON, MICHAEL 14425 TORREY CHASE BLVD 77014- 2030932 07/25/2017 07/25/2022 HOUSTON TX 281-453-1118 [email protected] 4 LAWRENCE SUITE 200 1648
Page 49 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 107 JOHNSON, MICHELLE Arthur J Gallagher & Co, 5500 37027- [email protected] 1986389 08/14/2015 08/14/2022 Brentwood TN 615-973-7653 5 DIANE Maryland Way Ste 330 4976 et 107 1949514 01/30/2014 01/30/2022 Johnson, Newton Samuel 50 Prospect St Waltham MA 02453 978-371-2122 [email protected] 6 107 85004- 2107887 01/09/2020 01/09/2022 Johnson, Philip B 2721 N Central Ave Phoenix AZ 602-317-0810 [email protected] 7 1127 107 2151373 05/25/2021 05/25/2022 JOHNSON, WILLIAM K 78 C LINDEN ST, ROCKINGHAM EXETER NH 03833 610-401-5544 8 HOLMES, MURPHY AND 107 JOHNSTON, FREDERICK 63105- [email protected] 2088970 05/06/2019 05/06/2022 ASSOCIATES, LLC, 231 S SAINT LOUIS MO 314-920-1640 9 ROBERT JR 1925 m BEMISTON AVE STE 800 108 Deerfield 33441- [email protected] 1965146 10/07/2014 10/07/2022 Johnston, James Lawrence 2051 SE 3rd St Apt 508 FL 800-223-5433 0 Beach 6002 om 108 6 CENTERPOINTE DR., SUITE 2100024 09/25/2019 09/25/2022 JONDLE, BRIAN JOSEPH LAPALMA CA 90623 714-394-8084 1 350 108 Aon Risk Services Southwest, Inc., 77056- 1884551 05/27/2010 05/27/2022 Jones, Carol Diane Houston TX 713-953-1659 [email protected] 2 5555 San Felipe St Ste 1500 2739 108 10006- 2002090 04/26/2016 04/26/2022 JONES, CATHERINE M 165 Broadway New York NY 917-655-0963 [email protected] 3 1404 108 33134- 2108536 01/21/2020 01/21/2022 Jones, Douglas Andrew 999 Ponce De Leon Blvd Ste 800 Coral Gables FL 305-494-6657 4 3042 108 02116- 2142185 02/19/2021 02/19/2022 Jones, Elizabeth Ann 75 Arlington St Fl 10 Boston MA 978-275-0890 5 3936 108 2050213 02/26/2018 02/26/2022 JONES, GERRY T 9200 W. CROSS DRIVE, #210 LITTLETON CO 80123 303-478-9610 6 108 SAN 2147071 04/09/2021 04/09/2022 JONES, HILTON MCEWEN 101 CALIFORONIA ST., 1950 CA 94111 707-771-4761 7 FRANCISCO 108 28210- 1998913 03/02/2016 03/02/2022 JONES, LAWRENCE 6100 FAIRVIEW RD STE 1400 CHARLOTTE NC 704-366-2436 [email protected] 8 3293 108 Crc Insurance Services Inc., 85254- 1867519 04/08/2009 04/08/2022 Jones, Matthew Scottsdale AZ 602-404-7804 [email protected] 9 16100 N 71st St Ste 150 2236 109 91403- 1866309 03/20/2009 03/20/2022 Jones, Paul 15303 Ventura Blvd Ste 1200 Sherman Oaks CA 818-770-3114 0 5817 109 1920733 08/29/2012 08/29/2022 Jones, Richard F 3130 Broadway Kansas City MO 64111 816-377-6198 [email protected] 1 109 43017- 2159106 08/11/2021 08/11/2022 JONES, William E 6543 Commerce Pkwy Ste M Dublin OH 740-967-1131 [email protected] 2 5299 109 1982884 06/25/2015 06/25/2022 Jordan, Christopher William 31 Schoosett Street, #309 Pembroke MA 02359 617-610-6575 [email protected] 3 109 35 E Horizon Ridge Pkwy # 110- 89002- rjorgensen@jorgensenandco 1928921 02/12/2013 02/12/2022 Jorgensen, Rickard Henderson NV 702-919-1964 4 468 7905 mpany.com 109 Surplex Underwriters, Inc., Po Box 04098- 1959493 07/24/2014 07/24/2022 Joy, Denise N Westbrook ME 207-749-7024 5 105 0105
Page 50 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 109 02110- 1031371 05/19/1999 05/19/2022 Joyal, Gary John 175 Federal St Fl 9 Boston MA 617-757-3315 [email protected] 6 2210 109 10036- 1878063 12/08/2009 12/08/2021 Jung, Roger E 1166 Avenue Of The Americas New York NY 845-323-4793 7 2708 109 Holmes, Murphy And Associates, 68154- 1898794 04/13/2011 04/13/2022 Jungman, Richard Omaha NE 402-597-6041 8 Llc, 13810 Fnb Pkwy Ste 300 5202 109 2138270 01/05/2021 01/05/2022 Jyoti Walter, Rajshree 127 ARLINGTON AVE HAWTHORNE NJ 07506 201-589-7233 9 Kaercher Insurance, An Alera 110 89134- 2034438 09/08/2017 09/08/2022 Kaercher, William Allen Group Agency, Llc, 9555 Hillwood Las Vegas NV 702-255-8676 [email protected] 0 0579 Dr Ste 140 110 Kaliff Insurance, 2009 NW Military 78213- 1873534 09/09/2009 09/09/2022 Kaliff, Mitchell Hunt San Antonio TX 210-829-7634 [email protected] 1 Hwy 2131 110 Acrisure Mga, Llc., 425 W 91204- 1922094 09/27/2012 09/27/2022 Kalior, Lawrence J Glendale CA 818-246-2800 [email protected] 2 Broadway Ste 308 4118 110 1820693 04/11/2006 04/11/2022 Kalmanson, Mitchel 235 S. Maitland Avenue #2 Maitland FL 32751 407-645-5000 [email protected] 3 110 2155638 07/08/2021 07/08/2022 KANG, JAY 200 LIBERTY STREET NEW YORK NY 10281 347-281-0411 4 110 2083287 02/27/2019 02/27/2022 Kaplansky, Ely 10 Kearney Road Needham MA 02494 617-964-0449 [email protected] 5 110 49221- 2085708 03/19/2019 03/19/2022 Kapnick, James D 333 Industrial Dr Adrian MI 517-263-5398 [email protected] 6 8780 110 66210- 2109979 02/10/2020 02/10/2022 Karl, John J 7500 College Blvd Ste 1215 Overland Park KS 913-981-9023 [email protected] 7 4000 Mercer Health And Benefits 110 50398- wanda.r.kasperbauer@marsh 2007726 07/20/2016 07/20/2022 Kasperbauer, Wanda Rae Administration Llc, 12421 Meredith Urbandale IA 712-579-1167 8 9001 pm.com Dr 110 92037- 2129706 10/13/2020 10/13/2021 KASSAR, JOHN 1298 Prospect St Ste 1u La Jolla CA 858-775-7510 9 3624 111 77019- 2136310 12/04/2020 12/04/2021 KATZ, REGAN 2929 Allen Pkwy Houston TX 713-818-6884 0 7100 111 1031217 12/31/1998 12/31/2021 Kay, James H 1000 N.Main Street Fall River MA 02720 508-758-3048 [email protected] 1 111 70112- 1969468 11/19/2014 11/19/2021 KEAN, LANA DOUCET 909 Poydras St New Orleans LA 225-262-4217 [email protected] 2 4000 111 INSIGHT COMPANIES, INC, 225 11747- 2006035 06/20/2016 06/20/2022 KEANE, JOHN MELVILLE NY 631-921-6661 [email protected] 3 OLD COUNTRY RD 2719 Arthur J. Gallagher Risk 111 02210- 2042846 12/08/2017 12/08/2021 Kearney, Michael Kevin Management Services Inc., 470 Boston MA 617-646-0237 [email protected] 4 2208 Atlantic Ave 111 85016- 1790662 12/08/2003 12/08/2021 Keating, James Francis 2525 E Camelback Rd Ste 800 Phoenix AZ 602-325-5582 [email protected] 5 4230
Page 51 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 111 Hub International New England, 01887- 2147760 04/17/2021 04/17/2022 Keaveney, Amanda J Wilmington MA 508-529-6824 [email protected] 6 Llc, 299 Ballardvale St 1066 111 East 2001529 04/14/2016 04/14/2022 Keefe, Lawrence E Jr. 60 Catamore Blvd RI 02914 401-709-7515 [email protected] 7 Providence 111 2154953 06/30/2021 06/30/2022 KEEFE, Scott M 1 BEACON ST 14TH FLOOR BOSTON MA 02108 508-868-8136 [email protected] 8 111 2147599 04/15/2021 04/15/2022 KEESE, MICHAEL 6549 N WICKHAM RD, UNIT 101 MELBOURNE FL 32940 913-956-9203 9 112 10006- 2135911 11/30/2020 11/30/2021 KEIRE, ANITA R 165 BROADWAY NEW YORK NY 212-479-3526 0 1404 Arthur J. Gallagher Risk 112 02210- 2153878 06/19/2021 06/19/2022 Kelleher, Brian J Management Services Inc., 470 Boston MA 978-462-0429 [email protected] 1 2208 Atlantic Ave 112 KELLER, BRADLEY 33020- Bkeller@one80intermediaries. 2096867 08/22/2019 08/22/2022 3290 N 29TH CT HOLLYWOOD FL 404-304-4547 2 CARSON 1320 com 112 03885- 1965147 10/07/2014 10/07/2021 KELLEY, JAMES ANDREW 10 Heron Way Stratham NH 603-583-5697 [email protected] 3 4439 112 01754- 2148648 04/28/2021 04/28/2022 Kelley, Matthew Elso 2 Mill And Main Pl Ste 425 Maynard MA 781-859-7089 4 2672 112 10036- 2099768 09/23/2019 09/23/2021 KELLEY, THOMAS P 1166 Avenue Of The Americas New York NY 212-441-1462 [email protected] 5 2708 112 AON RISK SERVICES, 100 02903- 2003008 05/11/2016 05/11/2022 KELLY, ANN M PROVIDENCE RI 401-728-1196 [email protected] 6 WESTMINSTER ST FL 10 2318 112 06106- 2142010 02/17/2021 02/17/2022 Kelly, Kevin William 21 Oak Street, Suite #310 Hartford CT 860-798-3801 [email protected] 7 8016 112 Shaker 44122- 1873139 08/27/2009 08/27/2022 Kelly, Lisa A 3401 Tuttle Rd Ste 300 OH 800-274-5222 [email protected] 8 Heights 6393 112 Chester 19425- 1786950 09/22/2003 09/22/2022 Kelly, Stephen Patrick 961 Pottstown Pike PA 610-520-9466 [email protected] 9 Springs 3510 113 KELLY-WOLKIEWICZ, KING OF 19406- 2145135 03/19/2021 03/19/2022 200 N WARNER RD STE 450 PA 215-416-3572 [email protected] 0 Cynthia Marie PRUSSIA 2886 113 2082329 02/12/2019 02/12/2022 KENDALL, KELLY 53 STATE ST, SUITE 2201 BOSTON MA 02109 781-599-9710 1 113 2124501 09/10/2020 09/10/2021 KENKEL, SARA LYNN 950 TOWER LANE, #1400 FOSTER CITY CA 94404 402-827-3432 [email protected] 2 C/O PURPLE RISK 113 KENNEDY, DAVID 2087962 04/19/2019 04/19/2022 MANAGEMENT SERVICES LLC, NEW YORK NY 10065 857-214-1806 3 MICHAEL 215 E 68TH STREET UNIT 12W 113 gkennedy@charlesriverinsura 1899975 05/16/2011 05/16/2022 Kennedy, Gerald J 5 Whittier St, 4th Floor Framingham MA 01701 508-656-1444 4 nce.com 113 02110- 2025353 04/19/2017 04/19/2022 Kennedy, Ronald John Jr. 175 Federal St Ste 1200 Boston MA 978-726-4346 [email protected] 5 2225
Page 52 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 10490 LITTLE PATUXENT 113 PARKWAY, 60 COLUMBIA 2148964 04/30/2021 04/30/2022 KENNEDY, SARAH L COLUMBIA MD 21044 847-970-2314 6 CORPORATE CENTER, SUITE 550 113 49503- 2091398 06/11/2019 06/11/2022 Kenney, Erin Zimmer 50 Louis St NW Ste 200 Grand Rapids MI 312-381-4607 [email protected] 7 2633 113 Alliant Insurance Services, Inc., 10178- 2001735 04/19/2016 04/19/2022 KENNY, KEVIN T New York NY 212-603-0233 [email protected] 8 101 Park Ave Fl 18 1702 113 KEOUGH, RHONDA 32174- 2004376 05/19/2016 05/19/2022 1001 Broadway Ave Ormond Beach FL 386-309-8004 [email protected] 9 YVETTE 2905 114 30328- 2053460 04/03/2018 04/03/2022 KERNS, JOHN J 6 Concourse Pkwy Ste 2300 Atlanta GA 813-222-4258 [email protected] 0 6185 114 Marketscout Corporation, 12700 75251- [email protected] 1792568 02/04/2004 02/04/2022 Kerr, Richard Kent Dallas TX 972-934-4269 1 Park Central Dr Ste 510 1541 m 114 KESLAR INSURANCE AGENCY, 03857- davidkeslar@keslarinsurance. 2081608 01/30/2019 01/30/2022 KESLAR, DAVID A NEWMARKET NH 603-817-7173 2 55 MAIN ST STE 222 1674 com 114 02171- 1995316 12/21/2015 12/21/2021 Kesner, Justin Todd 500 Victory Rd North Quincy MA 781-603-5630 [email protected] 3 3139 AMWINS SPECIAL RISK 114 28210- FELICIA.JOHNSON@AMWIN 2071847 10/03/2018 10/03/2022 KIEL, DAVID UNDERWRITERS, 4725 CHARLOTTE NC 980-297-1996 4 4283 S.COM PIEDMONT ROW DR STE 600 Arthur J Gallagher Risk 114 2131890 10/23/2020 10/23/2021 KIERNAN, Andrew F Management Services Inc, 2255 Boca Raton FL 33607 786-253-0931 [email protected] 5 Glades Rd Ste 200e 114 02110- 2102962 10/22/2019 10/22/2022 KILBURG, FRANK A 99 High St Boston MA 857-210-4109 [email protected] 6 2320 114 06457- 1795285 04/12/2004 04/12/2022 Kiley, William D 421 Wadsworth St Middletown CT 860-347-9600 [email protected] 7 4019 AON RISK SERVICES CENTRAL, 114 19087- 2051110 03/12/2018 03/12/2022 KILL, BRIAN P INC., 259 N RADNOR CHESTER RADNOR PA 212-441-1281 [email protected] 8 5269 RD STE 160 114 91203- 2000373 03/28/2016 03/28/2022 KIM, JULIE JONG A 655 N Central Ave Ste 2100 Glendale CA 818-265-3011 [email protected] 9 1443 115 C/o Trustco Inc, 2735 E Parleys 84109- 2110951 02/24/2020 02/24/2022 Kingdon, Greg T Salt Lake City UT 435-647-3950 [email protected] 0 Way Ste 305 1666 115 94111- 1952534 03/20/2014 03/20/2022 Kingsley, Robert Truman 4 Embarcadero Ctr Ste 4000 San Francisco CA 415-418-2323 1 4100 115 30342- 1857539 09/15/2008 09/15/2022 Kinnett, Frank 200 Glenridge Point Pkwy Ste 400 Atlanta GA 404-317-5779 [email protected] 2 1450 115 60173- 1917428 06/13/2012 06/13/2022 Klaras, Daniel 20 N Martingale Rd Ste 100 Schaumburg IL 847-797-5700 3 2423 Philadelphia Insurance 115 97062- 1897711 03/17/2011 03/17/2022 Klassy, Kenneth Curtis Companies, 18840 SW Boones Tualatin OR 503-570-9121 4 9443 Ferry Rd Ste 300
Page 53 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 115 95062- 1983635 07/08/2015 07/08/2022 Klauss, Daniel David 529 Frederick St Unit A Santa Cruz CA 415-215-2881 5 2648 115 2140111 01/27/2021 01/27/2022 Kleckner, Elizabeth Heck 200 MADISON AVENUE NEW YORK NY 10016 212-683-9700 [email protected] 6 115 10005- [email protected] 1999246 03/08/2016 03/08/2022 KLEIN, JENISE M 28 Liberty St Fl 38 New York NY 646-840-5008 7 1453 m 115 KLEINERT, ANDREW 300 COLONIAL CENTER PKWY, 2111718 03/06/2020 03/06/2022 ROSWELL GA 30076 843-301-7554 8 SCOTT #200 ARTHUR J GALLAGHER RISK 115 GRAND 49503- 2075155 11/13/2018 11/13/2021 KLUTING, STEVE MANAGEMENT SERVICES INC., MI 616-822-4613 [email protected] 9 RAPIDS 2304 300 OTTAWA AVE NW 116 [email protected] 2086085 03/25/2019 03/25/2022 Knight, Larry James 3946 Northampton Dr Powell OH 43065 614-844-6442 0 m 116 02116- 2135961 12/01/2020 12/01/2021 Knortz, Matthew C 75 Arlington St Fl 10 Boston MA 860-653-7130 1 3936 116 07054- 2113884 04/16/2020 04/16/2022 KODRYANU, ANNA 2001 Route 46 Ste 500 Parsippany NJ 862-242-1034 [email protected] 2 1343 116 01760- Dcannatelli@easterninsurance 2131908 10/23/2020 10/23/2021 Koegel, John F 233 W Central St Natick MA 978-521-0351 3 3757 .com 116 KOEHN, GARRETT 94111- 2091399 06/11/2019 06/11/2022 50 California St Ste 2000 San Francisco CA 415-675-2278 [email protected] 4 DONALD 4703 116 361 NEWBURY STREET, 4TH 2100462 09/28/2019 09/28/2021 KOH, DANIEL D BOSTON MA 02115 617-599-4615 5 FLOOR 116 60661- 2146183 03/31/2021 03/31/2022 KOHLHASE, MICHAEL S 500 W MONROE ST FL 30 CHICAGO IL 847-877-5561 6 3774 WORTHY INSURANCE GROUP, 116 60076- 2112861 03/25/2020 03/25/2022 KOHN, REBECCA R 8140 MCCORMICK BLVD STE SKOKIE IL 312-513-1460 [email protected] 7 2920 141 116 Risk Placement Services, Inc., 525 60607- 1823495 06/15/2006 06/15/2022 Kokonas, Michael John Chicago IL 630-364-8735 8 W Van Buren St Ste 1325 3823 116 49503- [email protected] 2079895 01/02/2019 01/02/2022 KOLENDA, COURTNEY Acrisure, Llc, 100 Ottawa Ave Sw Grand Rapids MI 616-916-7514 9 5087 M 117 78230- 1831195 12/28/2006 12/28/2021 Kolmeier, Janet R 9830 Colonnade Blvd San Antonio TX 210-691-4104 [email protected] 0 2202 117 KOMANETSKY, GLASTONBU 2107016 12/19/2019 12/19/2021 68 NATIONAL DRIVE CT 06033 860-691-1243 1 CHRISTOPHER RY 117 30324- 2106853 12/17/2019 12/17/2021 KOUNTZ, PAUL D 3204 TOWERVIEW DR NE ATLANTA GA 865-425-7398 2 2540 117 KOWALCZYK, JOANNE 07078- 2113517 04/08/2020 04/08/2022 150 JOHN F KENNEDY PKWY SHORT HILLS NJ 973-410-1285 3 MICHELLE 2703 117 Assuredpartners Northeast, Llc, 10601- Thomas.kozera@assuredpart 2147072 04/09/2021 04/09/2022 Kozera, Thomas Richard White Plains NY 914-761-9000 4 445 Hamilton Ave Fl 10 1831 ners.com 117 02109- 1944031 10/18/2013 10/18/2022 KRAEGER, KRISTIN 53 State St Ste 2201 Boston MA 617-210-4945 [email protected] 5 2834
Page 54 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 117 60606- Stacie.krajcir@bgc- 2101779 10/10/2019 10/10/2021 KRAJCIR, STACIE P 222 W Adams St Chicago IL 312-523-4707 6 5312 insurance.com Willis Towers Watson Midwest, 117 55437- 1995044 12/15/2015 12/15/2021 KRAKER, JAMES A Inc., 8400 Normandale Lake Blvd Minneapolis MN 763-302-7202 [email protected] 7 3837 Ste 1700 117 43026- 1932097 04/11/2013 04/11/2022 Kramer, David B 3958 Brown Park Dr Ste D Hilliard OH 248-200-9331 8 1160 117 Northeast National Brokerage, Llc, 97504- jack.kramer@northeastnationa 2149662 05/07/2021 05/07/2022 Kramer, Jack P Medford OR 860-543-3402 9 3539 Heathrow Way Ste 102 4148 l.com 118 Seven Corners, Inc., 303 46032- [email protected] 1910417 12/12/2011 12/12/2021 Krampen, James Joseph Carmel IN 317-858-6771 0 Congressional Blvd 5631 m 118 1921274 09/11/2012 09/11/2022 Krar, Joseph A 1676 West Street, P O Box 580 Southington CT 06489 860-621-1075 [email protected] 1 118 GARDEN 2042810 12/07/2017 12/07/2021 KRAUSE, MATTHEW 100 RING RD W SUITE 200 NY 11530 516-712-0485 [email protected] 2 CITY 118 1350 Avenue Of The Americas Fl 10019- [email protected] 2080381 01/09/2019 01/09/2022 KRAUTER, NEIL CLARK New York NY 212-596-3451 3 18 4806 m 118 KRAVITZ, MICHAEL Fort 19034- 1927219 12/24/2012 12/24/2021 1075 Virginia Dr Ste 100 PA 215-643-2868 [email protected] 4 STEVEN Washington 3108 118 55437- 2019831 01/19/2017 01/19/2022 KRIEGER, ERIC 5600 W 83rd St Ste 1100 Minneapolis MN 952-807-0641 [email protected] 5 1062 118 Twg Insurance Agency Llc, 100 02184- 1876045 10/23/2009 10/23/2022 Kristian, Christopher R Braintree MA 781-536-4323 [email protected] 6 Grandview Rd Ste 412 2690 118 78230- 1947852 12/23/2013 12/23/2021 KROLL, DEBBIE 9830 Colonnade Blvd Ste 400 San Antonio TX 830-534-5847 [email protected] 7 2211 118 KROLL, MICHAEL 21550 OXNARD STREET, SUITE WOODLAND 2107952 01/10/2020 01/10/2022 CA 91367 805-527-2166 8 HARRINGTON 1100 HILLS 118 53005- 2079660 12/26/2018 12/26/2021 KRUEGER, DAVID R 400 N Executive Dr Brookfield WI 920-968-5232 [email protected] 9 6068 119 Bonding & Ins Spec. Agency Inc., 60462- 1814830 11/21/2005 11/21/2021 Kuber, Dana Marie Orland Park IL 708-237-4621 [email protected] 0 13841 Southwest Hwy 1354 119 2054436 04/17/2018 04/17/2022 KUCHAR, ANDREW PAUL 1958 MONROE DR NE ATLANTA GA 30324 770-856-9687 1 119 KUDALE, JAGANNATH 6800 KOLL CENTER PARKWAY, 2135910 11/30/2020 11/30/2021 PLEASANTON CA 94566 650-888-4411 2 YASHAVANT SUITE 210 119 Marina Del 90292- 2109270 01/30/2020 01/30/2022 KUHL, REICHEN ALLEN Leaselock, 480 Washington Blvd CA 310-804-4884 [email protected] 3 Rey 5214 119 International Excess Alliance, Llc, 44122- 1927589 01/07/2013 01/07/2022 Kukral, Kenneth E. Beachwood OH 440-725-4291 [email protected] 4 3700 Park East Dr Ste 250 4318 119 76262- 2159795 08/17/2021 08/17/2022 KUMAR, YOGESH 1301 SOLANA BLVD STE 2325 WESTLAKE TX 415-720-5108 5 1659 119 06103- 2112862 03/25/2020 03/25/2022 KUNIGIEL, KATHLEEN A 10 STATE HOUSE SQ FL 11 HARTFORD CT 860-874-4012 6 3602
Page 55 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 119 97204- 2061962 07/12/2018 07/12/2022 KUNSTLER, ASHLEY 851 SW 6th Ave Ste 550 Portland OR 503-306-2843 [email protected] 7 1309 119 2035609 09/22/2017 09/22/2022 Kunt, Sedat 1166 Ave of the Americas New York NY 10036 212-345-6321 8 119 [email protected] 1808727 06/27/2005 06/27/2022 Kupiec, Charles 5920 Airport Road Oriskany NY 13424 315-736-0007 9 m 120 94105- 2077133 11/29/2018 11/29/2021 KWAN, CALVIN 425 Market St Ste 2800 San Francisco CA 415-286-1031 [email protected] 0 2490 120 1958293 07/02/2014 07/02/2022 Labadorf, Michael 595 Stewart Avenue Garden City NY 11530 813-222-4287 [email protected] 1 120 05401- 1951362 02/28/2014 02/28/2022 LABERGE, KACY MARIE 100 Bank St Ste 500 Burlington VT 802-923-4308 [email protected] 2 4699 120 2143910 03/09/2021 03/09/2022 LACEY, JONATHAN 859 WILLARD ST., STE. 420 QUINCY MA 02169 800-487-7565 [email protected] 3 120 02110- 1626045 06/26/2001 06/26/2022 Ladd, Philip Lee 101 Federal St Ste 1900 Boston MA 508-785-3220 [email protected] 4 1861 120 LADEBAUCHE, ANDREW 37450- missi.shelton@reliancepartner 2050776 03/06/2018 03/06/2022 605 Chestnut St Ste 800 Chattanooga TN 615-829-9632 5 THOMAS 0003 s.com 120 LADOUCEUR, CHRISTINA 11530- 1971203 12/12/2014 12/12/2021 900 Stewart Ave Fl 4 Garden City NY 212-441-1750 [email protected] 6 CATHERINE 4869 120 1891218 10/27/2010 10/27/2021 LaGere, Lance Alan 1010 Manvel Ave Chandler OK 74834 405-330-5659 [email protected] 7 120 Arthur J Gallagher & Co, 2850 Golf Rolling 60008- 1831356 04/05/2007 04/05/2022 LaMantia, Cynthia Lee IL 847-397-1549 [email protected] 8 Rd Meadows 4050 120 10017- 2114988 05/11/2020 05/11/2022 Lamberg, Joshua A 370 Lexington Ave Rm 608 New York NY 212-375-3000 9 6591 121 50398- 2008848 08/08/2016 08/08/2022 LAMBERT, RYAN 12421 Meredith Dr Urbandale IA 319-520-5451 [email protected] 0 9001 121 LAMPARELLI, Nicholas 34119- 2032722 08/16/2017 08/16/2022 2255 Campestre Ter Naples FL 978-476-1095 1 Anthony 3358 121 Betty.landi@falconriskservices 2149406 05/05/2021 05/05/2022 LANDI, BETTY L 23 DALE DRIVE SUMMIT NJ 07901 908-377-7055 2 .com 121 2087438 04/11/2019 04/11/2022 LANDOLT, KENNETH A 6000 AMERICAN PKWY MADISON WI 53783 608-345-0237 [email protected] 3 121 10006- 1900527 05/31/2011 05/31/2022 Lane, Barbara 165 Broadway New York NY 516-293-3896 4 1404 121 10022- 1902573 07/20/2011 07/20/2022 Lang, William E. 399 Park Ave Fl 2 New York NY 631-539-4132 5 4686 121 LANGFORD, ROGER 2117018 06/15/2020 06/15/2022 4795 MEADOW WOOD LANE CHANTILLY VA 20151 804-833-1663 6 WARREN 121 LANGHAM, STEPHEN JACKSONVIL 2152722 06/09/2021 06/09/2022 6278 AUTUMN BERRY CIRCLE FL 32258 904-571-2426 7 ELLIS LE
Page 56 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 121 10010- 2090996 06/05/2019 06/05/2022 LANTOS, BENJAMIN 55 W 21st St Fl 2 New York NY 914-623-8455 [email protected] 8 6813 H.j. Knight International Insurance. 121 02184- 2035555 09/22/2017 09/22/2022 Lanza, Jeannette S Agency, Inc., 30 Braintree Hill Braintree MA 781-585-8107 [email protected] 9 8751 Office Park Ste 203 122 C/o Marsh Usa Inc, 1166 Avenue 10036- 1973850 01/29/2015 01/29/2022 LANZETTA, JARED New York NY 646-416-3093 [email protected] 0 Of The Americas 2708 122 02720- 1913278 03/01/2012 03/01/2022 Lapointe, William H 10 N Main St Ste 1 Fall River MA 508-674-9218 [email protected] 1 2130 122 85258- 1878601 12/17/2009 12/17/2021 Lapre, Michael David 8201 N Hayden Rd Scottsdale AZ 480-419-0809 [email protected] 2 2453 122 2034249 09/06/2017 09/06/2022 LARIS, ROSS RUDOLPH 810 CRESCENT AVE LOCKPORT LA 70374 985-532-5576 [email protected] 3 122 2154220 06/23/2021 06/23/2022 Larkin, Patrick V 40 West Front Street Media PA 19063 610-353-5805 [email protected] 4 122 06604- 1989926 09/24/2015 09/24/2022 Larson, Christopher 195 Brooklawn Ave Bridgeport CT 203-254-8003 [email protected] 5 2011 122 Aegis Insurance Services Inc, 1 East 07073- 2005646 06/13/2016 06/13/2022 LARSON, KAREN P NJ 201-880-8105 [email protected] 6 Meadowlands Plz Rutherford 2150 122 Ars-latiff, Llc, 1983 Marcus Ave New Hyde 11042- 1862274 01/14/2009 01/14/2022 Latiff, Diana E NY 516-319-8401 [email protected] 7 Ste 116 Park 2000 122 06854- 2056450 05/04/2018 05/04/2022 LAU, Peter T 29 Haviland St Norwalk CT 860-485-8449 8 3056 122 07663- 2034097 09/05/2017 09/05/2022 Laurenzi, Laura 250 Pehle Ave Ste 311 Saddle Brook NJ 203-262-1026 [email protected] 9 5832 123 10281- 2138269 01/05/2021 01/05/2022 LAVELLE, JOHN T 200 VESEY ST FL 24 NEW YORK NY 917-640-0888 0 1004 123 02745- 1806371 04/01/2005 04/01/2022 Lawler, Brendan Joseph 4 Welby Rd New Bedford MA 508-207-5668 [email protected] 1 1138 123 Corporate Ins Svcs Inc, 1175 02062- [email protected] 1799463 08/13/2004 08/13/2022 Lawless, John Joseph IV Norwood MA 781-440-8532 2 Boston Providence Tpke 5019 om 123 30328- 1915459 04/23/2012 04/23/2022 Lawrence, Linda J 1 Concourse Pkwy Ste 700 Atlanta GA 770-928-6500 3 6128 123 60601- Robert.lawrence@bankersins 2148963 04/30/2021 04/30/2022 LAWRENCE, ROBERT L 200 E Randolph St Fl 10 Chicago IL 312-381-0193 4 6421 uranceservice.com 123 Galleria North, Tower One,, 13737 75240- [email protected] 2017697 12/07/2016 12/07/2021 LAZARZ, DANIEL MARTIN Dallas TX 214-672-2788 5 Noel Rd Fl 10 1331 M 123 6263 N SCOTTSDALE RD, SUITE 2153698 06/17/2021 06/17/2022 LEACH, COURTNEY SCOTTSDALE AZ 85250 480-346-1292 6 245 123 99501- 1881102 03/05/2010 03/05/2022 Leadbetter, Kirk C 1031 W 4th Ave Ste 400 Anchorage AK 907-349-4278 7 5905 123 LEAHEY CARMODY, Willis Towers Watson Midwest, 60606- 2138475 01/07/2021 01/07/2022 Chicago IL 312-288-7218 [email protected] 8 TERESA A Inc, 233 S Wacker Dr Ste 2000 6400
Page 57 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 123 Risk Placement Services, Inc., 470 02210- 1832488 02/13/2007 02/13/2022 Leahy, David M Boston MA 781-589-6172 [email protected] 9 Atlantic Ave 2208 124 2158766 08/09/2021 08/09/2022 LEAHY, ETOILA 1 CHOICE HOTELS CIR ROCKVILLE MD 20850 240-393-1553 0 124 02109- 2051142 03/13/2018 03/13/2022 Leahy, Kerri Anne 53 State St Ste 2201 Boston MA 857-301-4501 1 2820 124 02184- 2019225 01/07/2017 01/07/2022 Leary, Patrick Michael 420 Washington St Braintree MA 781-848-8600 [email protected] 2 4755 124 94105- 1973851 01/29/2015 01/29/2022 LEAVENS, JONATHAN 425 Market St Ste 2800 San Francisco CA 925-719-5292 [email protected] 3 2490 124 2040294 11/10/2017 11/10/2021 Leavitt, Jeffrey Robert 29 Albion St,, Ste 2 Wakefield MA 01801 781-334-0128 [email protected] 4 124 Arthur J. Gallagher & Co., 470 02210- 2059822 06/09/2018 06/09/2022 Leavitt, Richard Adam Boston MA 617-901-9513 [email protected] 5 Atlantic Ave 2208 124 75220- Barb@ledbetter- 1941284 09/13/2013 09/13/2022 Ledbetter, Terry L 9362 Hollow Way Rd Dallas TX 469-423-2763 6 2237 foundation.com 124 60465- 2041861 11/20/2017 11/20/2021 Lederer, Rodger W 10640 S 86th Ave Palos Hills IL 708-907-3784 [email protected] 7 1715 124 500 WOODWARD AVE., 14TH 2148958 04/30/2021 04/30/2022 LEE, AARON DETROIT MI 48226 231-580-9561 [email protected] 8 FLOOR 124 02171- [email protected] 2005268 06/07/2016 06/07/2022 Lee, James W 2 Heritage Dr Ste 302 Quincy MA 617-763-3441 9 2165 om 125 c/o Swett & Crawford, 6510 S 2042813 12/07/2017 12/07/2021 Lee, Linda Salt Lake City UT 84121 801-733-9063 0 Millrock Dr Ste 435 125 R-T SPECIALTY, LLC, 500 W 60661- 2102356 10/16/2019 10/16/2021 LEE, MASON W CHICAGO IL 312-852-5100 [email protected] 1 MONROE ST FL 30 3774 EAST 125 2156258 07/15/2021 07/15/2022 LEE, NATHAN BRIAN 27 SKYLINE DRIVE, MA LONGMEADO MA 01028 413-356-0848 2 W 125 4830 W KENNEDY BLVD STE 33609- 2045936 01/18/2018 01/18/2022 LEE, STEPHANIE ELAINE TAMPA FL 813-727-1535 [email protected] 3 600 2584 125 92618- 2085707 03/19/2019 03/19/2022 LEFEVRE, BART JAMES 20 PACIFICA STE 450 IRVINE CA 949-600-7995 4 7392 125 06002- 1900433 05/20/2011 05/20/2022 Legge, Jonathan 330 W Newberry Rd Bloomfield CT 203-522-8880 5 1393 125 10006- 1901475 06/23/2011 06/23/2022 Lehman, Marisa Ann 165 Broadway New York NY 917-359-6006 6 1404 125 Arthur J Gallagher & Co, 300 S 60606- 1992388 10/26/2015 10/26/2021 Lehnen, Anthony L Chicago IL 312-803-7447 [email protected] 7 Riverside Plz Ste 1500 6637 125 Marsh Usa Inc., 1166 Avenue Of 10036- 1985356 07/31/2015 07/31/2022 LEICHT, MARTIN New York NY 215-840-6458 [email protected] 8 The Americas 2708 125 80202- 1954869 05/01/2014 05/01/2022 Leinwand, Justin Mark 1900 16th St Ste 1000 Denver CO 303-782-2526 [email protected] 9 5229
Page 58 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 126 08690- 1806884 04/29/2005 04/29/2022 Lejfer, Jefferey Samuel 2465 Kuser Rd Ste 202 Hamilton NJ 732-446-1831 [email protected] 0 3303 126 01850- 2122416 08/19/2020 08/19/2022 Lemay, Ana Catalina 22 Humphrey St Lowell MA 978-601-6308 [email protected] 1 1315 126 [email protected] 1927994 01/16/2013 01/16/2022 Lennon, Peter J 629 Main St, PO Box 232 Woburn MA 01801 781-729-1013 2 m 126 1785307 07/25/2003 07/25/2022 Lesher, Diane Gail 13790 E Rice Pl Aurora CO 80015 303-520-0705 [email protected] 3 126 10006- [email protected] 2028378 06/12/2017 06/12/2022 LEVERICK, MARK 165 Broadway New York NY 212-441-2122 4 1404 M Beecher Carlson Insurance 126 33134- 1821484 04/28/2006 04/28/2022 Levine, Gerald U Services, Llc, 2 Alhambra Plz Ste Coral Gables FL 305-704-5417 [email protected] 5 5206 801 126 10070 Daniels Interstate Ct Ste 33913- [email protected] 1953461 04/06/2014 04/06/2022 Levine, Mark Ira Fort Myers FL 978-618-6563 6 200 7876 m 126 80206- Samantha.levine@cacspecialt 1949471 01/29/2014 01/29/2022 LEVINE, SAMANTHA MIKA 250 Fillmore St Unit 450 Denver CO 913-669-2785 7 5007 y.com 126 2300 Windy Ridge Pkwy SE Ste 30339- 1899965 05/16/2011 05/16/2022 Levinson, Lynn Marie Atlanta GA 770-579-2518 [email protected] 8 695s 8543 126 10006- 2014851 10/19/2016 10/19/2022 LEWIS, COREY J 165 Broadway New York NY 212-479-3627 [email protected] 9 1404 LEWIS AND LEWIS INSURANCE 127 LOS 90064- 2005222 06/06/2016 06/06/2022 LEWIS, JAMES CRANE JR AGENCY, INC., 11900 W CA 310-459-9933 0 ANGELES 1195 OLYMPIC BOULEVARD # 475 127 Crc Insurance Services, Inc., 6200 Greenwood 80111- 1897650 03/16/2011 03/16/2022 Lewis, Jason S CO 720-922-7222 1 S Syracuse Way Ste 100 Village 4738 127 Aon Risk Services Central, Inc., 19103- 1910683 12/19/2011 12/19/2021 Lewis, Lois F Philadelphia PA 856-346-3585 2 1650 Market St Ste 1000 7306 127 01824- Amanda.L'Hussier@libertymut 2096651 08/21/2019 08/21/2022 LHussier, Amanda 63 Chelmsford St Chelmsford MA 978-590-1490 3 3059 ual.com 127 CHELMSFOR 2070345 09/19/2018 09/19/2022 LHUSSIER, SUZANNE M 63 CHELMSFORD STREET MA 01824 978-828-5277 [email protected] 4 D 127 2112538 03/18/2020 03/18/2022 Licciardello, Kevin 2600 Summerian Drive, Suite 101 Land O Lakes FL 34638 813-343-3100 5 127 33431- [email protected] 2156499 07/16/2021 07/16/2022 LIEBERMAN, LAURA AMY 4800 N Federal Hwy Ste 302a Boca Raton FL 305-335-6292 6 5176 m 127 1567689 03/28/2000 03/28/2022 Liestman, Linda L. 310 Washburne Ave, Po Box 223 Paynesville MN 56362 320-243-7252 [email protected] 7 127 1705151 03/10/2003 03/10/2022 Liftman, Mark Steven 101 Federal Street Boston MA 02110 781-453-9535 [email protected] 8 127 02110- 2091607 06/13/2019 06/13/2022 Liftman, Theodore 101 Federal St Boston MA 781-828-0144 [email protected] 9 1817 128 Brown & Brown Of Nh, 309 Daniel 03054- 2088404 04/26/2019 04/26/2022 Liguori, Erik C Merrimack NH 813-222-4287 [email protected] 0 Webster Hwy 4116
Page 59 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 128 2158765 08/09/2021 08/09/2022 Lile, Corey W. 6 Cadillac Drive, Suite 370 Brentwood TN 37027 615-429-5222 [email protected] 1 128 01880- 2142482 02/23/2021 02/23/2022 Lilley, Timothy 6 Howard St Wakefield MA 781-307-5417 [email protected] 2 4227 128 CLARK INSURANCE, 1945 04102- 2144419 03/12/2021 03/12/2022 LIND, JEFFREY ADAM PORTLAND ME 207-774-6257 3 CONGRESS ST BLDG A 1903 128 2019832 01/19/2017 01/19/2022 LINDER, ANDREA DORIA 24013 S AGATE DR SUN LAKES AZ 85248 480-899-2158 [email protected] 4 128 1821614 05/03/2006 05/03/2022 Lindsey, Rick J 8722 S. Harrison St Sandy UT 84070 801-918-4146 [email protected] 5 128 80202- 1932025 04/10/2013 04/10/2022 Lindstrom, Jon K 1225 Seventeenth St Ste 1300 Denver CO 303-241-6379 6 5506 128 LINEBERGER, JOHN Leaseterm Insurance Group, Ll, 30339- 2101780 10/10/2019 10/10/2022 Atlanta GA 404-401-1619 [email protected] 7 MURPHY 2675 Paces Ferry Rd Se 4052 128 NAMIC INSURANCE COMPANY, INDIANAPOLI 46268- 2028634 06/15/2017 06/15/2022 Linstrum, LAURA BETH IN 317-750-2179 [email protected] 8 3601 VINCENNES RD S 1154 128 94105- 2108046 01/13/2020 01/13/2022 LIPKIN, EUGENE MILES 101 2nd St # 525 San Francisco CA 650-209-4482 [email protected] 9 3672 129 11215- 2136515 12/08/2020 12/08/2021 LIPUMA, NEIL 112a Windsor Pl Unit 2 Brooklyn NY 917-685-0614 0 5809 129 Crc Insurance Services, Inc., 4035 27265- 2093171 07/08/2019 07/08/2022 Little, Tammy E High Point NC 336-885-6808 1 Premier Dr Ste 109 8312 129 21042- 1806061 03/24/2005 03/24/2022 Littlefield, Jonathan Brown 10054 Colonial Dr Ellicott City MD 443-355-6150 [email protected] 2 6201 129 LITTLEJOHN, ALEXANDRA 94598- 2105004 11/14/2019 11/14/2021 3465 Sutcliffe Ct Walnut Creek CA 917-455-6254 [email protected] 3 EDMUNDA 3922 129 LITVINENKO, SERGEY 15212- 2129705 10/13/2020 10/13/2021 100 S Commons Ste 102 Pittsburgh PA 702-720-5667 [email protected] 4 VALERYEVICH 5359 129 2143713 03/05/2021 03/05/2022 LIU, ZHANGSINONG 161 SPRINGBERRY LANE CHAPEL HILL NC 27517 984-215-8195 5 129 15212- 1952591 03/21/2014 03/21/2022 Livingston, Ronald B Jr. 850 Ridge Ave Pittsburgh PA 412-237-2078 [email protected] 6 6003 129 LLEWELLYN, SHAWN 23060- 2072891 10/16/2018 10/16/2022 4870 Sadler Rd Ste 102 Glen Allen VA 804-556-0600 [email protected] 7 NEILL 6294 129 91436- 1932327 04/16/2013 04/16/2022 LLOYD, DAVID MARSHALL 16501 Ventura Blvd Ste 200 Encino CA 818-382-2030 [email protected] 8 2066 129 02110- 2046058 01/20/2018 01/20/2022 LLOYD, MICHAEL DAVID 100 Summer St Boston MA 857-366-5041 [email protected] 9 2106 130 1601 MARKET STREET, SUITE PHILADELPHI 1926490 12/11/2012 12/11/2021 LOCKHEAD, Lisa PA 19103 215-256-1688 0 1800 A 130 98101- 1955136 05/06/2014 05/06/2022 LOCKREM, LEONA K 600 University St Ste 3100 Seattle WA 206-343-6017 [email protected] 1 3122
Page 60 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 130 1705524 03/12/2003 03/12/2022 Lockton, Ronald J. 444 West 47th Street, Suite 900 Kansas City MO 64112 816-960-9000 2 130 30328- 2160959 08/26/2021 08/26/2022 LOGAN, COURTNEY 5 Concourse Pkwy Ste 1800 Atlanta GA 212-915-8171 [email protected] 3 6168 130 Alliant Insurance Services, Inc., 02110- 2036262 09/30/2017 09/30/2022 Long, Charles A Boston MA 617-535-7270 [email protected] 4 131 Oliver St Fl 4 2785 130 90071- 1840745 08/27/2007 08/27/2022 Long, Linda Leigh 633 W 5th St Los Angeles CA 626-824-2333 5 2005 130 SOUTH 2160341 08/20/2021 08/20/2022 LONNEMAN, STEVEN J 3311 DANIELS LANE NE 68776 402-494-8585 6 SIOUX CITY 130 300 COLONIAL CENTER PKWY 30076- 2108852 01/24/2020 01/24/2022 LOOME, CHRISTINA ROSWELL GA 770-462-2448 [email protected] 7 STE 200 8844 130 THE LOOMIS COMPANY, 850 N. JRLOOMISJR@LOOMISCO. 2045939 01/18/2018 01/18/2022 LOOMIS, JAMES RUSSELL WYOMISSING PA 19610 610-374-4040 8 PARK ROAD COM 130 The Loomis Company, 850 N Park 19610- 1790966 12/16/2003 12/16/2021 Loomis, James Russell Wyomissing PA 610-374-4040 [email protected] 9 Rd 1307 131 The Fairmont Building, 199 Scott 14204- 2117483 06/22/2020 06/22/2022 Looney, Vincent J Buffalo NY 716-650-7674 0 St 2247 131 34228- 1927214 12/24/2012 12/24/2021 Lopez, Henry A 723 Jungle Queen Way Longboat Key FL 847-438-7002 1 1830 131 2014577 10/15/2016 10/15/2021 Lopez, Rachel 281 Main Street Fitchburg MA 01420 978-407-6980 [email protected] 2 131 10038- 2138268 01/05/2021 01/05/2022 LOUIE, DAVID J 217 Park Row Ste 2 New York NY 212-941-8919 [email protected] 3 1110 131 10038- 1896593 02/22/2011 02/22/2022 Louie, David John 217 Park Row New York NY 212-941-8919 [email protected] 4 1101 131 1898771 04/12/2011 04/12/2022 Louis, David Thomas 4 Punchard Avenue Andover MA 01845 978-687-7566 [email protected] 5 131 94105- 2097520 08/30/2019 08/30/2022 Loveall, Jennifer D 425 Market St Ste 2800 San Francisco CA 925-254-7164 6 2490 131 77024- 1820050 03/28/2006 03/28/2022 Loving, Bethany Lynn Usi, 9811 Katy Fwy Ste 500 Houston TX 281-296-2878 [email protected] 7 1273 131 07495- 1852198 05/07/2008 05/07/2022 Low, Patricia Kathryn 1 International Blvd Mahwah NJ 201-794-7144 [email protected] 8 0027 131 02116- 2137521 12/22/2020 12/22/2021 Lowe, Emily D 75 Arlington St Fl 10 Boston MA 617-351-7485 9 3936 132 Willis Towers Watson Southeast, 37214- 1889918 10/05/2010 10/05/2022 Lowe, William W Nashville TN 615-872-3808 0 Inc., 26 Century Blvd 3685 132 02116- 2135783 11/26/2020 11/26/2021 LOWNDES, KYLEE E. 75 Arlington St Fl 10 Boston MA 860-670-7071 1 3936 132 10017- 1950997 02/24/2014 02/24/2022 LU, BRIAN C 350 Madison Ave Fl 7 New York NY 609-462-5599 [email protected] 2 3724
Page 61 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 132 FORT 76107- 1970584 12/05/2014 12/05/2021 LUDWIG, JOHN BRUCE 6100 WESTERN PL STE 100 TX 817-877-1884 [email protected] 3 WORTH 4602 132 LUKE, DAVID CHRISTIAN PURE PROGRAMS LLC, 300 2114669 05/04/2020 05/04/2022 ROSWELL GA 30076 800-428-0469 4 JR COLONI 132 300 COLONIAL CENTER 2125137 09/16/2020 09/16/2022 LUKER, BRYAN RAY ROSWELL GA 30076 415-429-5951 5 PARKWAY 132 Cross Insurance - Lewiston, 150 04240- 1870979 07/07/2009 07/07/2022 Lundgren, Dennis R Lewiston ME 207-767-2928 6 Mill St Fl 4 3101 132 723 Concord Avenue, Po Box [email protected] 2098192 09/09/2019 09/09/2022 Lussier, Daniel Paul St Johnsbury VT 05819 802-525-3060 7 4509 m 132 Marsh & Mclennan Agency, Llc, 02199- 2087569 04/13/2019 04/13/2022 Luu, Puiyin Boston MA 207-299-8225 8 101 Huntington Ave 7603 132 APPLIED RISK SERVICES, INC., 68154- 2115065 05/12/2020 05/12/2022 LYNCH, AARON JOHN OMAHA NE 402-827-3432 [email protected] 9 10805 OLD MILL RD 2607 133 Willis Towers Watson Northeast, 02116- 2160267 08/20/2021 08/20/2022 LYNCH, DAVID Boston MA 781-572-9152 [email protected] 0 Inc., 75 Arlington St Fl 10 3936 133 Alliant Insurance Services, Inc., 21 07704- 1808751 06/27/2005 06/27/2022 Lynch, John Joseph Fair Haven NJ 732-747-0800 1 Cedar Ave 3264 133 55439- 1883156 04/27/2010 04/27/2022 Lynch, Matthew A 6625 W 78th St Minneapolis MN 847-372-1771 2 2649 133 1996913 01/26/2016 01/26/2022 LYNCH, TIMOTHY PATRICK 175 CAPITAL BLVD., SUITE 100 ROCKY HILL CT 06067 860-232-4888 [email protected] 3 133 32751- 2054695 04/20/2018 04/20/2022 Lyons, Paul Creston III 555 Winderley Pl Ste 420 Maitland FL 407-333-3339 [email protected] 4 7143 133 CHELMSFOR 2138267 01/05/2021 01/05/2022 MACDONALD, JESSICA L 63 CHELMSFORD ST MA 01824 603-930-8545 [email protected] 5 D 133 02111- 2063946 07/27/2018 07/27/2022 MacDougall, Robert Bruce 186 Lincoln St Boston MA 978-358-8691 6 2403 133 THE RICHARDS GROUP, 48 BRATTLEBOR Smaceachern@therichardsgrp 2045943 01/18/2018 01/18/2022 MACEACHERN, Sharon VT 01235 802-254-6016 7 HARRIS PLACE O .com 133 31419- 2101612 10/09/2019 10/09/2022 MACFADYEN, SIMON J 623 Dancy Ave Savannah GA 212-441-1234 [email protected] 8 3003 133 63105- Matt.Mach@starinsuranceage 2099034 09/17/2019 09/17/2022 MACH, MATTHEW 34 N Brentwood Blvd Ste 204 Clayton MO 314-325-2600 9 3746 ncyinc.com 134 2090993 06/05/2019 06/05/2022 MACH, PEYTON BENJAMIN 6263 N.SCOTTSDALE RD. SCOTTSDALE AZ 85250 800-444-4813 [email protected] 0 134 Willis Towers Watson Northeast, 02116- michael.machin@willistowers 2153440 06/16/2021 06/16/2022 MACHIN, MICHAEL Boston MA 781-646-1463 1 Inc., 75 Arlington St Fl 10 3936 watson.com 134 10065- 2152723 06/09/2021 06/09/2022 MACK, Benjamin J 667 Madison Ave Fl 5 New York NY 201-960-9945 2 8029 134 Globe Underwriting Limited, 916 77868- 2153697 06/17/2021 06/17/2022 MACKAY, JENNIFER JEAN Navasota TX 281-635-3953 3 Holland St 3634
Page 62 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 134 Fort 19034- 1874415 09/24/2009 09/24/2022 Mackunis, Kenneth James 1100 Virginia Dr Ste 250 PA 215-773-4653 4 Washington 3204 134 Aegis Insurance Services, Inc., 1 East 07073- [email protected] 2005645 06/13/2016 06/13/2022 MADDEN, BRIAN S NJ 732-669-2733 5 Meadowlands Plz Rutherford 2150 m 134 Palm Beach 33418- 2146578 04/05/2021 04/05/2022 MADDEN, KEVIN FRANCIS 7108 Fairway Dr Ste 200 FL 561-656-6174 [email protected] 6 Gardens 3757 134 30326- 2004527 05/23/2016 05/23/2022 Madden, William Roger 3560 Lenox Rd Ne Atlanta GA 404-220-7444 [email protected] 7 4266 134 33328- Christopherm@western- 2002510 05/03/2016 05/03/2022 MADIO, CHRISTOPHER R 5220 S UNIVERSITY DR # C202 DAVIE FL 954-475-0201 8 5317 summit.com 134 Alliant Insurance Services, Inc., 94596- 1850418 03/31/2008 03/31/2022 Madnick, Seth B Walnut Creek CA 925-658-1551 9 2175 N California Blvd Ste 715 3503 135 10018- [email protected] 2053455 04/03/2018 04/03/2022 MAFFEO, ALEX 530 7th Ave Rm 1109 New York NY 973-219-7362 0 5035 O 135 91367- 1785308 07/23/2003 07/23/2022 Maggay, George S 21550 Oxnard St Ste 1100 Woodland Hills CA 805-376-9966 [email protected] 1 7106 135 02062- 1700882 02/04/2003 02/04/2022 Magnuson, Betsy Ann 100 River Ridge Dr Ste 301 Norwood MA 508-543-6143 [email protected] 2 5041 ACIG INSURANCE AGENCY, 135 MAGNUSON, MICHAEL 75080- 2131891 10/23/2020 10/23/2021 INC., 2600 N CENTRAL EXPY RICHARDSON TX 214-802-7472 3 DAVID 2064 STE 800 135 C/o Nif Group, Inc., 420 Lexington 10170- 2025932 04/27/2017 04/27/2022 MAHER, MARK P New York NY 212-962-2555 [email protected] 4 Ave Rm 432 0030 135 30 Braintree Hill Office Park Ste 02184- 1929709 03/01/2013 03/01/2022 Maier, Margaret A Braintree MA 617-904-4142 5 205 8712 135 Edgewood Partners Insurance, 08054- 2021801 02/21/2017 02/21/2022 MAIETTA, KEITH PATRICK Mount Laurel NJ 856-334-8852 [email protected] 6 3000 Atrium Way Ste 108 3910 135 37215- 2096489 08/19/2019 08/19/2022 MAILANDER, PAMELA J 10 Burton Hills Blvd Ste 300 Nashville TN 515-822-6131 [email protected] 7 9922 135 Paragon Insurance Holdings Llc, 06001- [email protected] 2088971 05/06/2019 05/06/2022 Mairano, Ronald Charles Avon CT 860-266-1461 8 45 Nod Rd 3819 om 135 1899195 04/25/2011 04/25/2022 Malaspina, Edmund Joseph 189 Commerce Court, Box 189 Cheshire CT 06410 203-758-0089 [email protected] 9 Mjm Global Insurance Brokerage 136 07631- 1954574 04/28/2014 04/28/2022 Malhame, Michael Fred Group Inc., 25 Rockwood Pl Ste Englewood NJ 201-784-2588 [email protected] 0 4958 210 136 Pmc Insurance Agency, Inc., 209 01730- 1833924 03/21/2007 03/21/2022 Malloy, David M Bedford MA 781-449-7889 [email protected] 1 Burlington Rd Ste 109 1422 136 2153522 06/16/2021 06/16/2022 MANANSINGH, AARTIE K 200 LIBERTY STREET NEW YORK NY 10821 212-309-3422 2 136 10006- 2146295 04/01/2021 04/01/2022 Mancuso, Paul Ernest 165 Broadway New York NY 847-771-0065 [email protected] 3 1404 136 64112- 1809780 07/21/2005 07/21/2022 Mandato, Claudia 444 W 47th St Ste 900 Kansas City MO 816-960-9000 [email protected] 4 1906
Page 63 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 136 910 Franklin Ave. Ste. 210, 910 11530- 2041965 11/21/2017 11/21/2021 Mangi, Robert G Garden City NY 631-223-2981 [email protected] 5 Franklin Ave Ste 210 2940 136 MANGUS, DOUGLAS 92806- 2027913 06/02/2017 06/02/2022 2400 E Katella Ave Ste 800 Anaheim CA 949-484-7317 [email protected] 6 MONTE 5955 136 30326- 1853897 06/19/2008 06/19/2022 Mann, Gregory S 3560 Lenox Rd Ne Atlanta GA 404-428-0814 7 4266 136 1935317 06/11/2013 06/11/2022 Manna, Jeffrey C 288 Beech St Tewksbury MA 01876 978-851-3436 [email protected] 8 136 Fort 33334- 1915304 04/19/2012 04/19/2022 Manning, Paul Michael 1000 Corporate Dr Ste 400 FL 786-371-5668 9 Lauderdale 3628 137 Alliant Insurance Services, Inc., 10178- 1973852 01/29/2015 01/29/2022 Mannino, James Vincent New York NY 212-603-0220 [email protected] 0 101 Park Ave Fl 18 1702 137 10281- 2140112 01/27/2021 01/27/2022 MANSKY, PIOTER G 200 VESEY ST NEW YORK NY 646-603-1012 1 1013 137 Willis Towers Watson Northeast, 02116- Lisa.mansour@willistowerswat 2151452 05/26/2021 05/26/2022 MANSOUR, LISA ANN Boston MA 617-899-7721 2 Inc., 75 Arlington St Fl 10 3936 son.com 137 Appleby & Wyman Ins Agcy, 152 01915- [email protected] 2027212 05/20/2017 05/20/2022 Marciano, Lisa M Beverly MA 978-239-1000 3 Conant St 1659 m 137 21217- Lynn.marcin@huntingtontbloc 1991361 10/13/2015 10/13/2021 Marcin, Lynn Ann 1709 Park Ave Baltimore MD 410-728-1406 4 4336 k.com 137 94105- 1998254 02/19/2016 02/19/2022 Marcon, Anthony G 44 2nd St San Francisco CA 415-730-8839 5 3440 137 E 1850821 04/09/2008 04/09/2022 Marini, Timothy J 96 Shaker Road MA 01028 413-537-2148 6 Longmeadow 137 American Global, 2121 SW 3rd 33129- michael.marino@americanglo 2157913 07/30/2021 07/30/2022 MARINO, MICHAEL Miami FL 516-250-7023 7 Ave Ste 501 1470 bal.co 137 10001- 2027012 05/17/2017 05/17/2022 MARKOFF, BENJAMIN 122 W 26th St Fl 2 New York NY 818-314-8114 [email protected] 8 6804 137 Willis Towers Watson Northeast, 15222- Daniel.markosky@willistowers 2121697 08/11/2020 08/11/2022 MARKOSKY, DANIEL Pittsburgh PA 412-863-4808 9 Inc., 1 Ppg Pl Ste 600 5415 watson.com 138 Marsh Usa Inc., 1166 Avenue Of 10036- 2006793 07/05/2016 07/05/2022 MARKOVIC, TOMISLAV New York NY 917-446-1086 [email protected] 0 The Americas 2708 138 10017- 2117019 06/15/2020 06/15/2022 MARKOWSKI, TRACY 555 5th Ave Fl 10 New York NY 917-903-5386 [email protected] 1 2416 138 1763 MARLTON PIKE EAST, 2150980 05/20/2021 05/20/2022 MARKUS, CHARLES CHERRY HILL NJ 08003 856-236-8959 2 SUITE 200 138 32937- [email protected] 1860882 12/11/2008 12/11/2021 Markus, Shani Eileen 227 S Patrick Dr Ste 101 Satellite Beach FL 832-474-0416 3 3740 m 138 10036- 2004375 05/19/2016 05/19/2022 Maro, Christopher Joseph 1166 Avenue Of The Americas New York NY 631-828-0011 4 2708 138 1879327 01/11/2010 01/11/2022 Marsh, Darren Adam 5900 Hiatus Road Tamarac FL 33321 954-650-3430 [email protected] 5
Page 64 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 138 1950264 02/11/2014 02/11/2022 Marsh, Robertson E 3353 Peachtree Rd NE, Ste 1000 Atlanta GA 30326 404-606-3860 6 138 75001- 1996372 01/14/2016 01/14/2022 MARSHALL, Gary Duane 15301 Dallas Pkwy Ste 500 Addison TX 856-217-4909 [email protected] 7 6707 138 02110- 1683241 10/08/2002 10/08/2022 Marshall, Kathryn Suzanne 99 High St Boston MA 857-206-5962 8 2320 138 06103- 2142013 02/17/2021 02/17/2022 Marshall-Tate, Janet J 10 State House Sq Fl 11 Hartford CT 860-756-7383 9 3602 139 10006- 1980053 05/04/2015 05/04/2022 MARTELLONI, PAUL 165 Broadway New York NY 929-216-1897 [email protected] 0 1404 139 GREENSBOR 27410- 2005490 06/09/2016 06/09/2022 MARTIN, CYNTHIA P 5506 W FRIENDLY AVE STE 100 NC 336-856-1555 [email protected] 1 O 4247 139 2042359 11/30/2017 11/30/2021 MARTIN, ERIN H 200E RANDOLPH ST. CHICAGO IL 60601 312-381-5125 [email protected] 2 139 SCARBOROU 2008686 08/04/2016 08/04/2022 MARTIN, JEFFREY 25 SPRING STREET, STE. 100 ME 04074 207-885-6246 [email protected] 3 GH 139 10006- 1835443 05/02/2007 05/02/2022 Martin, Thomas E 165 Broadway New York NY 212-441-2819 [email protected] 4 1404 139 MARTIN, THOMAS 300 COLONIAL CENTER 2144420 03/12/2021 03/12/2022 ROSWELL GA 30076 470-500-1013 5 VINCENT PARKWAY 139 83501- 2004971 06/01/2016 06/01/2022 MARTIN, TYLER 1504 8th St Lewiston ID 208-743-9426 [email protected] 6 3780 139 11971 Westline Industrial Dr Ste 63146- 1921962 09/25/2012 09/25/2022 Martin, William Joseph III Saint Louis MO 314-374-1463 7 200 3224 AON RISK SERVICES CENTRAL, 139 PHILADELPHI [email protected] 2048215 02/07/2018 02/07/2022 MARTINCIC, KATHRYN L INC., 1650 MARKET ST. SUITE PA 19103 570-994-4135 8 A M 1000 139 MARSH USA, INC., 2325 E 85016- 2026572 05/09/2017 05/09/2022 MARTINEZ, HILARY A. PHOENIX AZ 602-510-6290 [email protected] 9 CAMELBACK RD STE 600 3474 140 01581- 1581545 07/30/2000 07/30/2022 Martino, Richard E 4 Technology Dr Ste 100 Westborough MA 508-482-9557 [email protected] 0 1791 140 2025087 04/13/2017 04/13/2022 Martinson, George Thomas 50 Congress Street, Ste 530 Boston MA 02109 617-696-7505 [email protected] 1 140 02780- 2086086 03/25/2019 03/25/2022 Martorana, Russel F 128 Dean St Taunton MA 508-823-7406 [email protected] 2 2762 140 Alliant Insurance Services, Inc., 90071- 1905656 09/26/2011 09/26/2022 Marutsos, Vasilios George Los Angeles CA 213-443-2457 3 333 S Hope St Ste 3750 3047 140 Arthur J Gallagher & Co, 240 60014- 1976428 03/05/2015 03/05/2022 Marwitz, Stephen Crystal Lake IL 847-458-9800 [email protected] 4 Commerce Dr 3549 140 03842- 1945425 11/07/2013 11/07/2021 Masiello, Matthew Peter San Group, 234 Lafayette Rd Hampton NH 603-601-1211 [email protected] 5 4105 140 02382- 1792538 02/03/2004 02/03/2022 Mason, Philip Wesley 458 South Ave Whitman MA 781-447-5531 [email protected] 6 2056
Page 65 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 140 2090517 05/30/2019 05/30/2022 MASSEY, Amy Eileen 99 HIGH STREET BOSTON MA 02110 781-608-0565 7 140 Willis Insurance Svcs Of Ca, 801 S 90017- 1973259 01/16/2015 01/16/2022 Massi, Eric Jonathan Los Angeles CA 213-607-6363 [email protected] 8 Figueroa St Ste 800 2591 140 1958995 07/16/2014 07/16/2022 Matarazzo, Gina M 25 New Chardon Street Boston MA 02114 781-233-4403 [email protected] 9 141 Risk Placement Services, Inc., 92121- 1897508 03/14/2011 03/14/2022 Mathews, Michael A San Diego CA 858-724-5002 [email protected] 0 4365 Executive Dr Ste 400 2136 141 02149- 2147401 04/14/2021 04/14/2022 MATRINKO, JACLYN 1 Mount Washington St Everett MA 857-288-9119 1 5107 141 94105- 2076466 11/19/2018 11/19/2021 MATSUI, RICHARD JIRO 609 Mission St Fl 2 San Francisco CA 415-891-9601 2 3531 141 60661- 2004213 05/17/2016 05/17/2022 MATYJEWICZ, IAN 540 W Madison St Chicago IL 551-655-0017 [email protected] 3 2591 141 UNIVERSAL INSURANCE 50321- 1927656 01/08/2013 01/08/2022 MAURO, SHARILYN M DES MOINES IA 515-285-8000 [email protected] 4 GROUP, 2333 MCKINLEY AVE 2305 141 60521- 1823889 06/23/2006 06/23/2022 Mavon, Philip G III 10 W Chicago Ave Hinsdale IL 630-242-3138 [email protected] 5 3400 141 MAVROS, JORDAN 300 COLONIAL CENTER 2105403 11/20/2019 11/20/2021 ROSWELL GA 30076 678-558-6326 6 ALEXANDER PARKWAY, #200 141 84070- 2069676 09/12/2018 09/12/2022 MAWHINNEY, LANA JO 9980 S 300 W STE 320 SANDY UT 801-984-6100 [email protected] 7 3654 141 Alliant Insurance Services, Inc., 30009- 2151627 05/27/2021 05/27/2022 MAXEY, DANIELLE Alpharetta GA 404-273-5646 [email protected] 8 1125 Sanctuary Pkwy Ste 300 7614 141 02169- 2118886 07/11/2020 07/11/2022 Maxwell, Jared Ames & Gough, 859 Willard St Quincy MA 617-328-6888 9 7482 142 Arthur J Gallagher & Co, 595 94105- 2069425 09/10/2018 09/10/2022 May, Joshua N San Francisco CA 415-536-1658 [email protected] 0 Market St Ste 2100 2832 142 49503- 1974898 02/13/2015 02/13/2022 MAY, KENDRA S 37 Ottawa Ave NW Ste 202 Grand Rapids MI 616-954-7800 [email protected] 1 2627 142 98052- 1882662 04/14/2010 04/14/2022 May, Richard 15864 NE 93rd Way Redmond WA 203-445-9655 2 7522 142 3131 SOUTH VAUGHN WAY, 2148962 04/30/2021 04/30/2022 MAYO, KEVIN RENE AURORA CO 80014 303-557-7816 [email protected] 3 STE 400 142 Whitehouse 08889- KAREN.MAYS@NEWMARKE 1982370 06/16/2015 06/16/2022 MAYS, KAREN L 202 Halls Mill Rd NJ 908-572-2310 4 Station 3435 TSAGENCY.COM 142 2139725 01/22/2021 01/22/2022 MAZZONE, SUSANNE M 667 MADISON AVE, 5TH FL NEW YORK NY 10055 516-408-2124 5 142 10175- 2045374 01/09/2018 01/09/2022 MC NALLY, JOHN E 521 5th Ave Fl 15 New York NY 646-277-3622 [email protected] 6 1201 142 02142- 2099817 09/24/2019 09/24/2022 MCAULAY, JEFFREY 1 Broadway Cambridge MA 617-819-4332 [email protected] 7 1100
Page 66 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 142 30350- [email protected] 2131892 10/23/2020 10/23/2022 MCAULIFFE, MICHAEL B 400 Northridge Rd Ste 800 Sandy Springs GA 833-284-9200 8 3354 m INS MANAGEMENT 142 28036- 2156344 07/15/2021 07/15/2022 MCCABE, KAREN L CONSULTANTS, INC, 212 S DAVIDSON NC 704-799-1600 9 8039 MAIN ST FL 2 143 32309- 1880699 02/23/2010 02/23/2022 McCann, John Daniel 1550 Village Square Blvd Ste 1 Tallahassee FL 850-385-7285 [email protected] 0 2773 143 R-t Specialty, Llc, 500 W Monroe 60661- 1863421 02/03/2009 02/03/2022 McCann, Terrence D Chicago IL 312-860-7500 [email protected] 1 St Fl 30 3774 143 1796947 06/02/2004 06/02/2022 McCarthy, Brian K 10 Centennial Drive Peabody MA 01960 978-531-1822 [email protected] 2 143 Energi Ins Svcs Inc, 10 Centennial 01960- 1834975 04/17/2007 04/17/2022 McCarthy, John F Jr. Peabody MA 978-535-4508 [email protected] 3 Dr 7938 143 Alliant Insurance Services, Inc., 02110- 1914993 04/11/2012 04/11/2022 McCarthy, Karen Ann Boston MA 617-535-7274 [email protected] 4 131 Oliver St Fl 4 2785 143 MCCARTHY, MATTHEW 2151771 05/28/2021 05/28/2022 19 TURNPIKE RD JAFFREY NH 03452 603-548-9843 5 ROBERT 143 06109- stephen.r.mccarthy@guycarp. 2056429 05/04/2018 05/04/2022 McCarthy, Stephen R 100 Great Meadow Rd Ste 205 Wethersfield CT 617-877-2470 6 2355 com 143 02601- 2040893 11/18/2017 11/18/2021 McCartin, Mark S 973 Iyannough Rd Hyannis MA 508-428-6181 [email protected] 7 1869 143 78738- 2157643 07/28/2021 07/28/2022 MCCATHRON, Richard Lyn 4917 Pyrenees Pass Austin TX 805-559-3355 [email protected] 8 4021 143 19063- [email protected] 2158470 08/05/2021 08/05/2022 MCCAW, ROBERT JOSEPH 10 INDIAN SPRING RD MEDIA PA 336-558-7622 9 1818 om 144 Victor Insurance Managers Inc, 77042- Michael.mcclanahan@victorin 2063263 07/18/2018 07/18/2022 McClanahan, Michael J Houston TX 832-623-4678 0 3100 Wilcrest Dr 6029 surance.com 144 McCloskey, Charles Thomas Risk Placement Services, Inc., 17- 07410- BPIERCE@METCOMEXCES 1854971 07/21/2008 07/21/2022 Fair Lawn NJ 201-641-6566 1 Jr. 17 Route 208 Ste 220 2819 S.COM 144 MCCLOSKEY, KELTIE 94596- 2105292 11/19/2019 11/19/2021 1981 N Broadway Ste 340 Walnut Creek CA 415-389-9308 [email protected] 2 THOMAS 8218 Amwins Program Underwriters, 144 28210- 1827216 09/20/2006 09/20/2022 McCloy, William Ross Inc., 4725 Piedmont Row Dr Ste Charlotte NC 704-845-1596 [email protected] 3 4283 600 Wexler Wasserman & Assoc Ins 144 45249- 1828730 10/26/2006 10/26/2021 McCluskey, Brian Patrick Agency Llc, 7363 E Kemper Rd Cincinnati OH 513-703-1802 [email protected] 4 1097 Ste C&d 144 Fort 19034- 1982106 06/10/2015 06/10/2022 McCole, Gretchen 1100 Virginia Dr Ste 250 PA 215-773-4772 [email protected] 5 Washington 3278 144 1940690 09/06/2013 09/06/2022 McCormack, Alice 3930 W.Dakin Chicago IL 60618 312-505-8934 6 144 MCCORMICK, CURTIS CBIZ INSURANCE SERVICES 64112- 2015036 10/21/2016 10/21/2021 KANSAS CITY MO 816-841-4041 [email protected] 7 WAYNE INC, 700 W 47TH ST STE 1100 2050
Page 67 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 144 45324- 1805322 03/02/2005 03/02/2022 McCoy, Timothy Rex 3000 Presidential Dr Ste 300 Beavercreek OH 937-912-5166 8 6782 144 AUBURN 48326- 2084226 03/12/2019 03/12/2022 MCCRAY, JEFFREY 1700 OPDYKE CT MI 269-501-2009 9 HILLS 2474 SYNERGY PROFESSIONAL 145 07004- 2040747 11/16/2017 11/16/2021 MCCROHAN, MICHELE S ASSOCIATES, INC., 100 FAIRFIELD NJ 973-995-0519 [email protected] 0 3563 PASSAIC AVE STE 145 145 68118- 1948684 01/14/2014 01/14/2022 McCue, David Brent 17807 Burke St Ste 401 Omaha NE 402-697-5213 [email protected] 1 2260 145 MCDERMOTT-LUCEY, 10006- jean.mcdermott- 1950007 02/06/2014 02/06/2022 165 Broadway New York NY 212-441-1314 2 JEAN 1404 [email protected] 145 54650- 2143128 03/01/2021 03/01/2022 McDonald, James R 1101 Main St Onalaska WI 608-788-7012 3 2769 145 East 02189- 2158767 08/09/2021 08/09/2022 McDonald, Joseph F 20 Iron Hill St MA 781-929-0138 [email protected] 4 Weymouth 2715 145 MCDONNELL, MARK MARK_MCDONNELL@SWET 2019830 01/19/2017 01/19/2022 32 OLD SLIP, 5TH FLOOR NEW YORK NY 10005 207-885-6243 5 JOSEPH T.COM 145 08053- 2140501 02/01/2021 02/01/2022 McDougall, Scott W. 701 Route 73 S Ste 105 Marlton NJ 609-304-3476 6 4144 145 MCGARITY, CAROLINE 300 COLONIAL CENTER PKWY 2030267 07/14/2017 07/14/2022 ROSWELL GA 30076 888-813-7873 [email protected] 7 PYBURN STE 200 145 Bmcgarry@strataunderwriters. 2099035 09/17/2019 09/17/2022 MCGARRY, BRYAN 8144 WALNUT HILL LN STE 1490 DALLAS TX 75231 678-613-8725 8 com STARR SPECIALTY LINES 145 MCGEER, CAROLE 75225- carole.mcgeer@starrcompani 1942521 10/01/2013 10/01/2021 INSURANCE AGENCY L, 8401 N DALLAS TX 469-206-0397 9 MARGARET 4420 es.com CENTRAL EXPY STE 515 146 01608- 2122970 08/25/2020 08/25/2022 McGinnis, Philip John 120 Front St Ste 510 Worcester MA 617-817-7755 [email protected] 0 1413 146 70808- 1856738 08/22/2008 08/22/2022 McGinty, Andrew Francis 3042 Old Forge Dr Ste A Baton Rouge LA 225-236-9381 [email protected] 1 3182 146 10006- DEVIN.MCGOLDRICK@AON. 2030266 07/14/2017 07/14/2022 MCGOLDRICK, DEVIN 165 Broadway New York NY 203-605-2294 2 1404 COM 146 McGovern, Christopher 21030- 1847611 02/04/2008 02/04/2022 10150 York Rd Fl 5 Hunt Valley MD 410-828-5810 [email protected] 3 Bernard 3354 146 MCGOWAN, MICHAEL 2151256 05/24/2021 05/24/2022 154 W 14TH ST, 2ND FLOOR NEW YORK NY 10011 631-357-9739 4 JAMES 146 McGowan, Thomas Bernard 44126- [email protected] 2144421 03/12/2021 03/12/2022 20595 Lorain Rd Fairview Park OH 440-899-9655 5 IV 2053 m 146 PETERBORO 03458- 2142012 02/17/2021 02/17/2022 MCGREER, LYNN T 10 MAIN ST NH 603-762-9180 6 UGH 2418 146 02111- 2157574 07/28/2021 07/28/2022 McHale, Amanda Damon 1 Financial Ctr Fl 13 Boston MA 508-226-0351 [email protected] 7 2688 146 901 MOPAC EXPRESSWAY 78746- 1973378 01/20/2015 01/20/2022 MCHALE, ANDREW H AUSTIN TX 512-268-9318 [email protected] 8 SOUTH 5942
Page 68 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date AON RISK SERVICES CENTRAL, 146 PHILADELPHI 2101442 10/08/2019 10/08/2022 MCINTYRE, RYAN C INC., 1650 MARKET ST. SUITE PA 19103 215-255-1940 9 A 1000 147 OWNER-OPERATOR SERVICES, GRAIN 64029- 2045935 01/18/2018 01/18/2022 MCINTYRE, TRINA JOYCE MO 816-217-6827 [email protected] 0 INC., 1 OOIDA DR VALLEY 7903 147 Cottingham And Butler, 800 Main 52001- 1793698 03/08/2004 03/08/2022 McKay, Richard V. Dubuque IA 319-583-2073 1 St 6822 147 MCKENNA, RICHARD C/o Richard Mckenna Agency Inc, 11030- 2049948 02/21/2018 02/21/2022 Manhasset NY 631-845-1399 [email protected] 2 BRIAN 100 Plandome Rd 2325 147 34522 N SCOTTSDALE RD STE 85266- 2152725 06/09/2021 06/09/2022 MCKENZIE, KATIE SCOTTSDALE AZ 850-294-1928 3 120-436 1224 Assuredpartners Specialty 147 MCKENZIE-COCCO, 90245- 2007423 07/14/2016 07/14/2022 Insurance Brok, 1960 E Grand Ave El Segundo CA 310-741-7445 [email protected] 4 Jennifer Lee 5094 Ste 1080 147 28202- 2106497 12/11/2019 12/11/2021 MCKEON, CARMEN LYNN 227 W Trade St Ste 1600 Charlotte NC 336-269-2589 [email protected] 5 2879 147 jmclaughlinsr@mclaughlininsu 1031225 12/19/1998 12/19/2021 McLaughlin, John E Sr. 828 Lynn Fells Parkway Melrose MA 02176 781-665-5774 6 rance.com 147 Gothic Insurance Services, Llc., 02176- jmclaughlinjr@mclaughlininsur 1975155 02/19/2015 02/19/2022 McLaughlin, John Edward Jr. Melrose MA 781-665-2775 7 828 Lynn Fells Pkwy 2506 ance.com 147 Arthur J Gallagher & Co, 2850 Golf Rolling 60008- 1830411 12/11/2006 12/11/2021 McLaughlin, John Patrick IL 630-462-9633 [email protected] 8 Rd Meadows 4050 18170 SCENIC HWY 98, 147 2139877 01/25/2021 01/25/2022 MCLENDON, ROBERT MAGNOLIA TRACE, UNIT 9, FAIRHOPE AL 36532 334-402-4383 9 FAIRHOPE 148 MCMAHON, JONATHAN 10006- 2079657 12/26/2018 12/26/2021 165 Broadway New York NY 212-441-1650 [email protected] 0 DAVID 1404 148 2096791 08/22/2019 08/22/2022 McMahon, Kim W. 10 Middlesex Street N Chelmsford MA 01863 978-710-3399 [email protected] 1 148 60606- 2131893 10/23/2020 10/23/2021 MCMAHON, SCOTT P 233 S WACKER DR STE 2000 CHICAGO IL 312-288-7836 2 6400 148 1974447 02/06/2015 02/06/2022 McMahon, Todd Christian 601 Union Street, Suite 1000 Seattle WA 98101 425-398-9121 3 148 44113- [email protected] 1956169 05/27/2014 05/27/2022 McManamon, Patrick Casey 1468 W 9th St Ste 805 Cleveland OH 800-420-5757 4 1299 om 148 Edgewood Partners Insurance, 07311- James.mcmenamin@epicbrok 1814432 11/09/2005 11/09/2021 McMenamin, James Francis Jersey City NJ 201-356-0064 5 210 Hudson St Ste 601 1207 ers.com 148 MCMILLIN, ROBERT 37919- 2048715 02/15/2018 02/15/2022 151 Major Reynolds Pl Ste 210 Knoxville TN 865-567-0844 [email protected] 6 WOODSON 4813 148 02109- 1797199 06/10/2004 06/10/2022 McMullen, Daniel C 1 Liberty Sq Ste 600 Boston MA 617-658-7103 [email protected] 7 4825 148 2034250 09/06/2017 09/06/2022 MCMULLEN, JOE 1900 L DON DODSON DR BEDFORD TX 76021 817-372-0079 [email protected] 8
Page 69 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 148 94104- 1850419 03/31/2008 03/31/2022 McMullen, Michael M 425 California St Fl 24 San Francisco CA 949-697-3470 9 2102 149 80503- 2118263 07/02/2020 07/02/2022 MCNAMARA, JOHN 8315 GREENWOOD DR NIWOT CO 917-853-1538 0 7243 149 2156844 07/21/2021 07/21/2022 McNamara, John Bernard 151 Commonwealth Ave Chestnut Hill MA 02467 617-721-8723 [email protected] 1 149 13045- [email protected] 1809691 07/20/2005 07/20/2022 McNeil, Daniel Francis 67 Main St Cortland NY 607-758-3993 2 2610 m 149 30326- 1977321 03/18/2015 03/18/2022 McNeil, David S 3560 Lenox Rd Ne Atlanta GA 678-427-9284 3 4266 149 13045- mmcneil@mcneilandcompany 2107367 12/30/2019 12/30/2021 McNeil, Mary E. 67 Main St Cortland NY 607-756-8468 4 2610 .com 149 77024- 2031710 08/04/2017 08/04/2022 MCNEW, LOCHLAN OTIS 950 Echo Ln Ste 120 Houston TX 713-827-7719 [email protected] 5 2781 149 60607- [email protected] 2054105 04/11/2018 04/11/2022 MCNITT, JAMES 525 W VAN BUREN ST STE 1325 CHICAGO IL 847-508-6812 6 3841 OM CABRILLO COASTAL GENERAL 149 32669- 1944361 10/22/2013 10/22/2022 Mcnitt, Michael Lee INSURANCE AGENC, 301 NW JONESVILLE FL 858-699-6321 7 2794 138TH TER 149 Edgewood Partners Insurance 94111- Michael.mcnulty@epicbrokers 2020994 02/08/2017 02/08/2022 MCNULTY, MICHAEL San Francisco CA 415-563-3909 8 Center, 1 California St Ste 400 5402 .com 149 MCUMBER, ARLYN Willis Towers Watson Southeast, 20854- Lynn.e.mcumber@willistowers 2012384 09/15/2016 09/15/2022 Potomac MD 301-692-3011 9 HOEFER Inc, 12505 Park Potomac Ave 6801 watson.com 150 Willis Towers Watson Midwest, 60606- 2147073 04/09/2021 04/09/2022 MEAD, AMY KATHLEEN Chicago IL 312-288-7336 0 Inc, 233 S Wacker Dr Ste 2000 6400 150 Roger Keith & Sons Insurance 02301- 1826591 09/07/2006 09/07/2022 Meadows, Sherry Lynn Brockton MA 617-680-6450 [email protected] 1 Agency, Inc., 1575 Main St 7195 150 C/o The Mechanic Group Inc, 1 10965- Spg.licensing@specialtyprogr 1650925 01/28/2002 01/28/2022 Mechanic, Steven Robert Pearl River NY 845-735-0700 2 Blue Hill Plz Ste 530 3100 amgroup.com 150 Alliant Insurance Services, Inc., 92705- 2059984 06/12/2018 06/12/2022 MECKLENBURG, WILLIAM Santa Ana CA 714-352-7820 [email protected] 3 1851 E 1st St Ste 600 4049 150 1870514 06/26/2009 06/26/2022 Medeiros, Natalie 100 Westminster St 10 Fl. Providence RI 02903 401-553-6642 4 150 75244- CHRISTOPHER.MEE@AON. 2145686 03/25/2021 03/25/2022 MEE, CHRISTOPHER 5005 Lbj Fwy Ste 1500 Dallas TX 501-681-0583 5 6186 COM 150 C/o American Global Llc, 390 N 11753- [email protected] 1967669 10/30/2014 10/30/2021 Meisten, Michael E. Jericho NY 914-494-4972 6 Broadway 2125 m PRITCHARD & JERDEN INC, 950 150 30326- 2080087 01/04/2019 01/04/2022 MELLARS, MICHAEL D E PACES FERRY RD NE STE ATLANTA GA 678-643-1620 [email protected] 7 1384 2000 150 MENDES, CHRISTOPHER 2124500 09/10/2020 09/10/2021 950 TOWER LN, 1400 FOSTER CITY CA 94404 402-827-3432 [email protected] 8 DOUGLAS 150 MENDEZ, CHRISTINA 91403- [email protected] 2147597 04/15/2021 04/15/2022 15303 Ventura Blvd Ste 1200 Sherman Oaks CA 818-742-9352 9 DEERING 5817 om
Page 70 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 151 Assured Partners Of Missouri Llc, 63146- 1963830 09/19/2014 09/19/2022 MENTEL, JEFFERY ALAN Saint Louis MO 314-523-8845 [email protected] 0 11975 Westline Industrial Dr 3203 151 20006- Richard.mercado@huntingtont 1821465 04/28/2006 04/28/2022 Mercado, Richard MV 2001 K St NW Ste 625n Washington DC 202-862-5371 1 1037 block.com 151 1837078 06/15/2007 06/15/2022 Mercurio, Anthony 1166 Ave of Americas New York NY 10036 908-918-1711 2 151 [email protected] 2132682 10/29/2020 10/29/2021 Merrifield, Kenneth Charles 189 Commerce Court, 189 Cheshire CT 06410 860-635-4964 3 m 151 2038580 10/17/2017 10/17/2021 MESSELHEISER, BRENT P 15316 NE 42ND ST CAMBRIDGE IA 50046 515-508-4683 [email protected] 4 151 34102- 1801678 10/26/2004 10/26/2022 Messina, Joseph 470 17th Ave S Naples FL 312-559-9348 [email protected] 5 7405 151 2099769 09/23/2019 09/23/2021 METCALF, JAMES SETH 100 E BROAD ST., FLOOR 15 COLUMBUS OH 43215 614-266-8177 [email protected] 6 151 MEYER, MATTHEW Risk Placement Services, Inc., 527 40503- [email protected] 1995957 01/07/2016 01/07/2022 Lexington KY 859-948-1766 7 ROBERT Wellington Way Ste 350 1375 M 151 1791097 12/18/2003 12/18/2021 Michals, Bradly Scott 85 Main Street Watertown MA 02472 617-969-4809 [email protected] 8 151 10038- [email protected] 2143129 03/01/2021 03/01/2022 MICHEALS, ERIC 83 Maiden Ln Fl 6 New York NY 732-641-2636 9 4737 om 152 [email protected] 2113358 04/03/2020 04/03/2022 MICHEL, LAURA S 211 E. MAIN STREET, SUITE C BOZEMAN MT 59715 406-570-1587 0 m 152 75024- 2114440 04/28/2020 04/28/2022 MICHELSEN, ROBIN MARK 6836 Dallas Pkwy Ste 100 Plano TX 936-755-7731 [email protected] 1 3598 152 1929244 02/20/2013 02/20/2022 MIDDLETON, RENEE ANN 20 WESMARK COURT SUMTER SC 29150 803-905-4110 [email protected] 2 152 Marsh Usa Inc, 525 Vine St Ste 1833527 03/13/2007 03/13/2022 Midei, Matt C Cincinnati OH 45202 513-385-3071 [email protected] 3 1600 152 02903- 2022994 03/13/2017 03/13/2022 MILLE, Nicholas John 100 Westminster St Fl 10 Providence RI 617-210-4951 [email protected] 4 2394 152 MILLER, ALBERT 2090696 05/31/2019 05/31/2022 3501 CONCORD RD, SUITE 120 YORK PA 17402 717-434-9111 5 BERNARD 152 Arthur J. Gallagher & Co., 3600 55431- 1950083 02/07/2014 02/07/2022 Miller, Andrew R Bloomington MN 217-433-5062 6 American Blvd W Ste 500 4502 152 300 COLONIAL CENTER 2148961 04/30/2021 04/30/2022 MILLER, ELLIE CATHERINE ROSWELL GA 30076 470-500-1010 7 PARKWAY, SUITE 200 152 MARKET FINDERS INSURANCE 2005881 06/16/2016 06/16/2022 MILLER, JOSEPH FARLEY LOUISVILLE KY 40222 859-336-3728 [email protected] 8 CORP, 9117 LEESGATE ROAD 152 7301 BROADWAY EXTENTION, OKLAHOMA 1986795 08/20/2015 08/20/2022 MILLER, KELLY JAY OK 73116 405-833-9191 [email protected] 9 SUITE 200 CITY 153 MILLER, MATTHEW 94103- 2021199 02/10/2017 02/10/2022 24 Shotwell St San Francisco CA 415-859-8717 [email protected] 0 COWAN 3626
Page 71 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 153 80202- 2025999 04/28/2017 04/28/2022 MILLER, RENEE ADRIENNE 1800 Wazee St Ste 300 Denver CO 720-931-2122 [email protected] 1 2526 153 02109- 2027507 05/25/2017 05/25/2022 Miller, Richard Hopkins 53 State St Ste 2201 Boston MA 781-748-6054 [email protected] 2 2820 153 92602- 2014850 10/19/2016 10/19/2021 Miller, Tina Lynn 330 Commerce Ste 100 Irvine CA 972-820-4521 3 1397 153 75001- 2141177 02/08/2021 02/08/2022 MILLER, WALTER AARON 15301 Dallas Pkwy Ste 500 Addison TX 214-369-4900 4 6707 153 Marsh Usa Inc, 3031 N Rocky 33607- 2082581 02/14/2019 02/14/2022 Mills, Geoffrey P Tampa FL 609-216-2931 5 Point Dr W 5878 153 Optisure Risk Partners, Llc, 40 03101- 2001285 04/11/2016 04/11/2022 Milnes, Peter Robert Manchester NH 603-665-6000 [email protected] 6 Stark St 1979 153 MILOSZENSKI-LAMSTER, COLLECTIBLES INSURANCE BALA 19004- 2076612 11/21/2018 11/21/2021 PA 609-230-0736 7 Andrea K SERVICES, LLC, 3 BALA PLAZA CYNWYD 3406 153 2065471 08/03/2018 08/03/2022 MILSTEIN, Harold Fredrick 15303 Ventura Blvd #1200 Sherman Oaks CA 90068 323-850-7077 [email protected] 8 153 21030- 2036360 10/02/2017 10/02/2022 Mina, John F 303 International Cir Hunt Valley MD 516-965-2320 9 1464 154 21046- 2050215 02/26/2018 02/26/2022 MINARIK, DEVON 9841 Broken Land Pkwy Ste 116 Columbia MD 410-337-9295 [email protected] 0 3060 AL MINICIOLA GENERAL 154 MINICOLA, ALFRED JOHN 92606- 1957736 06/23/2014 06/23/2022 INSURANCE AGENCY, I, 16811 IRVINE CA 714-637-3420 [email protected] 1 JR 5066 HALE AVE STE A 154 3407 W Dr Martin Luther King Jr 33607- Mark.a.mitchell@willistowersw 2089486 05/14/2019 05/14/2022 MITCHELL, MARK A Tampa FL 727-460-8758 2 Blvd 6226 atson.com 154 RISK PLACEMENT SERVICES 28211- [email protected] 2060753 06/22/2018 06/22/2022 MITCHELL, MICHAEL A CHARLOTTE NC 704-661-4030 3 INC, 2115 REXFORD RD STE 520 5480 OM 154 ALL RISKS, LTD, 11811 TATUM 2152726 06/09/2021 06/09/2022 MITCHELL, WESLEY JOE PHOENIX AZ 85028 602-494-7200 4 BOULEVARD C/o Brown & Brown Of New York 154 10604- 2065840 08/08/2018 08/08/2022 MOCCIA, JOHN P Inc, 1133 Westchester Ave Ste N- White Plains NY 813-222-4258 [email protected] 5 3546 136 154 11797- 2005802 06/15/2016 06/15/2022 Mock, Stephen J 80 Crossways Park Dr Ste 210 Woodbury NY 631-498-1492 [email protected] 6 2047 154 2137187 12/16/2020 12/16/2021 MOE, DAVID 4916 E BROADWAY STE. 200 MADISON WI 53716 617-823-6263 7 154 MOELLER, BRENDAN 33701- 2042894 12/08/2017 12/08/2021 360 Central Ave Ste 1260 St Petersburg FL 862-452-5181 [email protected] 8 KEILTY 3865 154 60137- 2155923 07/12/2021 07/12/2022 MOEN, Alexander 739 Revere Rd Glen Ellyn IL 312-381-0416 [email protected] 9 5515 155 08724- [email protected] 1910206 12/05/2011 12/05/2021 Moffett, Barry Andrus 1610 Route 88 Ste 102 Brick NJ 732-701-8900 0 3018 om 155 290 Interstate North Cir SE Ste 30339- SMOLINA@RISKINSURANC 1994751 12/09/2015 12/09/2021 MOLINA, STEVE Atlanta GA 404-459-5976 1 200 2401 ECO.COM
Page 72 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 155 Complete Equity Markets Inc, 60047- 1605184 01/31/2001 01/31/2022 Molloy, Lawrence Lake Zurich IL 847-541-0900 2 1190 Flex Ct 1578 155 MOLYNEAUX, EVAN JACKSON HOLE INSURANCE [email protected] 2107888 01/09/2020 01/09/2022 WILSON WY 83014 307-413-5446 3 BURDETTE LLC, 3510 N LAKE CREEK DR om 155 MONCRIEF, 1078 GLUCKSTADT RD., STE 2067466 08/28/2018 08/28/2022 MADISON MS 39110 601-937-1767 4 CHRISTOPHER BRADLEY 102 155 MONREALE, JAMES 10004- 2081208 01/23/2019 01/23/2022 17 State St Fl 40 New York NY 718-702-4609 [email protected] 5 JOSEPH 1508 155 2037153 10/11/2017 10/11/2022 Montagna, Andrew Thomas USI, 711 E Main Street, Suite 201 Chicopee MA 01020 413-750-4418 [email protected] 6 155 Morris Corporate Center Iv, 389 07054- 1898769 04/12/2011 04/12/2022 Montano, Anthony Parsippany NJ 862-286-3455 7 Interpace Pkwy Ste 4 1132 155 MONTCRIEFFE, EVELINA 332 SW EVERETT MALL WAY, EVELINA.MONTCRIEFFE@N 2063168 07/17/2018 07/17/2022 EVERETT WA 98206 314-493-8000 8 KATHERINA BLDG A GIC.COM 155 MONTEVALDO, DARCY 3 EMBARCADERO CTR STE SAN 94111- 2150981 05/20/2021 05/20/2022 CA 0-- 0 9 OSGOOD 1480 FRANCISCO 4021 156 1900306 05/24/2011 05/24/2022 Montgolf, Lisa Brown 100 Brookwood Place Ste 300 Birmingham AL 35209 205-529-5517 0 156 MONTGOMERY, ALYSSA Aon Risk Services Central, Inc., 60601- ALYSSA.MONTGOMERY@A 1997482 02/04/2016 02/04/2022 Chicago IL 610-597-1411 1 ANN 200 E Randolph St 6436 ON.COM 156 02110- 1941935 09/24/2013 09/24/2022 Mooney, Kevin Thomas 1 International Pl Fl 13 Boston MA 978-706-1699 2 2600 156 SAN 2152727 06/09/2021 06/09/2022 MOONTRI, ANDREW 9800 FREDERICKSBURG RD TX 78288 413-682-6691 3 ANTONIO 156 90017- 1706468 03/25/2003 03/25/2022 Moore, Davis Donald 725 S Figueroa Street, 19th Floor Los Angeles CA 310-373-3700 [email protected] 4 5496 156 Arthur J Gallagher & Co, 240 60014- 1974900 02/13/2015 02/13/2022 Moore, Michael C Crystal Lake IL 847-458-9900 [email protected] 5 Commerce Dr 3549 156 53713- 2027544 05/25/2017 05/25/2022 MOORE, MICHAEL JOHN 828 JOHN NOLEN DR MADISON WI 608-288-2760 [email protected] 6 1424 156 11530- 2073368 10/22/2018 10/22/2022 Moore, Reginald L 900 Stewart Ave Ste 600 Garden City NY 813-222-4258 [email protected] 7 4937 156 02109- 1934172 05/18/2013 05/18/2022 Moore, Robert Clifton 53 State St Ste 2201 Boston MA 617-780-2042 8 2820 156 300 COLONIAL CENTER PKWY SMOORE@PUREPROGRAM 2082204 02/08/2019 02/08/2022 MOORE, STACIE HOLT ROSWELL GA 30076 800-444-4813 9 SUITE 200 S.COM AON RISK SERVICES 157 77056- [email protected] 1950769 02/19/2014 02/19/2022 MORA, HERBERT SOUTHWEST, INC., 5555 SAN HOUSTON TX 903-570-9738 0 2739 M FELIPE STREET, SUITE #1500 157 94105- Ed.morales@willistowerswats 1969543 11/20/2014 11/20/2021 MORALES, EDWARD 525 Market St Ste 3400 San Francisco CA 415-955-0129 1 2742 on.com 157 02038- 1964317 09/26/2014 09/26/2021 Mordarski, Kevin Michael 20 Lockewood Dr Franklin MA 508-431-4281 [email protected] 2 2347
Page 73 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 157 Moreton & Co., 101 S 2nd E Ste 84111- 1873632 09/15/2009 09/15/2022 Moreton, William Roger Salt Lake City UT 801-278-0549 [email protected] 3 300 2006 157 Epg Insurance Inc, 850 Ridge 38120- 1925976 11/30/2012 11/30/2021 Morgan, Louis Gregg III Memphis TN 662-671-4141 [email protected] 4 Lake Blvd Ste 101 9451 157 60606- 2008377 08/01/2016 08/01/2022 Moriarty, Mary Ellen 200 S Wacker Dr Ste 1000 Chicago IL 312-235-0148 [email protected] 5 5860 157 60601- [email protected] 2063052 07/16/2018 07/16/2022 MORRIS, GREGORY R 1 E WACKER DR STE 1920 CHICAGO IL 312-909-0246 6 2001 m 157 AVANT UNDERWRITERS, LLC, 37027- 2088972 05/06/2019 05/06/2022 MORRISON, BRENDA M BRENTWOOD TN 615-668-5933 7 155 FRANKLIN RD STE 200 1611 157 03101- 2083682 03/05/2019 03/05/2022 Morrissette, Karen Elaine 1000 Elm St Manchester NH 603-626-8183 [email protected] 8 1730 157 1787784 10/10/2003 10/10/2022 Morse, Daniel T 285 Washington Street North Easton MA 02356 508-238-8109 [email protected] 9 158 27615- 2115766 05/26/2020 05/26/2022 Moser, Richard Steven 8521 Six Forks Rd Ste 105 Raleigh NC 214-537-9049 [email protected] 0 5293 158 94111- 2029459 06/29/2017 06/29/2022 MOTTA, JOSHUA JAMES 1160 Battery St Ste 350 San Francisco CA 415-699-5669 [email protected] 1 1238 158 C/o Bender Insurance Agency, 11797- 2140113 01/27/2021 01/27/2022 MOUMINE, RITA Woodbury NY 631-724-7822 2 365 Crossways Park Dr 2061 158 07311- 1884066 05/19/2010 05/19/2022 Moyles, Philip V Jr. 210 Hudson St Ste 601 Jersey City NJ 914-921-0051 [email protected] 3 1207 158 2149130 05/03/2021 05/03/2022 MULES, CLAIRE L 1907 RESEDA DR HOUSTON TX 77062 281-990-8018 4 158 Nall Corporate Centre Ii, 5700 W 66211- Sandie.mullen@willistowersw 2134967 11/17/2020 11/17/2021 MULLEN, SANDIE S Overland Park KS 913-344-2553 5 112th St 1747 atson.com 158 MULLIN, WILLIAM JAMES CHESTER 2019828 01/19/2017 01/19/2022 961 POTTSTOWN PIKE PA 19425 610-563-5331 [email protected] 6 JR SPRINGS 158 C/o Huntersure Llc, 229 7th St Ste 11530- 2121843 08/12/2020 08/12/2022 MULLINS, RYAN Garden City NY 646-751-3038 [email protected] 7 303 5766 158 Ryan Specialty Group, Llc, 180 N 60601- 1930299 03/15/2013 03/15/2022 Mulshine, Brendan Martin Chicago IL 312-878-8325 8 Stetson Ave Ste 4600 6746 158 75081- 2030258 07/14/2017 07/14/2022 MULVENNA, CARLO JOHN 1778 N PLANO RD STE 310 RICHARDSON TX 214-212-9128 [email protected] 9 1958 159 01608- pmunchmeyer@delandgibson. 2161785 09/02/2021 09/02/2022 Munchmeyer, Paul Michael 100 Front St Worcester MA 508-308-7210 0 1425 com 159 07932- 1999074 03/04/2016 03/04/2022 MUNGER, PETER 180 Park Ave Ste 102 Florham Park NJ 973-315-0463 [email protected] 1 1054 159 150 John F Kennedy Pkwy Ste 07078- 1859235 10/21/2008 10/21/2021 Munroe, Eric J. Short Hills NJ 973-829-2940 [email protected] 2 520 2703 159 60601- 1822069 05/10/2006 05/10/2022 Murbach, John Harold 200 E Randolph St Chicago IL 312-381-4303 [email protected] 3 6436
Page 74 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 159 [email protected] 1793071 02/20/2004 02/20/2022 Murphy, Charles F III 14 Storrs Avenue Braintree MA 02184 781-378-2032 4 m 159 1911141 01/03/2012 01/03/2022 Murphy, Christine M 17 Dauphine Dr Yarmouth Port MA 02675 774-994-2886 5 159 02038- 1810246 08/01/2005 08/01/2022 Murphy, Deborah A 1000 Franklin Village Dr Ste 206 Franklin MA 508-651-7708 [email protected] 6 4002 159 1992675 10/30/2015 10/30/2021 Murphy, Dennis F Jr. 50 Main Street Hudson MA 01749 978-456-1210 [email protected] 7 159 1866098 03/23/2009 03/23/2022 Murphy, Dennis Francis III 50 Main Street Hudson MA 01749 978-562-7510 [email protected] 8 159 First American Ins. Agency, Inc., 01013- 1637300 09/09/2001 06/09/2022 Murphy, Edward M Chicopee MA 413-552-3552 [email protected] 9 510 Front St 3110 160 30326- 2150298 05/13/2021 05/13/2022 MURPHY, KATHLEEN ANN 3353 Peachtree Rd NE Ste 1000 Atlanta GA 404-946-1415 0 1437 160 1878047 12/08/2009 12/08/2021 Murphy, Michael D 50 Main St Hudson MA 01249 978-779-2890 [email protected] 1 Arthur J. Gallagher Risk 160 77027- 2125630 09/21/2020 09/21/2022 Murphy, Sean P Management Services, Inc., 1900 Houston TX 813-382-6990 2 3295 West Loop S Ste 1600 160 Aon Risk Services Central, Inc., 4 60069- [email protected] 1821467 04/28/2006 04/28/2022 Murphy, William Matthew Lincolnshire IL 847-397-8297 3 Overlook Pt 4302 om 160 MISSOURI 2094278 07/23/2019 07/23/2022 MURRAY, DANIEL JAMES 3550 FM 1092 RD TX 77459 346-330-3777 4 CITY 160 MURRAY, FRANCIS 02806- 2108681 01/22/2020 01/22/2022 11 Anchorage Way Barrington RI 212-441-2555 [email protected] 5 JOSEPH 4404 160 East 1829158 11/13/2006 11/13/2021 Murray, John F Jr. 99 Troy Road, 640 NY 12061 518-244-4242 [email protected] 6 Greenbush 160 02110- 2029918 07/08/2017 07/08/2022 MURRAY, Kieran N 99 Summer St Ste 1800 Boston MA 617-949-6669 7 1251 160 2097571 08/31/2019 08/31/2022 MURRAY, MATTHEW 470 ATLANTIC AVE BOSTON MA 02210 781-470-9184 [email protected] 8 160 MUSSMAN, GRANT 2146577 04/05/2021 04/05/2022 625 S. 113TH AVENUE OMAHA NE 68154 415-675-5542 9 WILLIAM 161 33607- 1895531 01/25/2011 01/25/2022 Myer, Daniel Alan 3000 Bayport Dr Ste 150 Tampa FL 727-532-6210 [email protected] 0 8404 161 78260- 2059779 06/08/2018 06/08/2022 MYERS, TODD ALLAN 838 Fawnway San Antonio TX 336-435-0750 [email protected] 1 4311 161 111 TOWN SQUARE PLACE 2155300 07/02/2021 07/02/2022 MYONES, SARA JERSEY CITY NJ 07310 973-607-3362 2 #1210 161 Validus Underwriters, Inc, 101 02110- 1647875 01/09/2002 01/09/2022 Nadeau, Stephen D Boston MA 978-372-7525 [email protected] 3 Federal St Ste 1613 1817 161 1826425 09/01/2006 09/01/2022 Nageer, Tarique I 1166 Ave of the Americas New York NY 10036 917-834-5039 4
Page 75 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 161 32216- 2146078 03/30/2021 03/30/2022 NANNENGA, Michelle M 4237 Salisbury Rd Ste 100 Jacksonville FL 904-507-4960 5 0905 161 Effective Coverage, 123 Town 07310- 2127070 09/30/2020 09/30/2022 Narcisco, Eric Scott Jersey City NJ 646-395-9888 6 Square Pl # 668 1756 161 07078- 1932328 04/16/2013 04/16/2022 Nardiello, Pamela Poland 150 Jfk Pkwy Ste 520 Short Hills NJ 848-220-0614 7 2703 161 NATALIO-RAMIREZ, 10022- 2077569 12/06/2018 12/06/2021 590 Madison Ave Fl 39 New York NY 917-701-0425 [email protected] 8 MADELYN 8526 161 East [email protected] 2057098 05/15/2018 05/15/2022 Naughton, Kevin J 1365 Wampanoag Trail RI 02914 401-247-1458 9 Providence m 162 08690- 2143130 03/01/2021 03/01/2022 NAWA, JOSEPH BRIAN 2465 KUSER RD STE 202 HAMILTON NJ 610-413-8492 0 3303 162 23230- 1986184 08/12/2015 08/12/2022 NEAL, ROBERT CARTER 2035 Maywill St Ste 100 Richmond VA 804-747-7351 1 3215 162 Risk Placement Services, 935 60173- 2134654 11/13/2020 11/13/2021 NEBEL, BRIAN E Schaumburg IL 847-705-5805 [email protected] 2 National Pkwy 5150 162 02109- 2113248 04/02/2020 04/02/2022 NEELON, WILLIAM 53 State St Ste 2201 Boston MA 617-574-2167 [email protected] 3 2834 162 80202- 2009542 08/17/2016 08/17/2022 Neil, Douglas E 1900 16th St Ste 1000 Denver CO 303-639-4107 4 5229 162 28210- 2143712 03/05/2021 03/05/2022 Neilson, Maggie ALYSSA 3710 SULKIRK RD CHARLOTTE NC 517-333-7129 5 6244 162 Alliant Insurance Services, Inc., 30326- 1832641 02/21/2007 02/21/2022 Nellen, William J Atlanta GA 470-237-3030 6 3424 Peachtree Rd NE Ste 1400 1139 162 Britamerica Management Group, 75219- jnelson@bmginsurancebroker 2111143 02/26/2020 02/26/2022 Nelson, Frank Jeffrey Dallas TX 972-218-5929 7 Inc., 3624 Oak Lawn Ave Ste 130 6708 s.com 162 NENNINGER, TODD 05401- 2040748 11/16/2017 11/16/2021 100 Bank St Ste 500 Burlington VT 802-264-9596 [email protected] 8 ROBERT 4699 162 1475 E. Woodfield Road, Suite 1794189 03/23/2004 03/23/2022 Nerger, James Henry Schaumburg IL 60173 847-303-9481 [email protected] 9 500 163 Willis Towers Watson Northeast, 02116- Mike.neville@willistowerswats 1949638 01/31/2014 01/31/2022 Neville, Michael L Boston MA 617-351-7579 0 Inc., 75 Arlington St Fl 10 3936 on.com 163 2023101 03/15/2017 03/15/2022 Nevin, Robert 99 High Street Boston MA 02110 508-668-7763 [email protected] 1 163 10006- shenny.bowden@integrogroup 1900917 06/13/2011 06/13/2022 Nevins, Roseann Kathleen 165 Broadway New York NY 212-441-1271 2 1404 .com 163 10016- [email protected] 1954260 04/22/2014 04/22/2022 Newman, Adam David 411 5th Ave Fl 5 New York NY 914-837-7183 3 2271 m 163 73134- 1845432 12/05/2007 12/05/2021 Newsom, Bart Stewart 3121 Quail Springs Pkwy Ste 140 Oklahoma City OK 918-351-8173 [email protected] 4 2635 163 28202- 2077135 11/29/2018 11/29/2021 NEWSOME, CHARLES A 227 W TRADE ST STE 1600 CHARLOTTE NC 704-962-2464 [email protected] 5 2879
Page 76 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 163 2026833 05/13/2017 05/13/2022 NEWTON, WILLIAM SCOTT 217 BORDER RD CONCORD MA 01742 617-455-1616 [email protected] 6 163 Corplicensing@arrowheadgrp. 2049947 02/21/2018 02/21/2022 NICE, CHAD CARL 655 N FRANKLIN TAMPA FL 33602 813-222-4151 7 com 163 10006- 1902822 07/28/2011 07/28/2022 Nicholls, Edward Arthur 165 Broadway New York NY 203-775-0507 8 1404 163 80206- [email protected] 2080570 01/11/2019 01/11/2022 NICHOLS, GRANT E 250 Fillmore St Ste 450 Denver CO 215-990-9161 9 5029 OM 164 60606- 2131894 10/23/2020 10/23/2021 NICHOLSON, JOSHUA M 444 W LAKE ST STE 2100 CHICAGO IL 312-366-3098 [email protected] 0 0069 164 1851269 04/17/2008 04/17/2022 Niedernhofer, John Dean 9171 Towne Center Drive, #500 San Diego CA 92122 858-793-0868 [email protected] 1 164 02110- 1945306 11/06/2013 11/06/2021 Nielsen, Todd Aaron 175 Federal St Ste 600 Boston MA 401-338-8344 2 2260 164 45324- [email protected] 2053566 04/04/2018 04/04/2022 NIES, MARK A 3000 Presidential Dr Ste 300 Beavercreek OH 937-346-2902 3 6782 OM 164 46032- 2080088 01/04/2019 01/04/2022 NIKOLAI, David S 11711 N Meridian St Ste 800 Carmel IN 317-853-7947 4 6965 164 1952375 03/18/2014 03/18/2022 Nims, Stephen L 106 West Main Street, PO Box 630 Plainville CT 06062 860-793-9601 5 164 Willis Towers Watson Midwest, 48076- 2053147 03/28/2018 03/28/2022 NINIOWSKY, LYNN MARIE Southfield MI 248-936-7627 [email protected] 6 Inc, 26555 Evergreen Rd Ste 1600 4257 164 ARTHUR J GALLAGHER & CO, 2095532 08/06/2019 08/06/2022 NISENSON, ADAM NEW YORK NY 10177 224-595-2579 [email protected] 7 250 PARK AVE, 3RD FLOOR 164 94105- 2144422 03/12/2021 03/12/2022 NITSCHKE, CHAD 201 Mission St Fl 12 San Francisco CA 608-320-3413 [email protected] 8 1888 164 02116- Vernon.nixon@willistowerswat 1839357 08/10/2007 08/10/2022 Nixon, John V 75 Arlington St Fl 10 Boston MA 617-351-7432 9 3936 son.com 165 Arthur J Gallagher & Co, 2850 Golf Rolling 60008- 2080571 01/11/2019 01/11/2022 Noffert, Mark A IL 847-742-5767 [email protected] 0 Rd Meadows 4050 165 1929471 02/26/2013 02/26/2022 Nolan, David J 36 Cordage Park Circle, Suite 300 Plymouth MA 02360 781-582-2579 [email protected] 1 165 84098- [email protected] 2021374 02/14/2017 02/14/2022 NOLAN, WR THEODORE 2760 Rasmussen Rd Ste 205 Park City UT 435-255-3132 2 5684 OM 165 2084452 03/14/2019 03/14/2022 NOLAND, TRAVIS METZ 15025 INNOVATION DRIVE SAN DIEGO CA 92128 858-350-2790 [email protected] 3 RISK PLACEMENT SERVICES 165 54701- JACEY_NORBERG@RPSINS 2080755 01/15/2019 01/15/2022 NORBERG, JACEY KELLER INC, 216 PINNACLE WAY STE EAU CLAIRE WI 715-296-3987 4 3457 .COM 350 165 1833551 03/13/2007 03/13/2022 Norman, Brian J 8075 Washington Village Dayton OH 45458 937-885-3742 5 165 Arthur J Gallagher & Co, 1900 77027- 1841705 09/07/2007 09/07/2022 Norman, Cynthia Hope Houston TX 713-358-5904 [email protected] 6 West Loop S Ste 1600 3295
Page 77 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 165 Risk Placement Services, Inc., 100 94104- [email protected] 1956445 05/30/2014 05/30/2022 NOVAK, DAVID ELLIOT San Francisco CA 415-490-1101 7 Montgomery St Ste 715 4310 M 165 1976516 03/06/2015 03/06/2022 Nowell, Michelle A 355 Via Vera Cruz #7 San Marcos CA 92078 760-471-7116 8 165 Johnson & Johnson Inc, 335 60014- rnowell@statesideunderwriting 1893743 12/06/2010 12/06/2021 Nowell, Richard Phillip Crystal Lake IL 815-759-6800 9 Commerce Dr 3502 .com 166 2071679 10/02/2018 10/02/2021 Nuccio, Robert Vincent 10148 Riverside Dr Toluca Lake CA 91602 818-980-1413 [email protected] 0 166 10006- 1985527 08/04/2015 08/04/2022 NUNEZ, CATHY MARIE 165 Broadway New York NY 347-376-7083 [email protected] 1 1404 166 Alliant Insurance Services, Inc., 77056- 1795123 04/08/2004 04/08/2022 Nutt, Freddie Alfred Houston TX 832-485-4065 [email protected] 2 5444 Westheimer Rd Fl 9 5397 C/O PROGRAM BROKERAGE 166 [email protected] 2049946 02/21/2018 02/21/2022 O BRIEN, CYNTHIA CORPORATION, 1065 AVENUE NEW YORK NY 10018 212-338-2907 3 om OF THE AMERICAS 4TH FLOOR 166 Mcgill Global Risk Solutions Llc, 10169- Michael.oconnell@mcgillpartn 2097160 08/27/2019 08/27/2022 O CONNELL, MICHAEL K New York NY 973-524-3090 4 230 Park Ave Fl 3 0018 ers.com 166 1166 AVENUE OF THE 2090994 06/05/2019 06/05/2022 O CONNOR, CORMAC NEW YORK NY 10036 973-376-4687 5 AMERICAS 166 44145- 2114225 04/23/2020 04/23/2022 O DONNELL, DEBORAH L 28291 FARRS GARDEN PATH WESTLAKE OH 216-645-9683 6 2026 166 02116- 2000412 03/29/2016 03/29/2022 O Shea Patterson, Kara 75 Arlington St Fl 10 Boston MA 617-351-7482 7 3936 TIS INSURANCE SERVICES, 166 OAKES, STUART 37919- 2048113 02/06/2018 02/06/2022 INC., 1900 N WINSTON RD STE KNOXVILLE TN 865-691-4847 [email protected] 8 FITZGERALD 3605 100 166 02110- 2071913 10/04/2018 10/04/2022 OAKES, TYLER 225 Franklin St Fl 26 Boston MA 781-706-1530 [email protected] 9 2853 167 1881103 03/05/2010 03/05/2022 Oberman, Derek A 777 Westchester Ave White Plains NY 10604 914-694-8550 0 167 10752 Deerwood Park Blvd Ste 32256- 2025931 04/27/2017 04/27/2022 Obregon, James M Jacksonville FL 904-654-3550 [email protected] 1 100 4846 167 02109- 1858849 10/14/2008 10/14/2021 OBrien, Andrew Timothy 1 Liberty Sq # 1120 Boston MA 508-826-7678 [email protected] 2 4825 167 Risk Placement Services, Inc., 444 15222- 1815858 12/13/2005 12/13/2021 O'Brien, Martin E Pittsburgh PA 412-535-9286 [email protected] 3 Liberty Ave Ste 400 1246 167 85226- 2099884 09/24/2019 09/24/2021 OCHES, LESLIE P 350 N Mcclintock Dr Chandler AZ 513-907-0978 [email protected] 4 3754 167 O'Donnell, Margaret 1920737 08/29/2012 08/29/2022 200 East Randolph St, 12th Floor Chicago IL 60601 847-833-7216 5 Catherine 167 02474- 1877726 12/01/2009 12/01/2021 O'Donoghue, John Walsh Jr. 90 Summer St Arlington MA 978-697-5300 [email protected] 6 2931 167 ODONOGHUE, SEAN 2141176 02/08/2021 02/08/2022 347 HARTZ AVE DANVILLE CA 94526 212-266-0020 [email protected] 7 WILLIAM
Page 78 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 167 J Clifton Avery Agency Llc, 21 S 03894- 2082853 02/19/2019 02/19/2022 ODowd, Thomas A Wolfeboro NH 603-569-2515 [email protected] 8 Main St 4483 167 02109- 2135368 11/20/2020 11/20/2021 ODWYER, Helen Theresa 53 State St Ste 2201 Boston MA 508-269-1051 9 2834 168 1923757 10/30/2012 10/30/2021 Oestreich, Christopher T 200 E Randolph St, Ste 800 Chicago IL 60601 847-955-9979 0 168 Marsh Usa, Inc., 540 W Madison 60661- 1889351 09/27/2010 09/27/2022 O'Hara, James J Chicago IL 630-357-0559 1 St Ste 1200 2591 168 CHELMSFOR 2095622 08/07/2019 08/07/2022 OKEEFE, Cynthia Lynn 63 CHELMSFORD ST MA 01824 978-204-5244 2 D 168 30305- 1833400 03/08/2007 03/08/2022 O'Keeffe, David Timothy 3525 Piedmont Rd NE Ste 700 Atlanta GA 770-506-2555 [email protected] 3 1608 168 Willis Towers Watson Northeast, 10281- 1929581 02/27/2013 02/27/2022 O'Leary, David New York NY 212-915-7894 4 Inc., 200 Liberty St 1003 168 C/o Marsh Inc, 1166 Avenue Of 10036- 1847600 02/04/2008 02/04/2022 O'Leary, Katherine S New York NY 914-632-0580 5 The Americas 2708 168 2146245 04/01/2021 04/01/2022 O'Leary, Patrick 5230 Washington St Boston MA 02132 617-435-0441 [email protected] 6 168 10036- 1839216 08/10/2007 08/10/2022 Olensky, James David 1166 Avenue Of The Americas New York NY 973-588-3897 7 2708 168 07311- [email protected] 2161981 09/03/2021 09/03/2022 Oliphant, Alison D. Ruschell 185 Hudson St Ste 2600 Jersey City NJ 205-396-9858 8 1215 m Amwins Brokerage Of New 168 06901- 1844675 11/21/2007 11/21/2021 Oliva, Amanda G England, Llc, 595 Summer St Ste Stamford CT 860-777-2821 [email protected] 9 1407 4 169 30097- 2084315 03/13/2019 03/13/2022 OLIVER, SHAD PIERRE 6455 E Johns Xing Ste 310 Johns Creek GA 770-418-8032 [email protected] 0 1559 169 OLIVIER, ELIZABETH 300 COLONIAL CENTER PKWY 30076- 2040749 11/16/2017 11/16/2021 ROSWELL GA 800-428-0469 [email protected] 1 GREEN STE 200 8844 169 10036- 1928997 02/14/2013 02/14/2022 Ollendike, David S 1166 Avenue Of The Americas New York NY 914-329-4290 2 2708 169 OLMSTED, DENAE 851 NAPA VALLEY CORPORATE [email protected] 2074611 11/05/2018 11/05/2021 NAPA CA 94558 707-225-3312 3 AVALON WAY, SUITE N m 169 60601- 2144879 03/17/2021 03/17/2022 OLSEN, CODY 200 E Randolph St Chicago IL 312-381-0120 [email protected] 4 6436 169 Arthur J Gallagher & Co, 2580 60174- 2143711 03/05/2021 03/05/2022 OLSEN, DIRK St Charles IL 630-963-2308 [email protected] 5 Foxfield Rd Ste 203 1409 169 FORT 80525- 2156341 07/15/2021 07/15/2022 OLSON, ERIK JAMES 1730 S COLLEGE AVE STE 300 CO 970-988-4429 6 COLLINS 1073 169 JOLSON@COLUMBIAINSUR 2086425 03/29/2019 03/29/2022 Olson, John Richard 31 Central Sq. Lynn MA 01901 781-775-6502 7 ANCEAGENCY.NET 169 Arthur J Gallagher & Co, 1395 34109- 2011268 09/01/2016 09/01/2022 OLSON, Lisa Lee Naples FL 239-418-2117 [email protected] 8 Panther Ln Ste 100 7875
Page 79 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 169 Arthur J Gallagher & Co, 300 S 60606- 2023285 03/17/2017 03/17/2022 OLSON, MACKENZIE Chicago IL 312-803-6328 [email protected] 9 Riverside Plz Ste 1500 6637 170 1860085 11/24/2008 11/24/2021 O'Neil, Sheila Jeanette 14 Storrs Avenue Braintree MA 02184 508-541-3153 0 170 1790833 12/12/2003 12/12/2021 Orcutt, Timothy S 133 Federal Street Boston MA 02110 781-316-0112 [email protected] 1 170 Risk Placement Services, Inc., 525 60607- 2158308 08/04/2021 08/04/2022 Orf, Christa L Chicago IL 312-803-6309 2 W Van Buren St Ste 1325 3823 170 04240- 2106143 12/05/2019 12/05/2021 Orlando, Michelle V 217 Main St Ste B1 Lewiston ME 207-753-1838 3 8193 170 2021483 02/15/2017 02/15/2022 Oser, Julia A 1712 Magnavox Way Fort Wayne IN 46801 260-459-5946 4 HOLMES, MURPHY AND 170 50263- 2103123 10/23/2019 10/23/2021 OSIER, ERIN E ASSOCIATES, LLC, 2727 GRAND WAUKEE IA 515-868-6067 [email protected] 5 8844 PRAIRIE PKWY 170 3850 N CAUSEWAY BLVD., STE 1986300 08/13/2015 08/13/2022 OSTER, TIMOTHY METAIRIE LA 70002 504-390-2303 [email protected] 6 1600 170 02038- [email protected] 2106302 12/07/2019 12/07/2021 OSULLIVAN, WILLIAM JR 175 Oak St Franklin MA 508-688-4851 7 1869 m 170 60601- 1889546 09/29/2010 09/29/2022 Ott, Jason Adam 200 E Randolph St Chicago IL 312-381-7852 8 6436 170 60148- 2069426 09/10/2018 09/10/2021 OTTLEY, KEVIN M 150 E 22nd St Lombard IL 630-463-6116 [email protected] 9 4916 171 Arthur J Gallagher & Co, 11311 21031- 1879998 02/02/2010 02/02/2022 Ourand, Dennis Charles Hunt Valley MD 443-798-7484 [email protected] 0 Mccormick Rd Ste 450 8623 171 OVERBAY, ZACHARY 50 CALIFORNIA STREET, 12TH SAN 94111- 2089311 05/10/2019 05/10/2022 CA 707-291-2265 [email protected] 1 VATTELL FLOOR FRANCISCO 4646 171 Fort 19034- 1914933 04/09/2012 04/09/2022 Owens, Stephanie A. 1100 Virginia Dr Ste 250 PA 215-630-5892 2 Washington 3204 171 Protector Group, 100 Front Street, 2087669 04/16/2019 04/16/2022 Pace, Susan R Worcester MA 01608 508-754-8828 [email protected] 3 Ste. 800 171 Electric Insurance Company, 75 01915- 1954712 04/30/2014 04/30/2022 Pacheco, Anita M Beverly MA 800-227-2757 [email protected] 4 Sam Fonzo Dr 1000 171 85051- 2136514 12/08/2020 12/08/2021 PACITTI, JOHN JULIO SR 3320 W CHERYL DR STE B122 PHOENIX AZ 623-476-5974 [email protected] 5 9560 171 20006- CATHERINE.PADALINO@AO 2006319 06/24/2016 06/24/2022 PADALINO, CATHERINE M 2001 K St NW Ste 625n Washington DC 301-299-2149 6 1037 N.COM 171 Crum & Forster Insurance Brokers, 48033- 2144423 03/12/2021 03/12/2022 PADDOCK, AMIE BERRY Southfield MI 248-320-1039 7 Inc., 26600 Telegraph Rd 5300 171 Hilb Group Of Ne, 2000 Chapel 02920- 2108853 01/24/2020 01/24/2022 Padula, Joseph J Cranston RI 401-884-7800 8 View Blvd 3078 171 07702- 1928243 01/24/2013 01/24/2022 Pagoumian, David Paul 1040 Broad St Ste 303 Shrewsbury NJ 732-603-2082 [email protected] 9 4318
Page 80 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 172 Willis Towers Watson Northeast, 10281- 2140110 01/27/2021 01/27/2022 PALAGONIA, GAMELAH New York NY 646-256-8443 [email protected] 0 Inc., 200 Liberty St 1003 172 94104- JPALEKAR@OUTLINERISK. 2052493 03/20/2018 03/20/2022 PALEKAR, JAY SANTIK 200 Pine St Ste 200 San Francisco CA 914-715-9287 1 2704 COM 172 02109- 1994963 12/14/2015 12/14/2021 PALERMO, PAUL J 28 State St Ste 2202 Boston MA 757-768-9844 [email protected] 2 1775 172 PALMER, SARAH 2025817 04/26/2017 04/26/2022 470 ATLANTIC AVE. BOSTON MA 02210 386-690-7664 [email protected] 3 ELIZABETH 172 Aon Risk Services Inc Of 21117- 1963034 09/11/2014 09/11/2022 PALMIERI, MICHELE Owings Mills MD 410-363-5139 [email protected] 4 Maryland, 10461 Mill Run Cir 5544 172 Aon Risk Services Central Inc, 19103- 2161521 08/31/2021 08/31/2022 Pantalone, Peter A Philadelphia PA 215-255-1877 5 1650 Market St Ste 1000 7306 172 02109- 2076458 11/18/2018 11/18/2021 Paris, Matthew H 53 State St Ste 2201 Boston MA 617-653-7475 [email protected] 6 2834 172 [email protected] 2095116 08/01/2019 08/01/2022 Parker, James Granville III 1753 E Fir Ave Fresno CA 93720 559-435-4645 7 M 172 02035- 1996092 01/10/2016 01/10/2022 PARKER, ROBERTA M 19b North St Foxboro MA 508-942-6195 [email protected] 8 1353 172 78006- [email protected] 2093842 07/17/2019 07/17/2022 PARRA, WILLIAM DUNCAN 28825 Interstate 10 W Boerne TX 830-428-0786 9 9102 om 173 Clay Ward Agency, Inc., 1102 40361- 1919176 07/24/2012 07/24/2022 Parrish, Rodes Shackelford Paris KY 859-987-0584 [email protected] 0 Main St 1712 173 Fm Global, 1175 Boston 02062- [email protected] 2087489 04/12/2019 04/12/2022 Parslow, Rebecca Lynn Norwood MA 781-440-8533 1 Providence Tpke 5019 om 173 Desanctis Insurance Agency Inc, 01801- 2130922 10/20/2020 10/20/2021 Patalano, Paul Andrew Woburn MA 781-640-1017 [email protected] 2 100 Unicorn Park Dr Ste 2 3339 Willis Towers Watson Midwest, 173 PATERSON, Donald 44114- Thomas.paterson@willistower 2057959 05/29/2018 05/29/2022 Inc., 1001 Lakeside Ave E Ste Cleveland OH 216-861-9100 3 Thomas 1151 swatson.com 1500 173 2101862 10/11/2019 10/11/2021 PATVARY, CHET Souttee One University Ave, Suite 188 Westwood MA 02090 401-435-3600 4 173 30117- 1960215 08/06/2014 08/06/2022 PAULK, JOHN 100 Glen Eagle Ct Carrollton GA 470-868-6917 [email protected] 5 4230 173 2101781 10/10/2019 10/10/2021 PAUSKA, ADAM M 444 W LAKE, STE 1700 CHICAGO IL 60606 212-220-5563 [email protected] 6 173 72201- STAN.PAYNE@STEPHENS. 1960632 08/13/2014 08/13/2022 PAYNE, STANLEY GUY 111 Center St Ste 1400 Little Rock AR 501-821-1299 7 4416 COM 173 02169- 2020107 01/25/2017 01/25/2022 Peabody, David C 13 Temple St Quincy MA 781-585-8007 [email protected] 8 5110 173 61616- 1805187 02/28/2005 02/28/2022 Pearl, Gary Powers 1200 E Glen Ave Peoria Heights IL 309-688-9000 [email protected] 9 5325 174 27514- dpearsall@business- 2042895 12/08/2017 12/08/2021 Pearsall, Philip David 501 Eastowne Dr Ste 250 Chapel Hill NC 919-616-9863 0 6224 insurers.com
Page 81 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 174 2151987 06/01/2021 06/01/2022 PECK, ISAAC FRANCIS 6760 UNIVERSITY AVE #250 SAN DIEGO CA 92115 619-508-4340 1 174 98290- 1845907 12/26/2007 12/26/2021 Pedack, Richard Emil 1629 Lake Mount Dr Snohomish WA 425-263-3500 [email protected] 2 1730 174 30328- 2157083 07/22/2021 07/22/2022 Peddle, Bruce Gordon 7000 Central Pkwy Ste 1100 Atlanta GA 678-595-3849 [email protected] 3 4592 174 43215- 2118840 07/10/2020 07/10/2022 PELECKY, MARCY 280 N HIGH ST COLUMBUS OH 866-269-8146 [email protected] 4 2537 174 1883831 05/11/2010 05/11/2022 Pellegrini, Gregg J 33 Arch St Boston MA 02110 617-857-7902 [email protected] 5 174 94111- 1952535 03/20/2014 03/20/2022 Pellegrini, Michael V 4 Embarcadero Ctr San Francisco CA 415-387-2315 6 4106 174 Risk Placement Services, Inc., 200 08619- 2002585 05/04/2016 05/04/2022 Pellegrino, Dennis W Hamilton NJ 609-643-0654 7 American Metro Blvd Ste 104 2320 174 02026- 2119803 07/22/2020 07/22/2022 Peltier, Michael Syrus 3 Allied Dr Ste 303 Dedham MA 617-435-0415 [email protected] 8 6148 174 44122- [email protected] 1912692 02/15/2012 02/15/2022 Pender, Marcus M 3700 Park East Dr Ste 250 Beachwood OH 800-937-3497 9 4318 m 175 C/o Willis Towers Watson 10281- Alison.penfold@willistowerswa 2083683 03/05/2019 03/05/2022 PENFOLD, ALISON New York NY 212-915-8684 0 Northeast, Inc., 200 Liberty St 1003 tson.com 175 Usi Ins Svcs Of Ma, Inc, 50 Cabot 02494- 1031180 02/28/1999 02/28/2022 Penn, Richard Needham MA 617-244-7730 [email protected] 1 St 2819 175 97035- 2027355 05/23/2017 05/23/2022 PENNER, LOREN DEAN 16325 Boones Ferry Rd Ste 101 Lake Oswego OR 503-244-0297 [email protected] 2 4295 175 PHILADELPHI 19102- 2099770 09/23/2019 09/23/2022 PENNOCK, Joseph A 200 S BROAD ST FL 11 PA 215-732-0500 [email protected] 3 A 3802 175 Edgewood Partners Insurance, 94520- 2015466 10/28/2016 10/28/2021 Perata, Curtis James Concord CA 707-428-3846 [email protected] 4 1390 Willow Pass Rd Ste 800 7924 175 02116- Melanie.pereira@willistowers 2094686 07/27/2019 07/27/2022 Pereira, Melanie A 75 Arlington St Fl 10 Boston MA 978-275-4308 5 3936 watson.com 175 PEREZ DE CORCHO, JOSE Overby Seawell Co, 11210 SW 33165- 1990519 10/01/2015 10/01/2022 Miami FL 678-433-6031 [email protected] 6 MIGUEL 29th St 2268 175 76107- [email protected] 1959780 07/30/2014 07/30/2022 Pergande, John 550 Bailey Ave Ste 150 Fort Worth TX 817-800-5221 7 2144 m 175 Risk Placement Services, Inc., 324 10509- 1955646 05/14/2014 05/14/2022 PERI, JOANN Brewster NY 203-509-8849 [email protected] 8 Clock Tower Commons 4058 175 01588- 1933302 05/02/2013 05/02/2022 Perkins, David S 927 Marston Rd Whitinsville MA 508-864-4446 [email protected] 9 1081 176 02494- 2016211 11/09/2016 11/09/2021 Perlini, Steven 160 Gould St Ste 121 Needham MA 617-413-6495 [email protected] 0 2300 176 11204- 1949639 01/31/2014 01/31/2022 PERLSTEIN, BARRY 1648 61st St Brooklyn NY 718-853-3607 [email protected] 1 2109
Page 82 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 176 01960- 2149953 05/11/2021 05/11/2022 PERRINA, ANGELO 525 Lowell St Ste 2 Peabody MA 617-799-1545 [email protected] 2 1375 176 PERRYMAN, CAROLINE 75248- 2121519 08/10/2020 08/10/2022 15660 N DALLAS PKWY STE 700 DALLAS TX 214-987-2834 3 LEIGH 3326 176 06498- 1812100 09/12/2005 09/12/2022 Pesce, Christopher L 70 Essex Rd Westbrook CT 860-399-3686 [email protected] 4 1568 176 Arthur J. Gallagher & Co, 2850 Rolling 60008- 1825804 08/15/2006 08/15/2022 Pesch, Michael Robert IL 847-639-6639 [email protected] 5 Golf Rd Meadows 4050 176 PETCOFF, NICHOLAS SYCAMORE, 550 W MERRILL ST 48009- PMCKINNON@CONIFERINS 1993646 11/17/2015 11/17/2021 BIRMINGHAM MI 814-445-8905 6 JAMES STE 200 1443 URANCE.COM 176 Alliant Insurance Services, Inc., 20817- 2114790 05/06/2020 05/06/2022 Peters, Barry F Bethesda MD 301-263-6630 [email protected] 7 6550 Rock Spring Dr Ste 610 1132 176 46804- [email protected] 2105293 11/19/2019 11/19/2021 PETERS, Marla Krull 7609 W Jefferson Blvd Ste 100 Fort Wayne IN 260-416-1316 8 9901 om 176 PETERSEN, CASEY 60606- 1934008 05/15/2013 05/15/2022 233 S Wacker Dr Chicago IL 312-288-7432 [email protected] 9 WILLIAM 7147 177 91355- 1785200 07/22/2003 07/22/2022 Petersen, Michael Bryan 23929 Valencia Blvd Fl 2 Valencia CA 661-254-0006 [email protected] 0 2109 SPECIALTY MANAGERS 177 60563- 2015035 10/21/2016 10/21/2022 PETERSON, JASON A GROUP, LLC, 2056 WESTINGS NAPERVILLE IL 630-377-7425 [email protected] 1 2495 AVE STE 20 177 Aon Risk Services Central, Inc., 19103- 2060355 06/18/2018 06/18/2022 Peterson, Sarah Jane Philadelphia PA 215-255-1745 2 1650 Market St Ste 1000 7306 177 PETREY, CHARLES Willis Towers Watson Southeast, 37214- 2070106 09/17/2018 09/17/2022 Nashville TN 615-872-3096 [email protected] 3 WILLIAM Inc., 26 Century Blvd 3685 177 Insureon, 30 N La Salle St Ste 60602- 2089484 05/14/2019 05/14/2022 PETRUSAITIS, Lori A Chicago IL 630-816-6912 [email protected] 4 2500 2514 177 Arthur J Gallagher & Co, 2345 64108- 1975655 02/25/2015 02/25/2022 Pfeiffer, William L Kansas City MO 816-421-7788 [email protected] 5 Grand Blvd Ste 400 2625 HOLMES MURPHY AND 177 50263- 2109885 02/07/2020 02/07/2022 PFISTER, DENISE A ASSOCIATES LLC, 2727 GRAND WAUKEE IA 515-957-0474 [email protected] 6 8844 PRAIRIE PKWY 177 02110- phungamy.phan@chartisinsur 1942737 10/03/2013 10/03/2021 Phan, Phung K 99 High St Boston MA 857-222-0216 7 2320 ance.com 177 50398- 2067209 08/24/2018 08/24/2022 Phillips, Joellyn Sue 12421 Meredith Dr Urbandale IA 515-250-3937 8 9001 177 Phillips Ins Agency, Inc., 97 Center 1806761 04/25/2005 04/25/2022 Phillips, Joseph M Chicopee MA 01013 413-567-9723 [email protected] 9 St 178 1856912 08/28/2008 08/28/2022 Phillips, Michele Ann 2677 N Main Street, Suite 600 Santa Ana CA 92705 949-858-9841 0 178 Risk Placement Services, Inc., 04102- 1818883 03/03/2006 03/03/2022 Piche, Elizabeth Amell Portland ME 207-956-2639 [email protected] 1 1685 Congress St Ste 1 2100 178 30326- 1978339 04/03/2015 04/03/2022 Pickle, Leslie A 3560 Lenox Rd NE Ste 2400 Atlanta GA 770-813-8985 2 4266
Page 83 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 178 Northstar Insurance Services, Inc., 02494- 1987195 08/26/2015 08/26/2022 Pierce, Gregory Grant Needham MA 781-431-2500 [email protected] 3 300 1st Ave Ste 100 2737 178 COMMERCIAL INSURANCE COLORADO 80905- 2047626 01/30/2018 01/30/2022 PIERCE, MARY A CO 303-726-3773 [email protected] 4 GROUP, 1773 S 8TH ST SPRINGS 7917 178 222 LAS COLINAS BLVD W STE 75039- 2102756 10/21/2019 10/21/2022 PIERCE, TREVOR SCOTT IRVING TX 678-433-6044 [email protected] 5 1300 5433 178 Mid-state Insurance Agency, Inc., 01603- 1818888 03/03/2006 03/03/2022 Pietro, James John Worcester MA 508-581-7993 [email protected] 6 93 Stafford St 1459 178 MT 2142215 02/19/2021 02/19/2022 PIGNATELLI, NICHOLAS 200 WINGO WAY, STE. 200 SC 29464 215-858-1432 7 PLEASANT 178 45236- 1899964 05/16/2011 05/16/2022 Pike, Daniel Leahy 5905 E Galbraith Rd Cincinnati OH 513-333-0700 8 2375 178 92056- 1895529 01/25/2011 01/25/2022 Pike, David Eric 3910 Vista Way Ste 107 Oceanside CA 760-599-7242 [email protected] 9 4513 179 2141181 02/08/2021 02/08/2022 PIKE, ROLAND MELVIN 110 EDDY GLOVER BLVD NEW BRITAIN CT 06053 860-438-9357 0 IIAA AGENCY ADMINISTRATIVE 179 22314- 2080086 01/04/2019 01/04/2022 PINEIRO, AIMEE R SERVICES INC, 127 S PEYTON ALEXANDRIA VA 703-706-5408 [email protected] 1 2879 ST 179 27215- 1900515 05/31/2011 05/31/2022 Pinson, William 3060 S Church St Burlington NC 336-438-3407 2 5153 179 [email protected] 2018840 12/29/2016 12/29/2021 Pintarich, Christopher Ryan 31 Hayward Street, Suite J Franklin MA 02038 508-779-0770 3 m 179 02038- [email protected] 2018841 12/29/2016 12/29/2021 Pintarich, Kaitlyn Rae 31 Hayward St Ste J Franklin MA 508-779-0770 4 2166 m 179 2077136 11/29/2018 11/29/2021 PIPER, KENT DOUGLAS 3512 BROKEN TWIG DR NORCO CA 92860 951-208-7988 [email protected] 5 STARR INDEMNITY & LIABILITY 179 75225- 1926491 12/11/2012 12/11/2021 PIPKIN DAVIS, Andrea Lynn COMPANY, 8401 N CENTRAL DALLAS TX 972-617-5979 6 4420 EXPY STE 515 179 07311- 2026156 05/02/2017 05/02/2022 Pittinger, James Joseph 200 Hudson St Ste 800 Jersey City NJ 201-860-2262 [email protected] 7 1221 179 Lipscomb & Pitts Insurance, Llc, 38112- 1813109 10/06/2005 10/06/2021 Pitts, Johnny Robert Memphis TN 901-323-1073 [email protected] 8 2670 Union Avenue Ext Ste 100 4416 179 30076- 2015575 10/31/2016 10/31/2021 PITZ, CRAIG A 300 Colonial Center Pkwy Ste 200 Roswell GA 815-790-4978 [email protected] 9 8844 180 1933921 05/14/2013 05/14/2022 Pizzi, Scott C 1166 Ave of the Americas NewYork NY 10036 973-507-4106 0 180 06102- lucia_pizzonia- 1922420 10/03/2012 10/03/2021 Pizzonia-Shaskus, Lucia Hsb Group Inc., 1 State St Hartford CT 860-722-5539 1 8900 [email protected] 180 Aon Risk Services Southwest, Inc., 77056- 1882455 04/09/2010 04/09/2022 Plaskett, Duncan Thomas Houston TX 832-476-5889 [email protected] 2 5555 San Felipe St Ste 1500 2739 180 Risco Ins Brk Inc, 60 Catamore 02914- 1859809 11/06/2008 11/06/2021 Plumb, Peter C E Providence RI 401-709-7515 [email protected] 3 Blvd 1206
Page 84 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 180 06824- 2024061 03/29/2017 03/29/2022 Podolsky, Fred T 115 Charter Oak Rd Fairfield CT 917-913-6479 4 7304 Willis Towers Watson Midwest, 180 33607- 2143709 03/05/2021 03/05/2022 POINTER, RIE Inc., 3407 W Dr Martin Luther King Tampa FL 813-323-9595 [email protected] 5 6226 Jr Blvd Ste 200 C/O CRC SERVICES INC, 50 180 2111236 02/27/2020 02/27/2022 POLESE, VINCENT L JERICHO QUADRANGLE, SUITE JERICHO NY 11753 212-440-5800 [email protected] 6 110 180 SCHAUMBUR 60173- [email protected] 2152728 06/09/2021 06/09/2022 POLJAK, Diane 20 N MARTINGALE RD STE 100 IL 847-946-2933 7 G 2423 m 180 1906933 10/18/2011 10/18/2022 Poller, Michael J 610-618 W St Georges Ave Linden NJ 07036 732-208-5553 [email protected] 8 180 [email protected] 2142333 02/20/2021 02/20/2022 Polutchko, David James Sr. 285 Washington Street North Easton MA 02356 508-821-0507 9 m 181 Greenwood 80111- 2011135 08/31/2016 08/31/2022 POMEROY, KEVIN 6501 S Fiddlers Green Cir Ste 100 CO 303-831-5190 [email protected] 0 Village 5038 181 Lake Havasu 86403- 1902893 08/01/2011 08/01/2022 Pontolillo, Sheri Marie 94 Acoma Blvd S Ste 200 AZ 949-287-4641 [email protected] 1 City 6922 181 Poole Professional Ltd., 107 01880- 1996580 01/20/2016 01/20/2022 Poole, Christopher A Wakefield MA 978-681-6444 [email protected] 2 Audubon Rd Ste 305 1245 181 APPLIED RISK SERVICES, INC., 2115767 05/26/2020 05/26/2022 POPEJOY, SEAN JACOB OMAHA NE 68154 402-312-4286 3 10805 OLD MILL ROAD 181 02109- 2162062 09/04/2021 09/04/2022 POPIEN, ERIC 75 State St Ste 100 Boston MA 857-400-1613 [email protected] 4 1826 181 222 WEST ADAMS STREET, 2156767 07/20/2021 07/20/2022 PORGES, SARAH A CHICAGO IL 60606 312-285-4960 5 SUITE 1900 AMERICAN FAMILY 181 2039599 10/31/2017 10/31/2021 Post, Todd A BROKERAGE INC, 6000 MADISON WI 53783 608-268-0824 6 AMERICAN PKWY 181 Aon Risk Services, Inc. Of 21117- 1881285 03/11/2010 03/11/2022 Poston, Rosalie Owings Mills MD 410-557-6798 [email protected] 7 Maryland, 10461 Mill Run Cir 5544 C/O THE DISTINGUISHED 181 PROGRAMS GROUP, 1180 2081137 01/22/2019 01/22/2022 POTASH, Andrew W NEW YORK NY 10036 914-381-2792 [email protected] 8 AVENUE OF THE AMERICAS, 16TH FLOOR 181 POTTER, ROBERT 2073248 10/19/2018 10/19/2021 140 BROADWAY 32ND FL NEW YORK NY 10005 415-940-5343 9 LINCOLN 182 84106- 1829452 11/16/2006 11/16/2021 Poulton, Craig Kidd 3785 S 700 E Salt Lake City UT 801-272-4550 [email protected] 0 1183 182 44122- 2081136 01/22/2019 01/22/2022 POWALIE, DIANA MARIE 3700 Park East Dr Ste 250 Beachwood OH 216-403-9561 [email protected] 1 4318 182 JACKSONVIL 2122904 08/24/2020 08/24/2022 POWELL, BENJAMIN KNOX 219 N NEWNAN STREET FL 32202 904-219-2003 [email protected] 2 LE
Page 85 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 182 1864800 02/23/2009 02/23/2022 Powell, Frank 131 White Oak Lane Old Bridge NJ 08857 732-892-3023 [email protected] 3 182 2107847 01/09/2020 01/09/2022 POWELL, MATTHEW 470 ATLANTIC AVE. BOSTON MA 02210 774-249-4637 [email protected] 4 182 Willis Towers Watson Northeast, 02116- 1916827 05/29/2012 05/29/2022 Powers, Julie M Boston MA 617-351-7465 [email protected] 5 Inc., 75 Arlington St Fl 10 3936 182 2050 W Sam Houston Pkwy S Ste 77042- 1854435 07/08/2008 07/08/2022 Pozmantier, Jeffrey Louis Houston TX 713-825-1147 6 1500 3669 182 SAN 2098605 09/12/2019 09/12/2022 PRASAD, NINA PRIYA 425 MARKET STREET, 2800 CA 94105 214-213-4488 [email protected] 7 FRANCISCO 182 20036- 2073811 10/25/2018 10/25/2021 Prather Digel, Anna 1120 20th St NW Ste 600 Washington DC 202-862-5340 8 3406 182 16 Westbrook Commons, Po Box 2007899 07/22/2016 07/22/2022 Pratt, Douglas J Portland ME 04104 207-318-9318 [email protected] 9 998 183 60606- 2152730 06/09/2021 06/09/2022 Pratt, Kevin H 233 S Wacker Dr Ste 1800 Chicago IL 312-288-7322 0 6424 183 R-t Specialty, Llc, 1345 Avenue Of 10105- 2014853 10/19/2016 10/19/2021 Pray, Edward B New York NY 212-314-9601 [email protected] 1 The Americas Fl 4 0302 183 Breckenridge Insurance Services, 04092- 2118266 07/02/2020 07/02/2022 Preston, Beth Marie Westbrook ME 678-433-6044 [email protected] 2 1 Acadia Cmn 3805 183 PRESTON, CHARLES 37919- 2048716 02/15/2018 02/15/2022 151 Major Reynolds Pl Ste 210 Knoxville TN 865-310-7637 [email protected] 3 TAYLOR 4813 183 94954- 1831319 01/04/2007 01/04/2022 Preston, Susan Beth 1304 Southpoint Blvd Ste 101 Petaluma CA 415-883-4237 [email protected] 4 7464 183 02038- 2141866 02/16/2021 02/16/2022 PRETO, GINETTE C 306 Country Way Franklin MA 781-983-5277 [email protected] 5 1126 MAG MUTUAL INSURANCE 183 30305- [email protected] 2083162 02/25/2019 02/25/2022 PREVO, CLARENCE A COMPANY, 3535 PIEDMONT RD ATLANTA GA 404-842-5566 6 1518 M NE BLDG 14 183 Pompano 33062- 1985355 07/31/2015 07/31/2022 Price, Christine 1 N Ocean Blvd Apt 803 FL 212-842-3616 7 Beach 5733 183 PRICE, CHRISTOPHER Esp Insurance Brokerage Llc, 306 01608- 2048340 02/09/2018 02/09/2022 Worcester MA 508-892-7278 [email protected] 8 MICHAEL Main St 1550 183 80525- 2090697 05/31/2019 05/31/2022 PRICE, KATHERINE N 1730 S College Ave Ste 300 Fort Collins CO 720-873-5077 [email protected] 9 1073 184 2260 EAST BIDWELL STREET, 2127525 10/02/2020 10/02/2021 PRINCE, DALE CURTIS FOLSOM CA 95630 888-358-9467 0 #2043, 1092 ELSWORTH WAY 184 Beacon Hill Associates, Inc., 408 22902- 1795006 04/06/2004 04/06/2022 Pritchard, William G Jr. Charlottesville VA 434-979-8311 [email protected] 1 Park St 4742 SPECIALTY COVERAGE 184 PROCOPS, SCOTT 2155028 06/30/2021 06/30/2022 INSURANCE AGENCY, LLC, 1 MYSTIC CT 06355 229-347-3326 2 ANTHONY WATER ST 184 PROPATI, NAZARO AON RISK SERVICES CENTRAL, LINCOLNSHIR 60069- 1998063 02/16/2016 02/16/2022 IL 847-442-6611 [email protected] 3 JOSEPH INC., 4 OVERLOOK PT E 4302
Page 86 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 184 29201- 2160340 08/20/2021 08/20/2022 PROPHETT, SYLVIA S 1320 MAIN ST STE 300 COLUMBIA SC 803-586-1410 4 3266 184 PRZEDPELSKI, John 07078- 2004853 05/27/2016 05/27/2022 150 JOHN F KENNEDY PKWY SHORT HILLS NJ 973-829-2938 5 Edward 2703 184 Applied Risk Services, Inc., 10805 68154- 2115768 05/26/2020 05/26/2022 Puetz, Matthew W. Omaha NE 402-214-5510 [email protected] 6 Old Mill Rd 2607 184 SAN 2151257 05/24/2021 05/24/2022 PUFFER, WARREN JOSEF 1 BUSH STREET, 1350 CA 94104 917-825-4761 7 FRANCISCO 184 Joyn Insurance Services Llc, 120 07932- eduard.pulkstenis@hamiltongr 2141175 02/08/2021 02/08/2022 PULKSTENIS, EDUARD J Florham Park NJ 973-903-0744 8 Rushmore Ct 1525 oup.com 184 10006- [email protected] 2073249 10/19/2018 10/19/2021 PURSIANO, CARL L 1 Liberty Plz Lbby 2 New York NY 212-915-7636 9 1444 m 185 30328- 1981737 06/03/2015 06/03/2022 PYLE, BRITT ELIZABETH 5 Concourse Pkwy Ste 1800 Atlanta GA 404-224-5053 [email protected] 0 6168 185 7502 E. Pinnacle Peak Rd., Suite 85255- teresa.quale@sonorannational 1886295 07/15/2010 07/15/2022 Quale, Teresa Kim Scottsdale AZ 480-998-1001 1 B-210 6242 .com 185 Quarantello, Joseph William Risk Stratagies Company, 160 02110- 1813060 10/06/2005 10/06/2022 Boston MA 617-330-5747 2 Jr. Federal St Fl 4 1700 HOLMES MURPHY AND 185 50263- 2096728 08/21/2019 08/21/2022 QUIGLEY, ROSS F ASSOCIATES LLC, 2727 GRAND WAUKEE IA 515-991-0328 [email protected] 3 8844 PRAIRIE PKWY 185 Alliant Insurance Services, Inc., 94105- 1920335 08/21/2012 08/21/2022 Quinlan, Brendan P San Francisco CA 628-502-2834 [email protected] 4 575 Market St Ste 3600 2874 185 07495- 1983242 06/30/2015 06/30/2022 Quinn, David A 1 International Blvd Ste 909 Mahwah NJ 908-256-6576 [email protected] 5 0027 185 1166 AVENUE OF THE 2118147 07/01/2020 07/01/2022 QUINN, NATALIE NEW YORK NY 10036 201-572-3532 6 AMERICAS 185 1894927 01/04/2011 01/04/2022 Quinn, Patrick Joseph 223 Mass Ave Arlington MA 02474 781-439-4031 [email protected] 7 185 02116- 1959842 07/31/2014 07/31/2022 Quirk, James Francis 855 Boylston St Fl 8 Boston MA 781-697-4108 8 2622 185 77042- 2087960 04/19/2019 04/19/2022 RACHUI, CARON 2500 CITYWEST BLVD STE 2400 HOUSTON TX 713-302-7604 [email protected] 9 3031 186 Racioppo, Lawrence Usi Insurance Services Llc, 33 06880- 1917473 06/14/2012 06/14/2022 Westport CT 203-275-6593 0 Anthony Riverside Ave Fl 4 4223 186 RADCLIFFE, Matthew 150 CHESTNUT HILL AVE, APT 2101992 10/12/2019 10/12/2021 BRIGHTON MA 02135 508-852-1661 1 Charles 403 186 RAFTOPOULOS, BROOKFIELD PLACE, 200 10281- 2156342 07/15/2021 07/15/2022 NEW YORK NY 917-796-5472 2 KONSTANTINE LIBERTY ST 1003 186 300 COLONIAL CENTER PKWY 30076- 2030259 07/14/2017 07/14/2022 RALSTON, MICHELLE M ROSWELL GA 800-428-0469 [email protected] 3 STE 200 8844 186 Assuredpartners Of Florida, Llc, 32746- Michael.randall@assuredpartn 2007491 07/15/2016 07/15/2022 RANDALL, MICHAEL ALAN Lake Mary FL 407-804-5222 4 300 Colonial Center Pkwy Ste 270 7640 ers.com
Page 87 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 186 KRANDOLPH@FIRSTINDEM 1998470 02/24/2016 02/24/2022 RANDOLPH, KENNETH R 87 OXFORD ST. LYNN MA 01901 781-581-2508 5 NITY.NET 186 10006- 2002001 04/25/2016 04/25/2022 RATNER, ANDREW 165 Broadway New York NY 908-472-7435 [email protected] 6 1404 186 07006- 2096727 08/21/2019 08/21/2022 RATNER, HARLEY IAN 1140 Bloomfield Ave Ste 219 West Caldwell NJ 973-454-2531 [email protected] 7 7126 186 05446- 2161720 09/01/2021 09/01/2022 Ravlin, Bryan L 463 Mountain View Dr Ste 101 Colchester VT 802-343-9522 [email protected] 8 5916 186 RAWLINSON, DESIREE 92008- 2112040 03/11/2020 03/11/2022 1811 Aston Ave Ste 200 Carlsbad CA 760-599-7242 [email protected] 9 ANN 7396 187 10022- 1861405 12/23/2008 12/23/2021 Ray, Kathleen T Hiscox Inc, 520 Madison Ave Fl 32 New York NY 630-315-7723 [email protected] 0 4213 187 MARSH USA INC. (DE), 1717 PHILADELPHI 19103- 1991769 10/16/2015 10/16/2021 Raymond, John M PA 215-246-1465 1 ARCH ST A 2713 187 02108- 2005938 06/17/2016 06/17/2022 Raymond, Stephen Kenneth 1 Boston Pl Ste 3610 Boston MA 617-276-5124 2 4441 187 75024- 1885145 06/14/2010 06/14/2022 Rearick, Philip A 5300 Democracy Dr Ste 120 Plano TX 972-788-0699 3 3512 187 60661- 1838613 08/01/2007 08/01/2022 Reasons, David Pierce 540 W Madison St Chicago IL 312-213-3486 4 2591 HOLMES, MURPHY AND 187 50263- 2109159 01/29/2020 01/29/2022 REAVIS, JAY K ASSOCIATES, LLC, 2727 GRAND WAUKEE IA 515-422-1680 5 8844 PRAIRIE PKWY 187 2088405 04/26/2019 04/26/2022 Rebholz, Frank J III 100 N Broadway #900 St Louis MO 63102 636-376-0790 [email protected] 6 187 01810- 1708604 04/09/2003 04/09/2022 Reczek, Gerard William 13 Blood Rd, Po Box 4117 Andover MA 617-585-0077 [email protected] 7 0812 187 2135909 11/30/2020 11/30/2021 REED, MELISSA MICHELLE 127 SOUTH PEYTON ST., 4 FL. ALEXANDRIA VA 22314 512-217-3081 8 187 Assuredpartners Of Oregon, Llc, 97401- [email protected] 1888044 08/25/2010 08/25/2022 Reese, Glen Scott Eugene OR 541-681-8619 9 941 Oak St 3105 m 188 66211- 1970798 12/09/2014 12/09/2021 Reeves, Christopher J 6240 Sprint Pkwy Overland Park KS 913-433-8860 0 1158 188 14564- [email protected] 2136309 12/04/2020 12/04/2021 Reff, Margaret Mary 7910 Lehigh Xing Victor NY 646-844-9933 1 9023 m 188 60601- 1833404 03/08/2007 03/08/2022 Reich, Richard P 200 E Randolph St Chicago IL 312-381-5206 [email protected] 2 6436 188 02116- 1992688 10/30/2015 10/30/2021 Reid, Andrew Cooper 855 Boylston St Fl 8 Boston MA 978-356-9819 [email protected] 3 2622 188 C/o American Emerald Group, 11751- 1997708 02/09/2016 02/09/2022 Reilly, Dennis G Islip NY 631-224-4676 4 Inc., 153 Saint Marks Ln 4135 188 19087- 2152721 06/09/2021 06/09/2022 REILLY, GRACE 100 W Matsonford Rd Bldg 5 Radnor PA 610-254-7490 5 4559
Page 88 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 188 Fred C. Church, Inc., 41 Wellman 01851- 1812049 09/09/2005 09/09/2022 Reilly, Michael S Lowell MA 978-322-7222 [email protected] 6 St 5134 188 08540- 2077570 12/06/2018 12/06/2021 Reilly, Peter H 125 Village Blvd Princeton NJ 610-695-9540 [email protected] 7 5753 188 94111- 1799545 08/17/2004 08/17/2022 Reischman, Philip Eugene 100 Pine St Fl 11 San Francisco CA 713-470-4197 8 5113 188 2120858 08/03/2020 08/03/2022 REISERT, GREGORY JOHN 1700 UPS DRIVE, SUITE 105 LOUISVILLE KY 40223 502-458-0122 9 189 REITER, CAROLYN 10017- 2151577 05/27/2021 05/27/2022 555 5TH AVE FL 10 NEW YORK NY 212-338-0133 [email protected] 0 WILLINGHAM 2416 189 Synergy Professional Associates, 07004- 2133462 11/04/2020 11/04/2021 Rendeiro, Margarida M Fairfield NJ 973-995-0513 1 Inc., 100 Passaic Ave Ste 145 3563 189 ARK INSURANCE AGENCY, 600 2102357 10/16/2019 10/16/2021 REVELS, IRENE E KISSIMMEE FL 34741 407-421-5400 2 N THACKER AVE STE D46 189 02109- 2098547 09/12/2019 09/12/2021 REYNOLDS, ALVIN LEE JR 75 State St Lbby 2 Boston MA 617-694-1476 3 1948 189 34211- 2144880 03/17/2021 03/17/2022 Reynolds, Anthony Wayne 4743 Cabreo Ct Bradenton FL 404-307-4805 4 2170 189 1031256 03/19/1999 03/19/2022 Reynolds, Pamela J 681 Falmouth Road Mashpee MA 02649 508-477-8070 [email protected] 5 189 Daytona 32114- SWALLS@MACDUFF- 2142011 02/17/2021 02/17/2022 RHODES, THOMAS JR 300 N Beach St Fl 6 FL 386-366-3600 6 Beach 3304 FLA.COM 189 Mcsweeney & Ricci Insurance 02184- 1791607 01/06/2004 01/06/2022 Ricci, Mary Lou Braintree MA 781-848-8600 [email protected] 7 Agency, Inc., 420 Washington St 4755 189 02920- 2097903 09/05/2019 09/05/2022 Ricciotti, Antonella 100 Midway Rd Ste 20 Cranston RI 401-654-6711 [email protected] 8 5742 189 Johnson & Johnson Incorporated, 02169- 1803229 12/10/2004 12/10/2021 Rice, Kenneth Franklin Quincy MA 617-786-1222 [email protected] 9 859 Willard St Ste 420 7469 190 The Westwood Group, 1250 Linda 44116- 1876233 10/28/2009 10/28/2021 Richards, Michael F Rocky River OH 216-502-4967 [email protected] 0 St Ste 203 1853 190 05301- 2125138 09/16/2020 09/16/2022 Richards, Peter Thomson The Richards Group, 48 Harris Pl Brattleboro VT 802-254-4170 [email protected] 1 6029 190 37203- 1929402 02/22/2013 02/22/2022 Richardson, Judith I 1801 W End Ave Nashville TN 615-650-3424 [email protected] 2 2526 190 3310 W BIG BEAVER RD STE 48084- 1883448 05/03/2010 05/03/2022 Richmond, Gregory Scott TROY MI 248-688-9361 3 104 2807 190 Amwins Brokerage Of New York, 10170- 1865961 03/19/2009 03/19/2022 Ricker, Gary Dennis New York NY 212-858-8900 [email protected] 4 Inc., 420 Lexington Ave Rm 915 0044 190 33180- 2008685 08/04/2016 08/04/2022 RIEMER, PAUL ALAN 18851 NE 29th Ave Ste 904 Aventura FL 305-932-0569 [email protected] 5 2847 190 Alliant Insurance Services, Inc., 10605- 2019334 01/10/2017 01/10/2022 RILEY, JOHN White Plains NY 914-317-1463 [email protected] 6 222 Bloomingdale Rd Ste 400 1517
Page 89 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 190 2088401 04/26/2019 04/26/2022 RILEY, JOSHUA THOMAS 3816 EVERSHOT CT. MIDLOTHIAN VA 23112 703-472-1292 [email protected] 7 190 Whitehouse 08889- 1963574 09/18/2014 09/18/2022 RING, JEFFREY ALLAN 202 Halls Mill Rd NJ 908-572-2349 [email protected] 8 Station 3435 190 77042- 2090699 05/31/2019 05/31/2022 Ring, Robert Lee 3673 Westcenter Dr Houston TX 281-556-1379 [email protected] 9 5215 191 02109- 1710764 04/29/2003 04/29/2022 Risko, David J 53 State St Ste 2201 Boston MA 617-457-7691 0 2820 191 1804853 02/14/2005 02/14/2022 Risman, Henry Stuart 689 Fellsway Medford MA 02155 978-474-4763 [email protected] 1 191 28027- [email protected] 2150007 05/11/2021 05/11/2022 RIVAS, KEVIN 4601 Corporate Dr NW Ste 115 Concord NC 855-831-9042 2 9661 m 191 3353 Peachtree Rd NE, Suite 1920342 08/21/2012 08/21/2022 Rivers, Brian Alan Atlanta GA 30326 770-973-1075 3 1000 191 77019- 1953896 04/15/2014 04/15/2022 Rizvi, Ali A 2929 Allen Pkwy Houston TX 713-429-5995 [email protected] 4 7100 191 02026- 1790687 12/08/2003 12/08/2021 Rizzo, Joseph P 980 Washington St Ste 325 Dedham MA 781-875-1911 [email protected] 5 6797 191 30326- 1976836 03/11/2015 03/11/2022 ROBBIN, NEIL IAN 3550 Lenox Rd NE Ste 1700 Atlanta GA 404-264-3099 [email protected] 6 1799 191 Arthur J Gallagher & Co, 300 S 60606- 2079035 12/13/2018 12/13/2021 Roberts, Heidi Katrin Chicago IL 224-500-6986 7 Riverside Plz Ste 1500 6637 191 2005369 06/08/2016 06/08/2022 Roberts, Richard D Jr. 414 Washington Street Dedham MA 02026 774-269-5850 [email protected] 8 191 1879193 01/05/2010 01/05/2022 Robin, Richard Joseph 16501 Ventura Blvd #200 Encino CA 91436 818-382-2030 9 192 Starr Specialty Lines Ins Agency 02110- 1884459 05/26/2010 05/26/2022 Robinson, Andrew Lee Boston MA 617-378-4771 [email protected] 0 Llc, 1 International Pl Fl 13 2602 192 1848298 02/15/2008 02/15/2022 Robinson, Charles Robert 152 Conant Street Beverly MA 01915 781-942-8724 [email protected] 1 192 Rogers & Gray Insurance Agency, 02364- 1963576 09/18/2014 09/18/2022 Robinson, David Thomas Kingston MA 774-212-0948 [email protected] 2 63 Smiths Ln 3008 192 ROBINSON, RICHARD 27617- 2149856 05/10/2021 05/10/2022 10549 TARTON FIELDS CIR RALEIGH NC 404-916-6416 3 BENJAMIN 7344 192 Risk Placement Services, Inc., 204 21613- STEVEN_ROBINSON@RPSI 1940691 09/06/2013 09/06/2022 ROBINSON, STEVEN R Cambridge MD 410-742-4359 4 Cedar St 2312 NS.COM 192 Edgewood Partners Insurance, Needham 02494- 1792953 02/13/2004 02/13/2022 Roblin, Peter M MA 781-726-6342 [email protected] 5 144 Gould St Ste 100 Heights 2317 192 2142339 02/20/2021 02/20/2022 ROCA, PETER 100 COMMERCE DRIVE WARWICK RI 02886 508-216-1661 [email protected] 6 192 2152732 06/09/2021 06/09/2022 ROCHA, JUANITA 1226 MCELREE ST DALLAS TX 75217 318-779-2251 7
Page 90 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 192 RODGER, GARRETT 59718- 2010572 08/26/2016 08/26/2022 865 Technology Blvd Bozeman MT 888-883-5696 [email protected] 8 ALLAN 6855 192 SAN 2152731 06/09/2021 06/09/2022 RODRIGUEZ, ISANDRA 9800 FREDERICKSBURG RD TX 78288 210-716-5554 9 ANTONIO 193 1 INTERNATIONAL PLAZA, PHILADELPHI RICHARD.RODRIGUEZ@GO 2001363 04/12/2016 04/12/2022 RODRIGUEZ, RICHARD PA 19113 609-903-4489 0 SUITE 140 A PETPLAN.COM 193 Arlington/roe & Co., Inc., 8900 46240- 1866468 03/26/2009 03/26/2022 Roe, James Alan Indianapolis IN 317-253-1647 [email protected] 1 Keystone Xing Fl 8 7670 ARTHUR J GALLAGHER RISK 193 LAKEWOOD 34202- 2044493 12/21/2017 12/21/2021 ROGERS, JASON MANAGEMENT SERVICES INC., FL 908-705-4438 [email protected] 2 RANCH 4180 8430 ENTERPRISE CIR STE 200 193 Risk Services, 1605 Main St Ste 34236- 2017569 12/05/2016 12/05/2021 Rogers, Michael T Sarasota FL 941-388-2347 [email protected] 3 800 5823 193 [email protected] 2121988 08/13/2020 08/13/2022 ROGERS, MICHAEL W 39 CRESTLINE RD. WAYNE PA 19087 610-416-7010 4 om 193 Holmes, Murphy And Associates, 57108- 2151986 06/01/2021 06/01/2022 Rolfing, Todd Jon Sioux Falls SD 605-929-2012 [email protected] 5 Llc, 5120 S Solberg Ave 2219 193 ROMAN, KIMBERLEY 85132- 1948331 01/08/2014 01/08/2022 5929 W Stony Quail Way Florence AZ 925-942-4604 6 DAWN 1288 193 2111 E HIGHLAND AVE, STE B- 2148242 04/22/2021 04/22/2022 RONE, NICHOLAS PHOENIX AZ 85016 602-567-4366 7 155 193 ROOKER, CHRISTOPHER FORT 76102- 2120857 08/03/2020 08/03/2022 500 W 13TH ST TX 817-347-7094 8 LYNN WORTH 4657 Distinguished Programs Insurance 193 10036- [email protected] 2082202 02/08/2019 02/08/2022 ROOPNARINE, MICHAEL J Brokerage Llc, 1180 Avenue Of New York NY 212-297-3148 9 8401 m The Americas Fl 16 194 2031358 08/01/2017 08/01/2022 Rose, David K 973 Iyannough Road Hyannis MA 02601 508-420-3316 [email protected] 0 194 POUND 2116784 06/11/2020 06/11/2022 ROSEN, DAVID 11 ROBINHOOD RD NY 10576 732-915-3242 1 RIDGE 194 10504- 1952947 03/27/2014 03/27/2022 Rosen, Stephen 145 Bedford Rd Armonk NY 914-939-1200 [email protected] 2 1853 194 80202- 2060090 06/13/2018 06/13/2022 Ross Marquess, Natalie 1900 16th St Ste 1000 Denver CO 415-486-6971 [email protected] 3 5229 194 03857- 2103815 10/30/2019 10/30/2021 ROSS, Jennica L. 114 Main St Newmarket NH 603-273-0953 [email protected] 4 1622 194 Assuredpartners New England, 06103- [email protected] 1929234 02/19/2013 02/19/2022 Ross, Michael Robert Hartford CT 813-222-4287 5 Inc., 755 Main St 2712 om 194 Higginbotham Insurance Agency 73112- 1872388 08/10/2009 08/10/2022 Ross, Richard Lynn Oklahoma City OK 405-552-4848 6 Inc., 3535 NW 58th St 4804 194 Alliant Insurance Services, Inc., 02110- 1952284 03/15/2014 03/15/2022 Ross, William M Boston MA 617-535-7246 [email protected] 7 131 Oliver St Fl 4 2785 194 [email protected] 2154027 06/22/2021 06/22/2022 ROSSI, JOSEPH M 75B High Street Carver MA 02330 781-635-5152 8 OM
Page 91 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Marsh & Mcleannan 194 Fort 33334- 2016828 11/21/2016 11/21/2021 ROSSI, TRACEY LYNN Agency/florida, 1000 Corporate Dr FL 561-212-6757 [email protected] 9 Lauderdale 3628 Ste 400 195 100 PARSONS POND DRIVE, FRANKLIN 2079479 12/20/2018 12/20/2021 ROSSMAN, DAVID J NJ 07417 973-868-0635 0 NEW JERSEY LAKES 195 Great 1944626 10/25/2013 10/25/2021 Rote, J Scott 333 Main St MA 01230 413-229-3413 [email protected] 1 Barrington 195 ARTHUR J GALLAGHER & CO, 34109- 2133883 11/09/2020 11/09/2021 ROTH, ARTHUR NAPLES FL 239-293-7555 2 1395 PANTHER LN STE 100 7875 195 30076- 2030261 07/14/2017 07/14/2022 Roth, Karie Sue 300 Colonial Center Pkwy Ste 200 Roswell GA 772-766-3869 3 8844 195 10006- 2157786 07/29/2021 07/29/2022 ROTH, NICHOLAS JAMES 165 Broadway New York NY 212-441-2135 [email protected] 4 1404 195 60062- 1964724 10/01/2014 10/01/2021 ROTH, ROBERT D JR 2120 Center Ave Northbrook IL 630-572-7124 [email protected] 5 4517 195 80202- 2071676 10/02/2018 10/02/2021 Roth, Ryan M 1225 17th St Ste 1300 Denver CO 609-384-9345 6 5506 195 33431- [email protected] 2072409 10/10/2018 10/10/2022 ROTH, STEVEN A 301 Yamato Rd Ste 2250 Boca Raton FL 561-451-1900 7 4901 om 195 1933922 05/14/2013 05/14/2022 Rouse, Michael J 1166 Ave of the Americas New York NY 10036 516-819-4861 8 195 Marsh Usa, Inc (de), 3560 Lenox 30326- 1844323 11/14/2007 11/14/2021 Rowe, Jennifer Atlanta GA 770-590-1364 [email protected] 9 Rd NE Ste 2400 1298 196 2114021 04/20/2020 04/20/2022 Royle, Shawn M 9655 Granite Ridge Dr #500 San Diego CA 92123 619-990-3517 0 196 MORGAN 2153523 06/16/2021 06/16/2022 ROZI, NETAH MICHELLE 1700 LLAGAS RD CA 95037 650-224-4904 1 HILL 196 02720- 1906472 10/11/2011 10/11/2021 Rua, Jason M 155 N Main St Fall River MA 508-673-5808 [email protected] 2 2106 196 RUCKER, RICHARD 85210- 2112537 03/18/2020 03/18/2022 1835 S Extension Rd Mesa AZ 928-279-3342 3 BRADLEY 5942 196 MARSH USA INC., 1 TOWNE SQ 48076- 2133114 11/02/2020 11/02/2021 RUFFIN, ALTHEA SOUTHFIELD MI 313-340-2682 [email protected] 4 STE 1100 3722 196 32174- 1956617 06/03/2014 06/03/2022 RULAND, KERRIE ANN 1001 Broadway Ave Ormond Beach FL 386-615-5322 [email protected] 5 2905 196 [email protected] 2138266 01/05/2021 01/05/2022 Rumschik, John Paul 285 Delaware Avenue, Suite 4000 Buffalo NY 14202 716-688-1681 6 om 196 90017- [email protected] 2115067 05/12/2020 05/12/2022 RUNYON, SAMANTHA 725 S Figueroa St Ste 2050 Los Angeles CA 213-228-7717 7 5460 m 196 33026- 2150009 05/11/2021 05/11/2022 RUSSO, TODD MITCHELL 11291 ROCKINGHORSE RD HOLLYWOOD FL 954-261-9874 [email protected] 8 1355 196 2160914 08/26/2021 08/26/2022 RUST, JENNIFER PAULINE 15 BRIAR LANE, PO BOX 717 WELLFLEET MA 02667 617-888-6674 9
Page 92 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 197 RUTILA, JONATHAN 1000 ABERNATHY RD, SUITE 2100025 09/25/2019 09/25/2021 ATLANTA GA 30328 248-676-2800 0 THOMAS 200 197 C/O THE WINFIELD GROUP, 400 BLINSURANCE@CSCGLOBA 2071677 10/02/2018 10/02/2022 RYAN, ANDREW C HAUPPAUGE NY 11788 631-732-0978 1 TOWN LINE ROAD, SUITE 155 L.COM 197 AVID RISK SOLUTIONS, INC., 53562- 2099036 09/17/2019 09/17/2022 RYAN, BROCK J MIDDLETON WI 608-213-1974 [email protected] 2 2501 PARMENTER ST STE 200A 2676 197 RYAN, MATTHEW Nexus Specialty Inc, 89 07960- 2155922 07/12/2021 07/12/2022 Morristown NJ 646-593-8683 3 CHARLES Headquarters Plz Ste 310 6834 197 188 INVERNESS DRIVE WEST, 2063874 07/26/2018 07/26/2022 RYAN, NICK DENVER CO 80112 303-531-3815 [email protected] 4 SUITE 600 197 Ryan Specialty Group, Llc, 180 N 60601- 1884906 06/04/2010 06/04/2022 Ryan, Patrick George Chicago IL 312-381-3010 5 Stetson Ave Ste 4600 6746 197 80202- 2041963 11/21/2017 11/21/2021 RYBERG, BRENDA LEE 1800 Wazee St Ste 300 Denver CO 720-931-2136 [email protected] 6 2526 197 1865696 03/11/2009 03/11/2022 Sacks, Kenneth D 900 N. Michigan Avenue Chicago IL 60611 312-915-2200 [email protected] 7 197 2090997 06/05/2019 06/05/2022 Sadler, John Marion 3014 Devine St 2nd FL Columbia SC 29205 803-371-0255 [email protected] 8 197 10606- 2087963 04/19/2019 04/19/2022 SADOFF, BRETT STUART 4 Scott Cir White Plains NY 914-479-7695 [email protected] 9 3506 198 Edgewood Partners Insurance 10004- 1926131 12/03/2012 12/03/2021 Sadofsky, Christine New York NY 917-841-3152 0 Center, 1 State St Fl 9 1561 198 15219- 1996531 01/19/2016 01/19/2022 SAFTNER, SIEGFRIED C 310 Grant St Ste 1320 Pittsburgh PA 412-259-6400 [email protected] 1 2233 198 2073250 10/19/2018 10/19/2022 SAGALOW, TY R 85 BROAD STREET NEW YORK NY 10004 917-620-1274 [email protected] 2 198 C/o Starr Technical Risks Agency 10022- 1842160 09/24/2007 09/24/2021 Sahm, John R New York NY 631-765-0025 3 Inc, 399 Park Ave Fl 2 5294 198 10036- 2113075 03/30/2020 03/30/2022 Sallada, John F 1166 Avenue Of The Americas New York NY 917-453-5541 4 2708 198 1812201 09/14/2005 09/14/2022 Sallop, Linda J 25 New Chardon St Boston MA 02114 617-964-7269 [email protected] 5 Willis Towers Watson Northeast, 198 20854- 1910682 12/19/2011 12/19/2021 Salmon, Robert F Inc., 12505 Park Potomac Ave Ste Potomac MD 301-581-4247 [email protected] 6 6805 300 198 Professional Risk Solutions Llc, 37 07059- 1893012 11/23/2010 11/23/2021 Salter, De'Andre Martin Warren NJ 908-834-8401 [email protected] 7 Mountain Blvd Ste 3 2622 198 Aon Risk Services Central, Inc., 19103- 1956619 06/03/2014 06/03/2022 Salvucci, David F Philadelphia PA 215-255-1778 8 1650 Market St Ste 1000 7306 198 49428- [email protected] 2004701 05/25/2016 05/25/2022 Salzwedel, John Todd 1240 Chicago Dr Jenison MI 616-648-7834 9 9308 OM 199 20005- 2152724 06/09/2021 06/09/2022 Samuel, Kyle 601 13th St Nw Washington DC 202-661-7207 0 3807
Page 93 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 199 SANCHO, DELWIN 2126654 09/28/2020 09/28/2021 950 TOWER LN, 14TH FLOOR FOSTER CITY CA 94404 510-331-6306 [email protected] 1 VASALLO 199 28210- 1873636 09/15/2009 09/15/2022 Sanders, Douglas Jackson 4725 Piedmont Row Dr Ste 600 Charlotte NC 704-365-3231 [email protected] 2 4283 199 Crc Insurance Services Inc, 725 37067- 1822581 05/25/2006 05/25/2022 Sanders, Michelle Elaine Franklin TN 248-451-3040 [email protected] 3 Cool Springs Blvd Ste 160 2703 199 07030- 2147213 04/12/2021 04/12/2022 SANDERSON, KIRK 221 River St Ste 9 Hoboken NJ 917-656-2476 [email protected] 4 5990 BROKERS' RISK PLACEMENT 199 60606- 1960898 08/18/2014 08/18/2022 SANDNER, ERICA L SERVICE, INC., 155 N WACKER CHICAGO IL 312-446-8256 [email protected] 5 1731 DR STE 3700 199 2143710 03/05/2021 03/05/2022 SANFORD, ERICA NICOLE 300 COLONIAL PKWY ROSWELL GA 30076 678-230-0670 [email protected] 6 199 2153524 06/16/2021 06/16/2022 SANGHAVI, ASHITA 200 LIBERTY STREET NEW YORK NY 10281 212-519-7224 7 199 ST 05819- 2158307 08/04/2021 08/04/2022 SANTERRE, HEIDI 723 CONCORD AVE VT 802-535-6321 8 JOHNSBURY 2459 199 Southern Cross Underwriters Inc, 33624- 1992087 10/21/2015 10/21/2021 SANTIAGO, JOSE MANUEL Tampa FL 813-261-6068 [email protected] 9 3820 Northdale Blvd Ste 115a 1880 200 SANTORELLI, VINCENT 10006- VINCENT.ANTHONY.SANTO 2083684 03/05/2019 03/05/2022 165 BROADWAY NEW YORK NY 212-441-1729 0 ANTHONY 1404 [email protected] 200 10006- 1908920 11/14/2011 11/14/2021 Santos, Nilza 165 Broadway New York NY 917-886-1813 1 1404 200 94534- 2020224 01/26/2017 01/26/2022 SANTOS, SHIRLEY RAMOS 1455 OLIVER RD FAIRFIELD CA 707-863-3700 [email protected] 2 3482 200 CONSHOHOC 2061110 06/28/2018 06/28/2022 SARAIVA, JOSEPH W 555 NORTH LANE, STE 6060 PA 19428 610-808-9593 [email protected] 3 KEN 200 10012- 2057097 05/15/2018 05/15/2022 SARKISSIAN, VIKEN S 379 W BROADWAY FL 2 NEW YORK NY 347-885-9518 [email protected] 4 5125 200 Brown & Brown Of Colorado, Inc., 80231- 2042896 12/08/2017 12/08/2021 Sartor, Jason Michael Denver CO 813-222-4258 5 2170 S Parker Rd Ste 25 5734 200 30326- 1838001 07/18/2007 07/18/2022 Saunders, Grant Dean 3353 Peachtree Rd NE Ste 1000 Atlanta GA 678-513-4716 6 1437 200 10006- 1971050 12/11/2014 12/11/2021 Sautner, Richard J 165 Broadway New York NY 212-441-1736 7 1404 200 02109- 1927037 12/19/2012 12/19/2021 Savage, Denise M 53 State St Ste 2201 Boston MA 617-457-4611 8 2820 200 02026- 1972331 01/07/2015 01/07/2022 Savitt, Howard A 980 Washington St Ste 325 Dedham MA 813-222-4292 [email protected] 9 6797 201 R-t Specialty, Llc, 477 S Rosemary West Palm 33401- 1889032 09/21/2010 09/21/2022 Sayer, Peter Emory FL 212-518-8742 [email protected] 0 Ave Ste 215 Beach 5757 201 Schaarschmidt, Ralf Helmut New England Excess Exchange 05641- 1818927 03/07/2006 03/07/2022 Barre VT 802-793-5253 [email protected] 1 II Ltd, 57 Parker Rd 9106
Page 94 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 201 1829510 11/21/2006 11/21/2021 Schaffel, Debra Lynn 200 East Randolph St Chicago IL 60601 312-829-4493 2 201 01748- 1788429 10/23/2003 10/23/2021 Schecker, Linda J 87 Elm St Ste 2 Hopkinton MA 508-422-9808 [email protected] 3 1638 201 30309- [email protected] 2027011 05/17/2017 05/17/2022 SCHEINFELD, RYAN 284 The Prado Ne Atlanta GA 404-888-0654 4 3336 m 201 [email protected] 1862564 01/12/2009 01/12/2022 Scheller, Heidi A 452 Gardner St Hingham MA 02043 781-749-7552 5 om 201 02109- 1703789 03/03/2003 03/03/2022 Schenck, Christopher Forest 1 India St Ste 204 Boston MA 978-281-9540 6 3311 201 2140450 01/30/2021 01/30/2022 Scherzinger, Paula Marie 94 Lynn Street Peabody MA 01960 978-532-1488 [email protected] 7 201 10006- 2149546 05/06/2021 05/06/2022 SCHEUBLEIN, ZACHARY F 165 Broadway New York NY 847-771-0065 [email protected] 8 1404 201 07076- [email protected] 1920248 08/20/2012 08/20/2022 Scheuermann, Sharon M 210 Haven Ave Ste 154 Scotch Plains NJ 908-868-2800 9 1028 om 202 2078821 12/11/2018 12/11/2021 SCHIENVAR, STEVEN 9417 Rapallo Street Naples FL 34119 917-750-4701 [email protected] 0 202 SCHILLING, BRIAN 2157216 07/23/2021 07/23/2022 200 LIBERTY STREET NEW YORK NY 10281 212-309-0976 1 ROBERT 202 [email protected] 2157914 07/30/2021 07/30/2022 Schillinger, Louis M 8265 N. Van Dyke Port Austin MI 48467 989-738-6557 2 m 202 SCHINDLER, REGINALD 84111- 1955797 05/16/2014 05/16/2022 299 S Main St Ste 2300 Salt Lake City UT 503-342-2444 [email protected] 3 GERARD 2299 202 1938319 08/06/2013 08/06/2022 Schioppo, Craig A 1166 Ave of Americas New York NY 10036 631-643-6486 4 202 SCHIPPER, REKHA 2134653 11/13/2020 11/13/2021 140 2ND STREET, SUITE 230 PETALUMA CA 94952 415-250-0787 [email protected] 5 SKANTHARAJA PROTECTIVE INSURANCE 202 SCHLIESMANN, MICHAEL 2108946 01/27/2020 01/27/2022 CORP, 111 CONGRESSIONAL CARMEL IN 46032 317-636-9800 6 ROBERT BLVD 202 Applied Risk Svcs Inc, 10805 Old 68154- 2115920 05/28/2020 05/28/2022 Schneider, Thomas D Omaha NE 402-707-0564 7 Mill Rd 2607 202 175 BROADHOLLOW ROAD, [email protected] 2088973 05/06/2019 05/06/2022 SCHNELL, ADAM M MELVILLE NY 11747 917-991-5016 8 SUITE 150 m 202 SCHNELLER, GEORGE 75254- 2076465 11/19/2018 11/19/2021 14185 DALLAS PKWY STE 1000 DALLAS TX 972-725-2159 [email protected] 9 FRANCIS 1305 203 02110- 1998497 02/24/2016 02/24/2022 SCHOFIELD, BRYAN W 100 Summer St Boston MA 857-259-3995 [email protected] 0 2106 Minico Insurance Agency, Llc, 203 85029- 1915563 04/25/2012 04/25/2022 Schofield, Michael Lee 10851 N Black Canyon Hwy Ste Phoenix AZ 602-678-3501 [email protected] 1 4703 200 203 SCHRAMER, DONNA Lassiter-ware Inc, 1317 Citizens 34748- 2001794 04/20/2016 04/20/2022 Leesburg FL 813-490-6827 [email protected] 2 LOUISE Blvd Ste 110 3923
Page 95 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 203 Leonor.burgos@hubinternatio 2022589 03/06/2017 03/06/2022 SCHREIBER, KENNETH R 5 BRYANT PARK NEW YORK NY 10018 718-622-0533 3 nal.com 203 01970- 2148687 04/28/2021 04/28/2022 Schricker, Kathleen B 27 Congress Street, Ste 407 Salem MA 781-990-1132 [email protected] 4 5574 SIERRA SPECIALTY 203 SCHROEDER, KATHLEEN 93612- [email protected] 2038583 10/17/2017 10/17/2021 INSURANCE SERVICES, INC, CLOVIS CA 559-322-8568 5 DALEY 1115 om 234 CLOVIS AVE 203 Ringwalt & Liesche Co., 1314 68102- LASchroeder@NationalIndem 1993010 11/04/2015 11/04/2021 Schroeder, Loree Ann Omaha NE 402-916-3310 6 Douglas St 1939 nity.com 203 SCHROEDER, MICHAEL 75024- 2152729 06/09/2021 06/09/2022 7950 Legacy Dr Ste 735 Plano TX 714-571-1850 7 JOHN 4146 203 91403- 1885002 06/08/2010 06/08/2022 Schrupp, Tamara Jean 15303 Ventura Blvd #1200 Sherman Oaks CA 818-742-0808 8 5817 203 C/o Integrated Ins Sol, 1881 01701- 1802712 11/30/2004 11/30/2021 Schultz, Derek Michael Framingham MA 508-281-0155 9 Worcester Rd Ste 101 5410 204 2161982 09/03/2021 09/03/2022 SCHULZE, KEVIN GARY 110 WEST A STREET, SUITE 675 SAN DIEGO CA 92101 916-768-5883 0 204 C/O MARSH USA INC, 1166 2135907 11/30/2020 11/30/2021 SCHUMACHER, COLLIN NEW YORK NY 10036 212-345-0477 1 AVENUE OF THE AMERICAS CORPORATE INSURANCE 204 FT 33301- 2140109 01/27/2021 01/27/2022 SCHWARTZ, Mark R ADVISORS, LLC, 1401 E FL 954-763-9315 2 LAUDERDALE 2100 BROWARD BLVD STE 103 204 10036- 2138265 01/05/2021 01/05/2022 SCHWARTZ, STEVEN 1166 Avenue Of The Americas New York NY 201-739-3177 3 2708 204 10006- [email protected] 2030262 07/14/2017 07/14/2022 SCHWARZ, PAULA 165 Broadway New York NY 212-441-2014 4 1404 M 204 Alliant Insurance Services, Inc., 43537- 2105854 11/27/2019 11/27/2021 Schwarzkopf, James Maumee OH 419-794-1075 5 1440 Arrowhead Dr 4016 204 SCHWERDTFEGER, 02109- 2143053 02/27/2021 02/27/2022 75 State St Lbby 2 Boston MA 617-599-4385 6 ALYSON 1948 204 Construction Risk Partners Llc, 08876- 1933923 05/14/2013 05/14/2022 Sciortino, John J Branchburg NJ 908-566-1020 7 1250 Route 28 Ste 201 3496 204 02109- 2048115 02/06/2018 02/06/2022 SCONTRAS, Christopher P 53 State St Ste 2201 Boston MA 617-210-4964 [email protected] 8 2834 204 SCOTT, MICHELLE 33613- Michelle.scott@hubinternation 2111235 02/27/2020 02/27/2022 1719 Magdalene Manor Dr Tampa FL 941-962-3650 9 CHRISTINE 1936 al.com 205 37067- 1863116 01/29/2009 01/29/2022 Scott, Michelle M 501 Corporate Centre Dr Ste 300 Franklin TN 615-300-3169 0 6436 205 94111- 1936110 06/25/2013 06/25/2022 SCOTT, PETER QUINLAN 1 California St Ste 1200 San Francisco CA 415-537-2302 [email protected] 1 5414 205 2158155 08/03/2021 08/03/2022 SCROOPE, JOHN 160 FEDERAL ST BOSTON MA 02110 617-905-2925 [email protected] 2 205 28202- Danny.seagraves@willistower 1983700 07/09/2015 07/09/2022 Seagraves, John D. 214 N Tryon St Ste 2500 Charlotte NC 704-804-7441 3 2381 swatson.com
Page 96 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 205 02110- 1800739 09/27/2004 09/27/2022 Sears, Benjamin Warren 175 Federal St Ste 1200 Boston MA 857-222-5028 [email protected] 4 2225 205 02110- 1031100 01/05/1999 01/05/2022 Sears, Richard W Jr. 175 Federal St Ste 1200 Boston MA 781-383-2511 [email protected] 5 2225 205 75244- 2024060 03/29/2017 03/29/2022 SEBOLD, BRIAN PETER 5005 Lbj Fwy Ste 1500 Dallas TX 214-989-2169 [email protected] 6 6186 205 10281- 2025046 04/12/2017 04/12/2022 SEEL, PHILIPP 200 Liberty St New York NY 212-519-7202 [email protected] 7 1003 205 07302- 2075360 11/15/2018 11/15/2021 SEIFERT, JENNIFER 30 Hudson St Jersey City NJ 973-820-1055 [email protected] 8 4804 205 07960- 2053456 04/03/2018 04/03/2022 SEIFERT, STEPHANIE P 445 South St Ste 220 Morristown NJ 732-841-7960 [email protected] 9 6475 206 48858- 1853239 05/30/2008 05/30/2022 Sellke, Kevin Donald 3700 E River Rd Mt Pleasant MI 989-953-7420 [email protected] 0 7424 206 10022- ralph.semeraro@nasdaqomx. 1811788 09/01/2005 09/01/2022 Semeraro, Ralph Alfred 399 Park Ave Fl 2 New York NY 212-901-1140 1 4686 com 206 33134- 1909438 11/21/2011 11/21/2021 Serio, Georgina Caridad 2 Alhambra Plz Ste 801 Coral Gables FL 305-669-5143 [email protected] 2 5206 206 SFORZO, ROBERT 11803- [email protected] 2059988 06/12/2018 06/12/2022 101 SUNNYSIDE BLVD STE 100 PLAINVIEW NY 631-278-5476 3 ANTHONY 1538 om 206 Crc Insurance Services, Inc., 1954 21093- 1907003 10/20/2011 10/20/2021 Shaffer, Derek D Timonium MD 410-560-4911 4 Greenspring Dr Ste 310 4136 206 SHANAHAN, JAMES 02116- 2142669 02/24/2021 02/24/2022 75 Arlington St Fl 10 Boston MA 815-403-1861 5 PATRICK 3936 206 2111023 02/25/2020 02/25/2022 SHANG, YUZE 209 BURLINGTON ROAD BEDFORD MA 01720 732-429-7342 6 206 2011267 09/01/2016 09/01/2022 Shannon, Margaret D 1166 Ave of the Americas New York NY 10036 917-804-8249 7 206 1065 AVENUE OF THE [email protected] 2056275 05/02/2018 05/02/2022 SHAPIRO, GARY NEW YORK NY 10018 401-468-3404 8 AMERICAS om 206 2126403 09/25/2020 09/25/2022 SHAPIRO, STEVEN M 370 WEST PARK AVE LONG BEACH NY 11561 516-431-4441 [email protected] 9 207 Newport 92663- 2069427 09/10/2018 09/10/2022 SHARMA, JATIN 2901 W Coast Hwy Ste 200 CA 949-877-2794 [email protected] 0 Beach 4045 207 300 COLONIAL CENTER PKWY., 2096599 08/20/2019 08/20/2022 SHARP, JULIE LYNN ROSWELL GA 30076 678-523-9085 1 STE 200 207 75024- 1895532 01/25/2011 01/25/2022 Sharp, Trenton Grady 5340 Legacy Dr Ste 135 Plano TX 972-662-0004 2 3184 207 2057279 05/17/2018 05/17/2022 SHAW, EMILY MARIE 8121 VICELA DRIVE SARASOTA FL 34240 941-377-4842 [email protected] 3 207 48034- Danielle.mercurio@ameritrust 2123500 08/31/2020 08/31/2022 SHEERAN, DAVID N 26255 American Dr Southfield MI 248-358-1614 4 6112 group.com
Page 97 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 207 SHEFFIELD, GEORGE E-MGA, INC., 117 CENTRE ST FERNANDINA 32034- wsheffield@ameliaunderwriter 2067331 08/27/2018 08/27/2022 FL 904-432-1057 5 WESLEY STE 8 BEACH 4290 s.com 207 33020- 1931741 04/08/2013 04/08/2022 Sheldon, Harvey Alan 3250 N 29th Ave Hollywood FL 954-416-9800 [email protected] 6 1313 207 6320 CANOGA AVE., 12TH WOODLAND [email protected] 2020062 01/24/2017 01/24/2022 SHERMAN, BRENDA SUE CA 91367 818-598-8924 7 FLOOR HILLS om 207 2078676 12/10/2018 12/10/2021 Sherman, Sarah Moreland 95 Suffolk Road Chestnut Hill MA 02467 415-992-9291 [email protected] 8 207 WILLIS & TENNESSEE INC, 26 2084450 03/14/2019 03/14/2022 SHERRELL, JACQUELINE B NASHVILLE TN 37214 615-872-3744 [email protected] 9 CENTURY BLVD 208 Newport 92660- 1849466 03/12/2008 03/12/2022 Shin, Linda Yoon 1301 Dove St Ste 200 CA 949-660-5934 0 Beach 2436 208 TIS INSURANCE SERVICE, 1900 2069675 09/12/2018 09/12/2022 SHIRES, KEVIN PAUL KNOXVILLE TN 37919 865-691-4847 [email protected] 1 WINSTON ROAD, SUITE 100 208 60657- BSICILIANO@PUREPROGR 2091401 06/11/2019 06/11/2022 SICILIANO, BRITTANY A 1316 W NEWPORT AVE CHICAGO IL 800-444-4813 2 1412 AMS.COM 208 Johnson & Johnson Inc, 20 Mall 01803- 1785830 08/19/2003 08/19/2022 Siebeking, David E Burlington MA 781-504-8778 [email protected] 3 Rd 4123 208 12775- Howard.siegel@siegelagency. 1791993 01/20/2004 01/20/2022 Siegel, Howard A 25 Lake Louise Marie Rd Rock Hill NY 845-796-3400 4 6639 com 208 98021- 1956620 06/03/2014 06/03/2022 SIENKIEWICZ, NATALIE A 1909 214th St SE Ste 100 Bothell WA 425-488-5072 [email protected] 5 4412 208 East 2025048 04/12/2017 04/12/2022 Sikora, Betty Jean 3030 US Route 2, P.O. Box 176 VT 05651 802-229-1009 [email protected] 6 Montpelier 208 2125139 09/16/2020 09/16/2021 SILBERSTEIN, MOSES 1361 40 STREET BROOKLYN NY 11218 718-809-9943 7 208 11743- 2119268 07/16/2020 07/16/2022 Sillat, Michael Peter 10 Harmony Rd Huntington NY 631-553-9015 8 2316 208 10036- 2139724 01/22/2021 01/22/2022 SIMON, SETH D 11 W 42nd St Fl 2 New York NY 973-992-5209 [email protected] 9 8008 209 07701- Michael.simone@rokstonecru. 2096281 08/15/2019 08/15/2022 SIMONE, Michael Robert 2 Bridge Ave Ste 632 Red Bank NJ 917-309-4595 0 4606 com 209 Aon Risk Services Central, Inc., 19103- 1993900 11/20/2015 11/20/2021 Simpson, Aaron M Philadelphia PA 215-236-4441 1 1650 Market St Ste 1000 7306 209 Beecher Carlson Insurance Svcs., 30328- [email protected] 1844624 11/20/2007 11/20/2021 Simpson, Clifford W Atlanta GA 813-222-4287 2 6 Concourse Pkwy NE Ste 2300 6185 m 209 2147074 04/09/2021 04/09/2022 Simpson, Glynne C 214 Key Drive, Ste 2000 Madison MS 39110 601-898-8464 3 209 37919- 1958221 07/01/2014 07/01/2022 Sims, Edward B 151 Major Reynolds Pl Ste 210 Knoxville TN 865-500-3070 4 4813 209 37919- 2048717 02/15/2018 02/15/2022 SIMS, JOHN EDWARD 151 Major Reynolds Pl Ste 210 Knoxville TN 865-414-7307 [email protected] 5 4813
Page 98 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 209 33126- 1927495 01/02/2013 01/02/2022 Sims, Steven Eugene 5959 Blue Lagoon Dr Ste 302 Miami FL 305-263-6650 [email protected] 6 2052 Arthur J. Gallagher Risk 209 02210- 2059736 06/08/2018 06/08/2022 Sinclair, Amy M Management Services Inc., 470 Boston MA 617-513-3966 [email protected] 7 2208 Atlantic Ave 209 02072- 1960366 08/08/2014 08/08/2022 SINGER, JONATHAN CARL 119 Howland Rd Stoughton MA 781-436-3752 [email protected] 8 3921 209 95758- 2153525 06/16/2021 06/16/2022 SINGH, GURPREET 2228 Longport Ct Ste 130 Elk Grove CA 916-883-3687 [email protected] 9 7180 210 33432- 2082582 02/14/2019 02/14/2022 SIRACUSA, JASON M 1515 S FEDERAL HWY STE 103 BOCA RATON FL 631-758-8868 0 7404 210 06103- 2112863 03/25/2020 03/25/2022 SIT, PAK KAM 10 STATE HOUSE SQ FL 11 HARTFORD CT 860-756-7317 [email protected] 1 3602 210 01772- 2144704 03/16/2021 03/16/2022 Skidmore, Marcelle D 2 Park Central Dr Ste 300 Southborough MA 978-343-9041 [email protected] 2 1777 210 1983147 06/29/2015 06/29/2022 Skinner, Michael Gordon 11030 Santa Monica Blvd. Los Angeles CA 90025 310-459-5825 [email protected] 3 210 77024- 1953895 04/15/2014 04/15/2022 SKINNER, PATRICIA T 920 Memorial City Way Ste 500 Houston TX 713-625-1068 [email protected] 4 2653 210 78701- 2053900 04/09/2018 04/09/2022 SKIPPER, Gregg K 101 W 6TH ST FL 5 AUSTIN TX 512-417-5060 5 2942 210 SUNBELT INSURANCE GROUP, CHATTANOO 37421- 2123136 08/26/2020 08/26/2022 SLATER, A MARK TN 423-488-7141 6 114 LEE PARKWAY DR GA 1736 210 SLATON, RILEY 300 COLONIAL CENTER 2100642 10/01/2019 10/01/2022 ROSWELL GA 30076 706-429-4715 7 CHRISTIAN PARKWAY, STE 200 210 08690- 2114018 04/20/2020 04/20/2022 SLAUGENHOUP, DAVID M 2465 KUSER RD STE 202 HAMILTON NJ 814-777-2260 8 3303 210 02110- 2045478 01/10/2018 01/10/2022 Sleeper, Thomas Edward 70 Federal St Ste 300a Boston MA 781-431-7812 [email protected] 9 1906 211 85379- 1885371 06/22/2010 06/22/2022 Sleight, Pepper L 16223 W Evans Dr Surprise AZ 480-444-5978 0 5100 211 08690- jeff.slivka@newdayunderwritin 1990760 10/05/2015 10/05/2021 Slivka, Jeffery Michael 2465 Kuser Rd Ste 202 Hamilton NJ 215-793-0767 1 3303 g.com 211 Risk Placement Services, Inc., 92121- 2113574 04/09/2020 04/09/2022 SLOAN, SARAH San Diego CA 858-724-5103 [email protected] 2 4365 Executive Dr Ste 400 2136 211 85377- 1957194 06/12/2014 06/12/2022 Sloane, George Michael 36666 N Stardust Ln Carefree AZ 480-236-6003 [email protected] 3 0000 211 60661- [email protected] 2008779 08/05/2016 08/05/2022 Small, Patrick Sheffield 566 W Adams St Ste 200 Chicago IL 847-729-3026 4 5792 m 211 75287- KSMART@CUSTODIAFINAN 2075152 11/13/2018 11/13/2021 SMART, KEVIN MARCUS 17855 DALLAS PKWY, SUITE 100 DALLAS TX 214-289-4607 5 6857 CIAL.COM 211 92078- [email protected] 2100643 10/01/2019 10/01/2021 SMITH, ADAM JASON 2108 SILVERADO ST SAN MARCOS CA 858-822-8116 6 3202 m
Page 99 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 211 06410- 1947124 12/10/2013 12/10/2021 Smith, Amy K 189 Commerce Ct Cheshire CT 203-271-7055 7 1253 211 Attn: Camille Smith, 214 N Tryon 28202- 1829449 11/16/2006 11/16/2021 Smith, Camille Charlotte NC 252-752-2263 8 St Ste 46 1078 211 SMITH, CATHERINE O 10006- [email protected] 1971466 12/17/2014 12/17/2021 165 Broadway New York NY 212-441-2384 9 LEARY 1404 om 212 02903- 1868093 04/28/2009 04/28/2022 Smith, Christine J 100 Westminster St # 10thf Providence RI 508-326-4389 [email protected] 0 2394 212 6263 N SCOTTSDALE RD STE 85250- 2109883 02/07/2020 02/07/2022 SMITH, CODY SCOTTSDALE AZ 602-684-6688 [email protected] 1 245 5409 212 07924- 2081209 01/23/2019 01/23/2022 Smith, David Jay 139 Morristown Rd Ste B Bernardsville NJ 800-935-2245 [email protected] 2 2634 212 LOS 90071- 2095986 08/12/2019 08/12/2022 SMITH, DUSTIN KENNETH 444 S FLOWER ST STE 4200 CA 562-628-1188 3 ANGELES 2965 AMWINS TRANSPORTATION 212 27215- [email protected] 2012990 09/22/2016 09/22/2022 SMITH, ELIZABETH UNDERWRITERS INC., 3035 S BURLINGTON NC 336-229-6977 4 5154 M CHURCH ST 212 Marsh Usa Inc., 3560 Lenox Rd 30326- 1868710 05/13/2009 05/13/2022 Smith, Eric Boone Atlanta GA 404-398-8183 [email protected] 5 NE Ste 2400 4266 212 37919- 1973168 01/15/2015 01/15/2022 Smith, Fred W IV 4315 Kingston Pike Ste 210 Knoxville TN 865-583-3746 [email protected] 6 5288 212 Westlake 91361- 2150299 05/13/2021 05/13/2022 Smith, Gisela I 31365 Oak Crest Dr # 225 CA 805-498-2266 7 Village 5697 212 CEDAR 52401- Licensing@truenorthcompanie 1933105 04/29/2013 04/29/2022 SMITH, JAMES M 500 1ST ST SE IA 319-364-5193 8 RAPIDS 2002 s.com 212 105 Bluegrass Commons Blvd Ste 37075- 1859691 10/20/2008 10/20/2021 Smith, Janet E. Hendersonville TN 615-264-8482 [email protected] 9 C 2772 213 2090700 05/31/2019 05/31/2022 SMITH, JOEL LEON 1888 MAIN STREET STE C 185 MADISON MS 39110 601-707-5880 0 213 1829549 11/22/2006 11/22/2021 Smith, Joseph B 68 National Dr Glastonbury CT 06033 860-646-1512 [email protected] 1 213 Nation Safe Drivers, 800 Yamato 33431- compliance@nationsafedriver 1888909 09/16/2010 09/16/2022 Smith, Lauren Gail Boca Raton FL 561-483-4058 2 Rd Ste 100 4416 s.com 213 Palmer & Cay, Llc, 22 Barnard St 31401- 1978583 04/08/2015 04/08/2022 Smith, Michael Jeffrey Savannah GA 912-236-1994 3 Ste 200 2522 213 795 Franklin Ave Ste 206, PO Box 1898379 04/04/2011 04/04/2022 Smith, Mike William Franklin Lakes NJ 07417 973-513-9189 [email protected] 4 175 213 CRC INSURANCE SERVICS INC, 38119- 2107953 01/10/2020 01/10/2022 SMITH, PAUL BRADFORD MEMPHIS TN 901-255-5570 5 6075 POPLAR AVE STE 404 4740 213 06032- 2125633 09/21/2020 09/21/2021 Smith, Scott H 1 Farm Glen Blvd Farmington CT 860-561-3600 [email protected] 6 1919 213 06032- 1947044 12/09/2013 12/09/2021 SMITH, SCOTT H JR 1 Farm Glen Blvd Farmington CT 860-656-1256 [email protected] 7 1919
Page 100 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 213 67202- 2137393 12/18/2020 12/18/2021 Smith, Timothy Craig 430 E Douglas Ave Ste 400 Wichita KS 316-266-6597 [email protected] 8 3408 213 Smithwick, Reginald Smithwick & Mariners Insurance, 04105- 1974450 02/06/2015 02/06/2022 Falmouth ME 207-650-4805 [email protected] 9 Hammerick II 366 Us Route 1 Ste 2 1372 214 30326- 1834979 04/17/2007 04/17/2022 Smy, Chris 3560 Lenox Rd Ne Atlanta GA 678-756-2427 [email protected] 0 4266 214 Us Pro Insurance Services, 27475 60555- 2144424 03/12/2021 03/12/2022 SNEED, JAMES K Warrenville IL 630-862-9803 [email protected] 1 Ferry Rd 3808 214 Arthur J. Gallagher & Co., 784 12110- 1878918 12/24/2009 12/24/2021 Snow, John F Latham NY 518-783-2665 [email protected] 2 Troy Schenectady Rd 2452 214 SNOWDEN, BRIANNA 17875 VON KARMAN AVE SUITE 2156070 07/13/2021 07/13/2022 IRVINE CA 92614 949-823-8512 3 IRENE 300 214 C/o Marsh Usa Inc, 1166 Avenue 10036- 1837292 06/25/2007 06/25/2022 Snyder, Michael V New York NY 631-261-1809 4 Of The Americas 2708 214 West Palm 33401- 1942381 09/30/2013 09/30/2022 SNYDER, RICHARD JAMES 477 S Rosemary Ave Ste 215 FL 561-309-4850 [email protected] 5 Beach 5757 214 01608- 2113996 04/18/2020 04/18/2022 Socha, Raul 44 Portland St Fl 4 Worcester MA 617-999-9475 [email protected] 6 2023 214 2153797 06/18/2021 06/18/2022 SOLANO, LAURA I 32 STANLEY CT CHICOPEE MA 01020 407-460-8204 7 214 SOLEY, ELIZABETH 06902- 2142009 02/17/2021 02/17/2022 71 Waterbury Ave Stamford CT 203-280-3135 8 GRAHAM 3512 214 Willis Towers Watson Midwest, 60606- 1999495 03/11/2016 03/11/2022 SOLLMAN, ANTHONY M Chicago IL 312-288-7413 [email protected] 9 Inc, 233 S Wacker Dr Ste 2000 6400 215 2161520 08/31/2021 08/31/2022 SOLOMON, ELIEZER 5657 WILSHIRE BLVD LA CA 90036 323-578-8051 0 215 2157302 07/24/2021 07/24/2022 Sonier, Julie A 25A Hastings Street Mendon MA 01756 508-523-2908 [email protected] 1 215 60601- 1994333 12/02/2015 12/02/2021 Sopchyk, Mark W 200 E Randolph St Chicago IL 312-381-2737 2 6436 215 SORENSON, EVELYN DURHAM & BATES AGENCIES, 97205- 2131895 10/23/2020 10/23/2021 PORTLAND OR 503-796-1641 3 ANNETTE INC, 720 SW WASHINGTON #250 3554 215 60601- 2150569 05/17/2021 05/17/2022 SPARACIO, GREGORY T 200 E RANDOLPH ST CHICAGO IL 847-771-0065 [email protected] 4 6436 215 78230- 1948921 01/17/2014 01/17/2022 Spencer, Gary J 9830 Colonnade Blvd Ste 400 San Antonio TX 210-455-0311 [email protected] 5 2211 215 2054568 04/19/2018 04/19/2022 Spofford, Robert B 14 Main Street Hingham MA 02043 781-740-8990 [email protected] 6 215 21703- 2007572 07/18/2016 07/18/2022 SPRATT, MICHELLE 7200 Bank Ct Frederick MD 301-624-2219 [email protected] 7 2885 215 Veracity Insurance Solutions, Llc, Pleasant 84062- 1908921 11/14/2011 11/14/2021 Stafford, Daryle Edwin UT 801-717-0818 8 260 S 2500 W Ste 303 Grove 4704
Page 101 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 215 1859805 11/06/2008 11/06/2021 Stahl, Lisa Denise 701 B Street, Ste. 2100 San Diego CA 92101 619-610-7170 9 216 Appalachian Underwriters, Inc, 37830- 1920865 08/31/2012 08/31/2022 Stair, John Edward Jr. Oak Ridge TN 865-482-8182 0 800 Oak Ridge Tpke Ste A1000 6949 216 [email protected] 2162075 09/04/2021 09/04/2022 Stanovich, Craig F 1174 Main Street Holden MA 01520 508-829-5838 1 om 216 05602- 2065017 07/30/2018 07/30/2022 Starr, Sean M 119 River St Montpelier VT 802-661-3965 2 3724 216 10022- Maksim.stavinsky@roccapital. 2071108 09/26/2018 09/26/2022 STAVINSKY, MAKSIM 645 Madison Ave Fl 19 New York NY 212-607-8332 3 1010 com 216 2613 Manhattan Beach Blvd Ste Redondo 90278- 2037104 10/10/2017 10/10/2021 Stebbings, Glenn Allen CA 310-546-5725 [email protected] 4 200 Beach 1604 216 2025113 04/13/2017 04/13/2022 Steeger, Dean Henderson 50 Congress Street Boston MA 02109 508-359-8442 [email protected] 5 216 44125- [email protected] 1836009 05/14/2007 05/14/2022 Stein, Todd Arnold 5309 Transportation Blvd Cleveland OH 440-600-7897 6 5333 om 216 Acripeak, Llc., 6 Cadillac Dr Ste 37027- 2002923 05/10/2016 05/10/2022 STEIN, WARD WILLIAM Brentwood TN 800-488-8852 [email protected] 7 410 5080 216 1957110 06/11/2014 06/11/2022 STEINBERG, WILLIAM H IV 9 SPRUCE PARK WELLESLEY MA 02481 917-749-4062 8 216 Neptune Flood Incorporated, 400 Saint 33701- 2108682 01/22/2020 01/22/2022 STEINER, JAMES E FL 727-537-6823 [email protected] 9 6th St S Ste 2 Petersburg 4437 217 2101566 10/09/2019 10/09/2022 STENERI, Andrew Philip 53 STATE STREET SUITE 2201 BOSTON MA 02109 508-358-9580 [email protected] 0 217 Sirius Insurance Agency, Llc, 140 10005- doug.stepenosky@siriusgroup 2025047 04/12/2017 04/12/2022 STEPENOSKY, DOUGLAS New York NY 484-800-6959 1 Broadway Fl 32 1123 .com 217 11797- 1801133 10/07/2004 10/07/2021 Sterling, David Alan 135 Crossways Park Dr Ste 300 Woodbury NY 516-942-5450 [email protected] 2 2005 217 30326- 1983463 07/03/2015 07/03/2022 STERN, MICHAEL PATRICK 3400 Peachtree Rd NE Ste 630 Atlanta GA 404-493-6172 [email protected] 3 1187 217 STERZENBACH, SHERRY Holmes Murphy And Associates 50263- dsterzenbach@holmesmurphy 2023284 03/17/2017 03/17/2022 Waukee IA 515-573-1566 4 D Llc, 2727 Grand Prairie Pkwy 8844 .com 217 Doxa Professional Liability, Llc, 60173- 2129704 10/13/2020 10/13/2022 Stetson, Jeffrey Scott Schaumburg IL 630-653-7218 [email protected] 5 1515 E Woodfield Rd Ste 960 5438 WESTERN SECURITY SURPLUS 217 75093- 2110948 02/24/2020 02/24/2022 STEVENS, KYLE BRENT INSURANCE BROKE, 4965 PLANO TX 469-252-7872 6 8319 PRESTON PARK BLVD STE 650 217 08876- 1964479 09/29/2014 09/29/2021 STEVENS, RICHARD C 34 W Main St Ste 201 Somerville NJ 908-391-4834 [email protected] 7 2218 217 77098- 1837258 06/22/2007 06/22/2022 Steves, Frederick B 3131 Eastside St Ste 600 Houston TX 713-660-8362 [email protected] 8 1947 217 01854- 2087939 04/19/2019 04/19/2022 Stickney, Theresa Marie 17 Mary Theresa Ter Lowell MA 978-726-4149 [email protected] 9 1410
Page 102 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 218 INSURELUTIONS INC, 229 E GULF 36542- 1975657 02/25/2015 02/25/2022 Stidham, David N. AL 251-971-3773 [email protected] 0 20TH AVE STE 1 SHORES 5106 218 STIEL, DONELSON [email protected] 1988088 09/04/2015 09/04/2022 618 MAIN STREET FRANKLIN LA 70538 337-829-9801 1 PALFREY m 218 75069- carrie.stewart@insadministrat 1878078 12/08/2009 12/08/2021 Stineman, Jacob Christian 1575 Heritage Dr Ste 103 Mckinney TX 956-425-9367 2 3386 ors.com 218 75254- [email protected] 1812912 09/29/2005 09/29/2021 Stock, Blake Young 14785 Preston Rd., Suite 350 Dallas TX 972-208-8813 3 7876 m 218 1040 NE HOSTMARK STREET [email protected] 2082201 02/08/2019 02/08/2022 STOLLE, ROBIN L POULSBO WA 98370 360-697-3688 4 #200 OM 218 60661- jessica.stoneback@starrcomp 1984567 07/21/2015 07/21/2022 STONEBACK, JESSICA M 500 W MONROE ST FL 31 CHICAGO IL 773-651-9991 5 3671 anies.com 218 1981437 05/28/2015 05/28/2022 Stoner, Anne Mccormack 26 Haven Road Wellesley MA 02481 781-239-3515 [email protected] 6 218 30076- 2103405 10/25/2019 10/25/2021 STOUGH, MARY GORDON 300 Colonial Center Pkwy Ste 200 Roswell GA 502-415-4236 7 8844 218 02108- 2109033 01/28/2020 01/28/2022 STPETER, MATTHEW 1 Beacon St Fl 15 Boston MA 413-364-8649 8 3107 218 84041- 2152884 06/10/2021 06/10/2022 STRATFORD, COLBY H 2307 N HILL FIELD RD STE 103 LAYTON UT 801-663-9364 9 6890 219 Willis Towers Watson Northeast, 19087- 2146182 03/31/2021 03/31/2022 STROJILOVA, PETRA E Radnor PA 610-260-4326 [email protected] 0 Inc., 5 Radnor Corporate Ctr 4542 219 66210- 2013597 09/30/2016 09/30/2021 STROUT, WILLIAM S III 7400 College Blvd Ste 350 Overland Park KS 913-217-4252 [email protected] 1 4024 219 Brit Global Specialty Usa, 10497 77024- Tstubbs@ambridge- 2137186 12/16/2020 12/16/2021 Stubbs, Terry Steven Houston TX 713-304-2658 2 Town And Country Way 1117 group.com 219 1796975 06/02/2004 06/02/2022 Stuckey, Dennis Dwight 28 Hawk Ridge, Ste 200 Lake St Louis MO 63367 636-625-8875 [email protected] 3 219 85383- 2069674 09/12/2018 09/12/2021 STULTZ, GREG GRAHAM 24244 N 82nd Ln Peoria AZ 602-738-8413 [email protected] 4 1000 219 1100 W Town & Country Rd, Ste 92868- [email protected] 2021653 02/17/2017 02/17/2022 Stump, Phillip Christopher Orange CA 714-525-3093 5 1400 4655 om 219 1314 DOUGLAS STREET, SUITE LICENSING@NATIONALIND 2138372 01/06/2021 01/06/2022 STUTZMAN, HEATHER JO OMAHA NE 68102 402-916-3030 6 1400 EMNITY.COM 219 76092- 2077238 11/30/2018 11/30/2021 SU, Stephen Chu Ming 2113 GREENBRIAR DR STE D SOUTHLAKE TX 877-282-7637 [email protected] 7 8312 219 60638- 2138474 01/07/2021 01/07/2022 SUAREZ DEL REAL, ANN M 5300 S Menard Ave Chicago IL 224-622-7713 [email protected] 8 2826 219 Crc Insurance Services, 3350 30339- 1942654 10/02/2013 10/02/2021 SUAREZ, WENDY Atlanta GA 404-240-5262 [email protected] 9 Riverwood Pkwy SE Ste 1100 3335 PURE PROGRAMS, 300 220 30076- 2109054 01/28/2020 01/28/2022 SUBIN, JACLYN NICOLE COLONIAL CENTER PKWY STE ROSWELL GA 678-780-6046 0 8844 200
Page 103 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 220 DAN SERVICES, INC., 6 W 27705- 2004615 05/24/2016 05/24/2022 SUGGS, PATRICIA DURHAM NC 850-625-7506 [email protected] 1 COLONY PL STE 200 5588 220 Caitlin@rmcdonoughinsuranc 2130209 10/15/2020 10/15/2021 SULLIVAN, CAITLIN ANNE 550 WASHINGTON STREET ABINGTON MA 02351 781-447-5511 2 e.com 220 02169- 1983118 06/27/2015 06/27/2022 Sullivan, Daniel P 400 Crown Colony Dr Ste 103 Quincy MA 781-871-1102 [email protected] 3 0986 220 02111- 1835662 05/07/2007 05/07/2022 Sullivan, Kevin Andrew 1 Lincoln St Boston MA 781-378-1404 [email protected] 4 2901 220 02111- 2020198 01/26/2017 01/26/2022 Sullivan, Michael Scott 745 Atlantic Ave Ste 250 Boston MA 413-530-6007 [email protected] 5 2735 220 10018- 1826395 08/31/2006 08/31/2022 Sullivan, Richard JJ III 110 W 40th St Fl 10 New York NY 646-871-8662 [email protected] 6 3616 220 02116- 2137746 12/24/2020 12/24/2021 Sullivan, Timothy Michael 75 Arlington St Fl 10 Boston MA 845-548-0245 7 3936 220 10018- 2121518 08/10/2020 08/10/2022 SULLIVAN, WILLIAM G F 110 W 40th St Fl 10 New York NY 646-613-3247 8 3616 220 SUNDERMAN, TIMOTHY Catapult Insurance Solutions, Llc, 75007- 1952842 03/26/2014 03/26/2022 Carrollton TX 513-677-1181 [email protected] 9 ALLEN 4120 International Pkwy Ste 2000 1960 221 02109- 1997159 01/29/2016 01/29/2022 SURETTE, Joseph P 53 State St Ste 2201 Boston MA 978-353-2035 0 2820 221 02090- 1812763 09/27/2005 09/27/2022 Susco, Gregory M 30 S West Park Westwood MA 857-636-0697 [email protected] 1 1548 221 Marketing Associates Ins, 30 S 02090- 1921053 09/06/2012 09/06/2021 Susco, Michael John Westwood MA 617-614-1210 [email protected] 2 West Park 1548 221 Arthur J. Gallagher & Co., 200 06033- 2038576 10/17/2017 10/17/2021 Sussman, Reed Glastonbury CT 860-297-1613 [email protected] 3 Glastonbury Blvd Ste 300 4418 221 Mcgowan & Company, Inc., 20595 44126- 1794588 03/29/2004 03/29/2022 Sutherland, Gary B Fairview Park OH 508-655-6587 [email protected] 4 Lorain Rd Fl 3 2053 221 SUTHERLIN, TIMOTHY 75231- 1925819 11/29/2012 11/29/2021 8144 WALNUT HILL LN STE 1400 DALLAS TX 214-566-9963 [email protected] 5 RANDALL 4367 221 2138340 01/06/2021 01/06/2022 Sutton, Deborah Ann 16 Maple Rd Orleans MA 02653 508-922-4754 [email protected] 6 221 21031- 1947426 12/16/2013 12/16/2021 SUTTON, JOSEPH L 11350 Mccormick Rd Ste 1203 Hunt Valley MD 443-838-5001 [email protected] 7 1002 221 75225- 2095533 08/06/2019 08/06/2022 SUTTON, STEVEN CRAIG 8401 N CENTRAL EXPY STE 515 DALLAS TX 972-461-1992 8 4420 221 11803- 2142007 02/17/2021 02/17/2022 SWAIN, DANA MARIE 45 Executive Dr Plainview NY 516-327-2758 [email protected] 9 1703 222 2138015 12/30/2020 12/30/2021 Sweeney, Lisa M 63 Chelmsford St Chelmsford MA 01824 978-944-0107 [email protected] 0 HOLMES MURPHY AND 222 50263- 2072069 10/05/2018 10/05/2021 SWIM, JEFF P ASSOCIATES LLC, 2727 GRAND WAUKEE IA 515-224-6127 [email protected] 1 8844 PRAIRIE PKWY
Page 104 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 222 44139- 1995126 12/16/2015 12/16/2021 SWIT, DENNIS J 6680 Parkland Blvd Solon OH 440-505-6100 [email protected] 2 4344 222 30328- 1913726 03/13/2012 03/13/2022 Swords, Steven Lamar 1 Concourse Pkwy Ste 700 Atlanta GA 404-844-9218 3 6128 222 Arthur J Gallagher & Co, 59 Main 02719- 2132774 10/30/2020 10/30/2021 Sylvaria, Casey Samantha Fairhaven MA 206-285-4655 [email protected] 4 St 2937 222 2109882 02/07/2020 02/07/2022 TA, CASSIE 1900 16TH STREET, SUITE 1000 DENVER CO 80202 303-246-3747 5 222 2004908 05/31/2016 05/31/2022 Tadlock, Terry 15 Bow Circle, Po Box 6869 Hilton Head SC 29928 843-505-7574 6 222 Exceptional Risk Advisors, Llc, 1 07495- ted.tafaro@exceptionalriskadv 1836261 05/23/2007 05/23/2022 Tafaro, Edward A Mahwah NJ 201-887-3536 7 International Blvd Ste 750 0029 isors.com 222 90017- 2042967 12/11/2017 12/11/2021 Taffae, Peter Robert 800 Wilshire Blvd Ste 1525v Los Angeles CA 213-280-2759 8 2604 222 48076- 1911994 01/30/2012 01/30/2022 Taggart, John Lawrence 26555 Evergreen Rd Ste 1600 Southfield MI 248-767-3373 9 4257 223 111 TOWN SQUARE PLACE, 2138264 01/05/2021 01/05/2022 TAGUE, DANIEL ALBERT JERSEY CITY NJ 07310 973-270-3726 0 SUITE 340 223 Arthur J Gallagher & Company, 02210- 2147295 04/13/2021 04/13/2022 Talmanson, Michael Jay Boston MA 617-204-6738 [email protected] 1 470 Atlantic Ave 2208 223 1891877 11/04/2010 11/04/2021 Tam, Tony 1166 Ave of Americas New York NY 10036 908-542-1879 [email protected] 2 223 300 COLONIAL CENTER PWKY 2030269 07/14/2017 07/14/2022 Tamney, Hannah Scott ROSWELL GA 30076 980-253-4664 [email protected] 3 #200 223 02109- 2093843 07/17/2019 07/17/2022 TAN, ISABELLE Vanna 53 State St Ste 2201 Boston MA 617-210-4977 [email protected] 4 2834 223 95203- 2138255 01/05/2021 01/05/2022 TATUM, JOHN WESLEY 1550 W Fremont St Stockton CA 209-572-4486 5 2643 Arthur J Gallagher Risk 223 10177- 1817695 02/01/2006 02/01/2022 Taylor-Alfano, Kim E. Management Services, Inc., 250 New York NY 718-761-4983 6 0001 Park Ave 223 5799 NE Island Cove Way Apt 34996- 1931716 04/08/2013 04/08/2022 Tchon, Randy Stuart FL 312-627-6274 [email protected] 7 1101 4492 223 2011266 09/01/2016 09/01/2022 Teitelbaum, Aton Uriel 11301 Amherst Ave, Ste #202 Silver Spring MD 20902 301-933-3373 [email protected] 8 223 1809407 07/14/2005 07/14/2022 Teitelbaum, Israel 11301 Amherst Ave #202 Silver Spring MD 20902 301-593-9642 [email protected] 9 224 2053340 03/31/2018 03/31/2022 Tenerowicz, Thomas Charles 99 High Street Boston MA 02110 508-883-8899 0 224 2156343 07/15/2021 07/15/2022 TERAMOTO, NATALIE RAE 5 FIRST AMERICAN WAY SANTA ANA CA 92707 714-689-7130 1 224 tomt@yoursolutionsinsurance. 2104914 11/13/2019 11/13/2021 Terranova, Thomas D 150A Andover Street, Suite 11C Danvers MA 01923 781-799-0739 2 com
Page 105 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 224 1876044 10/23/2009 10/23/2022 Terry, Gary Frank 100 Grandview Road, Suite 412 Braintree MA 02184 781-875-3395 [email protected] 3 224 TERRY, JEFFREY 300 COLONIAL CENTER PKWY 30076- 2031711 08/04/2017 08/04/2022 ROSWELL GA 770-462-2447 [email protected] 4 FELICIANO STE 200 8844 224 2149407 05/05/2021 05/05/2022 TERZER, RONALD 1201 19TH PL, SUITE A110 VERO BEACH FL 32960 772-231-4492 5 224 02109- matthew.tetreault@rtspecialty. 2079036 12/13/2018 12/13/2021 TETREAULT, MATTHEW E 53 State St Ste 2201 Boston MA 860-494-0694 6 2834 com STARFISH SPECIALTY 224 THABET, MICHAEL INSURANCE SERVICES, LLC, 2153956 06/21/2021 06/21/2022 NEWARK DE 19713 516-610-8869 7 EDWARD 200 CONTINENTAL DR, SUITE 401 224 1696710 01/08/2003 01/08/2022 Thalmann, Coryn Frances 60 Craig Road Montvale NJ 07645 201-664-6977 [email protected] 8 224 1998253 02/19/2016 02/19/2022 THAYER, ALDEN GILL 851 MAIN STREET SANFORD ME 04073 207-839-8366 [email protected] 9 225 02142- 2124929 09/15/2020 09/15/2021 Therrien, Nathan David 1 Broadway Ste 14 Cambridge MA 978-502-9311 [email protected] 0 1187 225 02110- 1952207 03/13/2014 03/13/2022 Therrien, Paul J Marsh Usa Inc, 99 High St Boston MA 857-205-3570 [email protected] 1 2320 225 02116- 2142824 02/25/2021 02/25/2022 Thomas, Leighton P 75 Arlington St Fl 10 Boston MA 401-617-4972 2 3936 BEECHER CALSON INSURANCE 225 lynn.thompson@beechercarls 1923655 10/25/2012 10/25/2021 THOMPSON, LYNN MILES SERVICES, 6 CADILLAC DR STE BRENTWOOD TN 37027 615-277-9848 3 on.com 320 225 THOMPSON-O NEAL, JUDD 60603- 2106852 12/17/2019 12/17/2021 10 S LA SALLE ST STE 2000 CHICAGO IL 312-285-4738 4 D 1074 225 76051- 1930070 03/12/2013 03/12/2022 THOMSON, PAUL ALAN 629 W College St Grapevine TX 714-550-5050 [email protected] 5 5222 225 Cross Insurance - Wakefield, Inc., 01880- 1941624 09/19/2013 09/19/2022 Thorne, Vincent D Wakefield MA 781-592-2060 [email protected] 6 401 Edgewater Pl Ste 220 6206 225 THORNTON, BRIAN 19301- [email protected] 1929246 02/20/2013 02/20/2022 41 Leopard Rd Ste 301 Paoli PA 610-701-1484 7 WILLIAM 1549 om 225 55437- 1987564 08/31/2015 08/31/2022 Thorpe, Jennifer J 5600 W 83rd St Ste 1100 Minneapolis MN 952-807-0704 8 1062 225 10006- 1902649 07/25/2011 07/25/2022 Thur, Glenn Andrew 165 Broadway New York NY 646-241-7062 9 1404 226 THWEATT, ALEXANDRA 300 COLONIAL CENTER PKWY, 2147075 04/09/2021 04/09/2022 ROSWELL GA 30076 843-998-7412 0 LYDIA #200 226 2150568 05/17/2021 05/17/2022 Tibble, Thomas Roy 2813 West Main Street Kalamazoo MI 49006 269-381-6202 [email protected] 1 226 46032- 2129200 10/09/2020 10/09/2021 TIBBS, SARAH ANN 698 PRO-MED LN CARMEL IN 317-573-2088 [email protected] 2 5319
Page 106 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 226 02655- 1546661 11/04/1999 11/04/2021 Tierney, Robert E 804 Main St Ste 2a Osterville MA 617-803-2193 [email protected] 3 2012 226 10036- 1954867 05/01/2014 05/01/2022 TIESI, JOHN 1166 Avenue Of The Americas New York NY 973-489-0176 [email protected] 4 2708 226 Amwins Brokerage Of Georgia, 30326- 1855122 07/23/2008 07/23/2022 Tio, Tomas E Atlanta GA 770-317-0033 [email protected] 5 3630 Peachtree Rd NE Ste 1700 1543 226 75201- 1888427 09/02/2010 09/02/2022 Tipton, Andra Renee 500 N Akard St Ste 4300 Dallas TX 972-715-2109 6 3331 226 Universal Ins Facilities, 1220 E 85014- 2106264 12/06/2019 12/06/2021 Tipton, Randy Joy Phoenix AZ 602-625-9689 [email protected] 7 Osborn Rd Ste 101 5534 226 Number One Insurance Agency, 01757- 2050917 03/08/2018 03/08/2022 Tobin, Ann Marie Milford MA 508-330-8122 [email protected] 8 Inc., 91 Cedar St 1178 HOLMES MURPHY AND 226 50263- 2071678 10/02/2018 10/02/2021 TODD, DEBORAH L ASSOCIATES LLC, 2727 GRAND WAUKEE IA 515-967-0698 [email protected] 9 8844 PRAIRIE PKWY 227 77375- 2022048 02/24/2017 02/24/2022 TOGLIA, BRIAN M 20810 Mystical Legend Dr Tomball TX 346-280-2179 [email protected] 0 0054 227 10006- 1997173 01/29/2016 01/29/2022 Toi, Stefan R 165 Broadway New York NY 203-450-0017 1 1404 227 Crc Insurance Services, Inc., 114 01581- 2023452 03/21/2017 03/21/2022 Tomasetti, Theresa Ann Westborough MA 508-599-4616 [email protected] 2 Turnpike Rd Ste 109 2862 227 TOMPKINS, JOSHUA 300 COLONIAL CENTER PKWY 30076- 2100644 10/01/2019 10/01/2022 ROSWELL GA 470-398-2825 3 CALEB STE 200 8844 227 02184- 1994183 11/28/2015 11/28/2021 Tonry, Louis A Jr. 150 Grossman Dr Ste 200 Braintree MA 617-786-0380 [email protected] 4 4902 227 01238- 1948041 12/28/2013 12/28/2021 Toole, John Edmund Grand Pyramid, Llc, 195 Main St Lee MA 413-243-0089 [email protected] 5 1660 227 MARSH USA INC, 1166 AVENUE 2089954 05/21/2019 05/21/2022 TORRES, GABRIEL NEW YORK NY 10036 646-295-4522 [email protected] 6 OF THE AMERICAS 227 11706- [email protected] 2038581 10/17/2017 10/17/2022 TORTORICI, MAUREEN 1388 Pine Acres Blvd Bay Shore NY 631-513-8587 7 4911 m 227 Lovitt & Touche, Inc., 1050 W 85281- 1804854 02/14/2005 02/14/2022 Touche, Charles Albert Tempe AZ 602-321-0484 8 Washington St Ste 233 1491 227 65807- BRYAN.TOUCHSTONE@AM 2041859 11/20/2017 11/20/2021 TOUCHSTONE, BRYAN 909 E REPUBLIC RD STE E200 SPRINGFIELD MO 417-823-3924 9 6014 WINS.COM 228 06880- 2012494 09/16/2016 09/16/2022 TOUET, KARL 181 Riverside Ave Westport CT 978-664-1531 [email protected] 0 4605 228 46032- patrick.touhey@alliedsolutions 1888441 09/07/2010 09/07/2022 Touhey, Francis Patrick 350 Veterans Way Carmel IN 269-687-9705 1 3321 .net 228 92101- 1827705 09/30/2006 09/30/2021 Towell, Michael Stanton 350 10th Ave Ste 1450 San Diego CA 913-481-3995 [email protected] 2 8703 228 2122903 08/24/2020 08/24/2022 Towle, Ryan M 115 Airport Rd Concord NH 03301 603-496-5854 [email protected] 3
Page 107 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 228 1581786 07/12/2000 07/12/2022 Trachtenberg, Linda M 40 Salem St Lynnfield MA 01940 781-592-1325 [email protected] 4 228 02169- 1031169 12/11/1998 12/11/2021 Traina, Carl L 300 Congress ST, Suite 104 Quincy MA 781-749-2761 [email protected] 5 0907 228 C/O PURE PROGRAMS LLC, 44 WHITE 2021198 02/10/2017 02/10/2022 TRCHALA, MICHAEL R NY 10601 517-333-7129 [email protected] 6 S BROADWAY STE 301 PLAINS 228 07901- 1825241 07/31/2006 07/31/2022 Treanor, Christopher Mark 180 River Rd Summit NJ 908-823-4434 [email protected] 7 1449 228 77042- 1898019 03/24/2011 03/24/2022 Tredway, Brent T 10375 Richmond Ave Ste 500 Houston TX 713-425-8640 [email protected] 8 4188 228 TREVINO, LETICIA 94596- 2149545 05/06/2021 05/06/2022 1350 Carlback Ave Walnut Creek CA 925-672-0274 [email protected] 9 ADRIANA 7299 229 07931- 1912913 02/22/2012 02/22/2022 Trezza, Richard Daniel 3100 Us Highway 206 Far Hills NJ 973-946-5089 0 2617 229 2149855 05/10/2021 05/10/2022 TRIMBLE, NATHAN 922 HOPE ST PROVIDENCE RI 02906 303-717-4733 1 229 Daytona 32117- 2120188 07/26/2020 07/26/2022 TRISTANI, ONDINA 1540 Cornerstone Blvd Ste 230 FL 908-516-2556 [email protected] 2 Beach 7144 229 1300 Sawgrass Corporate Pkwy 33323- Regulatoryaffairs@teamfocusi 1989345 09/17/2015 09/17/2022 TROMER, KEVIN M Sunrise FL 954-648-3717 3 Ste 300 2824 ns.onmicrosoft.com 229 Arthur J Gallagher & Co, 200 07981- 2161366 08/30/2021 08/30/2022 Tropp, Daniel Michael Whippany NJ 847-462-0314 4 Jefferson Park 1069 229 East 1963404 09/16/2014 09/16/2022 Troy, Peter John 376 Newport Avenue RI 02916 508-399-8602 [email protected] 5 Providence 229 2156074 07/13/2021 07/13/2022 Trudel, Mark N 99 Starr St Phoenixville PA 19460 610-269-2014 [email protected] 6 229 TSCHEPIKOW, BENJAMIN NORTH 2093460 07/11/2019 07/11/2022 106 COBBLESTONE CIRCLE AR 72116 501-227-1905 [email protected] 7 W LITTLE ROCK 229 Arthur J. Gallagher & Co., 160 W 95113- 2115066 05/12/2020 05/12/2022 TU, LYNN San Jose CA 408-282-1068 [email protected] 8 Santa Clara St Ste 300 1708 229 IAO, INC., 100 BROOKWOOD PL 35209- 2113074 03/30/2020 03/30/2022 TULLOS, MELANIE A BIRMINGHAM AL 615-631-9090 [email protected] 9 STE 300 6830 230 C/o Marsh Usa Inc, 1166 Avenue 10036- 2113603 04/10/2020 04/10/2022 Turkalo, Mark J New York NY 908-464-4030 0 Of The Americas 2708 230 91367- 1935048 06/05/2013 06/05/2022 Turner, Jason D 6320 Canoga Ave Fl 12 Woodland Hills CA 818-598-8997 [email protected] 1 2584 230 91505- 1888927 09/16/2010 09/16/2022 Turner, Timothy W 3900 W Alameda Ave Ste 2000a Burbank CA 312-972-0500 [email protected] 2 4316 230 1926241 12/05/2012 12/05/2021 Tuscano, Robert B 950 Highway Ave, PO Box 1027 Greensburg PA 15601 724-238-7064 3 230 1926242 12/05/2012 12/05/2021 Tuscano, Virginia Anne 950 Highway Ave, PO Box 1027 Greensburg PA 15601 724-834-5477 4
Page 108 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 230 44333- 2080201 01/07/2019 01/07/2022 TUTTLE, WILLIAM C 196 Caladonia Ave Fairlawn OH 212-380-1849 [email protected] 5 3708 230 33126- [email protected] 2106263 12/06/2019 12/06/2021 TWEEDIE, BENJAMIN 5201 Blue Lagoon Dr Ste 300 Miami FL 239-776-9819 6 2074 m 230 18701- philip.twietmeyer@newmarket 1797190 06/09/2004 06/09/2022 Twietmeyer, Philip Warren 72 N Franklin St Wilkes Barre PA 570-200-1340 7 1301 sagency.com NORTH 230 7515 NORTHSIDE DR - SUITE 29420- 2126402 09/25/2020 09/25/2021 TYLER, TODD R CHARLESTO SC 813-222-4287 [email protected] 8 150 4284 N 230 Arthur J. Gallagher & Co., 470 02210- 2059852 06/09/2018 06/09/2022 Tyrrell-Balboni, Jamie Boston MA 781-721-6492 9 Atlantic Ave 2208 231 TYSON, THADDEUS 2131896 10/23/2020 10/23/2021 398 SOLBERG DR UNIT A KALISPELL MT 59901 406-250-4769 0 JOSEPH 231 19047- 2035607 09/22/2017 09/22/2021 ULSH, CHRISTOPHER A 13 Summit Square Ctr Ste 247 Langhorne PA 215-491-9424 [email protected] 1 1078 231 91304- 2030583 07/19/2017 07/19/2022 Umaly, Alan Malapitan 8407 Fallbrook Ave Ste 200 West Hills CA 818-667-9840 2 3250 231 48108- 1902269 07/13/2011 07/13/2022 Underwood, Edmund William 47 W Ellsworth Rd Ann Arbor MI 734-663-8296 [email protected] 3 2206 231 01451- 1899011 04/20/2011 04/20/2022 Vaccaro, George H 68 Brown Rd Harvard MA 978-456-8200 [email protected] 4 1901 231 92656- 2045944 01/18/2018 01/18/2022 VALDEZ, JAMIN GRANT 120 Vantis Dr Ste 400 Aliso Viejo CA 858-876-4160 [email protected] 5 2689 231 10965- 1969354 11/18/2014 11/18/2021 VALENZA, JOSEPH A 1 Blue Hill Plz Ste 1515 Pearl River NY 609-651-1227 [email protected] 6 3170 231 Veracity Insurance Solutions, Llc, Pleasant 84062- 1892426 11/15/2010 11/15/2021 Van Leeuwen, Chris DeMan UT 801-641-0629 7 260 S 2500 W Ste 303 Grove 4704 231 Unit 2, Four Seasons II, 7200 N. [email protected] 2145293 03/22/2021 03/22/2022 Van Oppen, Frederik W H Teton Village WY 83025 866-784-4876 8 Rachel Way k 231 33602- 2113359 04/03/2020 04/03/2022 Van Wert, Stephen Shields 1101 E Jackson St Tampa FL 813-785-8679 9 4121 232 VANDERSLICE, KATHLEEN 92122- [email protected] 1956174 05/27/2014 05/27/2022 9171 Towne Centre Dr Ste 100 San Diego CA 858-457-3414 0 JUDITH 6231 om 232 VANDERWALL, DIRK LOS 2097522 08/30/2019 08/30/2022 515 S. FIGUEROA ST. # 600 CA 90071 213-439-3486 [email protected] 1 LEWIS ANGELES 232 VANDEWALKER, VICKY Willis Towers Watson Midwest, 14204- 2153957 06/21/2021 06/21/2022 Buffalo NY 716-954-8161 2 MARIE Inc., 199 Scott St 2247 232 WILLIS OF TENNESSEE, 26 2048713 02/15/2018 02/15/2022 VANN, LAURIE LYNN NASHVILLE TN 37214 615-872-3722 [email protected] 3 CENTURY BLVD 232 VARGAS, URANIA DEL Empire Underwriters Llc, 12157 W 33626- elizabeth@empireunderwriters 2019333 01/10/2017 01/10/2022 Tampa FL 813-682-8115 4 CARMEN Linebaugh Ave # 314 1732 .com 232 VARNEY, MICHAEL 04401- 2142005 02/17/2021 02/17/2022 32 OAK ST BANGOR ME 207-944-4520 5 WILLIAM 6515
Page 109 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 232 04401- [email protected] 1994752 12/09/2015 12/09/2021 Varney, Timothy William Varney Agency Inc, 32 Oak St Bangor ME 207-947-8637 6 6515 m 232 2158165 08/03/2021 08/03/2022 VASWANI, ZACHARY 34 BYRON ST, MA RANDOLPH MA 02368 781-888-0941 7 232 2120798 08/01/2020 08/01/2022 Vaughn, Darlene M 424 Adams St - Ste 102 Milton MA 02186 781-217-8188 [email protected] 8 Arthur J. Gallagher Risk 232 02210- 1710099 04/23/2003 04/23/2022 Veale, Patrick James Management Services Inc., 470 Boston MA 978-372-2077 [email protected] 9 2208 Atlantic Ave 233 92677- 1938658 08/12/2013 08/12/2022 Vedder, Justin Joseph 24311 Cascades Dr Laguna Niguel CA 415-755-7792 0 2482 233 5701 SUNSET DRIVE, SUITE 2135169 11/18/2020 11/18/2021 VEGA-SANZ, MATTHEW MIAMI FL 33143 786-219-7367 1 #130 233 Arthur J Gallagher & Co, 200 06033- 2014288 10/11/2016 10/11/2022 Vegliante, Kimberly J Glastonbury CT 860-663-2408 [email protected] 2 Glastonbury Blvd Fl 3 4418 233 92705- 2103816 10/30/2019 10/30/2021 VELARDE, GERALD LEE 2677 N Main St Ste 600 Santa Ana CA 949-581-7658 [email protected] 3 6629 233 Lee And Mason Financial Services 40223- 1912742 02/16/2012 02/16/2022 Vermost, Craig A Louisville KY 502-894-0899 4 Inc., 1554 Ormsby Station Ct 4019 233 VERSCHOORE, CHARLES Pdp Group C/o Sue Swartz, 10909 21031- LICENSING@PDPGROUPIN 2030582 07/19/2017 07/19/2022 Hunt Valley MD 410-638-1719 5 A Mccormick Rd 1401 C.COM 1251 AVENUE OF THE 233 2149661 05/07/2021 05/07/2022 VETTER, DANIEL PETER AMERICAS 3RD FLOOR, C/O NEW YORK NY 10020 917-977-1961 6 PRAMEX INTERNATIONAL 233 82414- 2083163 02/25/2019 02/25/2022 Vetter, James R 57 Sunset Rim Cody WY 215-262-3736 7 9634 233 C/O MARSHALL & STERLING POUGHKEEP 2000449 03/29/2016 03/29/2022 VIANA, KEVIN A NY 12601 845-454-0800 [email protected] 8 INC, 110 MAIN ST SIE 233 [email protected] 2040750 11/16/2017 11/16/2021 VICTORES, RICARDO 101 N BRAND BLVD. GLENDALE CA 91203 818-230-8216 9 om 234 Clark Insurance, 165 Thorndike St 01852- 1976694 03/10/2015 03/10/2022 Villandry, Anthony Jay Lowell MA 978-746-8409 0 Ste 3001 3485 OVATION RISK PLANNERS INC., 234 2023204 03/16/2017 03/16/2022 VILLANO, MICHAEL JR 734 WALT WHITMAN ROAD, MELVILLE NY 11747 631-243-3662 [email protected] 1 SUITE 207A 234 80202- 1938320 08/06/2013 08/06/2022 Vincent, Brenda 1705 17th St Ste 100 Denver CO 303-615-7565 [email protected] 2 1260 234 1880327 02/12/2010 02/12/2022 Virina, Violet 1166 Ave of the America New York NY 10036 917-692-5235 3 234 50 JERICHO QUADRANGLE, STE 2110381 02/14/2020 02/14/2022 VISCONTI, RINA JERICHO NY 11753 516-827-2302 [email protected] 4 110 234 Stephens Insurance, Llc, 4 Baird 07981- Smitha.viswambharan@steph 2010365 08/24/2016 08/24/2022 VISWAMBHARAN, SMITHA Whippany NJ 551-404-0899 5 Pl 1303 ens.com
Page 110 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 234 VITAGLIONE, ROBERT Vault Custom Risk Services, Llc, 33701- [email protected] 2159794 08/17/2021 08/17/2022 St Petersburg FL 561-441-6215 6 ALAN 300 1st Ave S Ste 401 4209 nce.com 234 WILLIS OF NEW YORK, INC., 200 2153958 06/21/2021 06/21/2022 VOGEL, PETER R NEW YORK NY 10281 212-915-8578 7 LIBERTY STREET 234 Mcgowan & Company, Inc., 20595 44126- 1993899 11/20/2015 11/20/2021 Vono, Stephen Fairview Park OH 508-816-9510 [email protected] 8 Lorain Rd 2053 234 10004- 1863412 02/03/2009 02/03/2022 Vonschmidt, Keren Integro Usa Inc, 1 State St Fl 9 New York NY 516-702-4798 9 1561 235 10036- 1913238 02/28/2012 02/28/2022 Voss, Kendall D 1166 Avenue Of The Americas New York NY 973-680-4474 0 2708 235 Arthur J Gallagher & Co, 200 07981- 2089865 05/20/2019 05/20/2022 WAGMAN, MARC DAVID Whippany NJ 732-356-5667 [email protected] 1 Jefferson Park 1054 235 94043- johnwagner@prosurancegrou 1829765 11/27/2006 11/27/2021 Wagner, John Victor 2685 Marine Way Ste 1408 Mountain View CA 650-941-4854 2 1119 p.com 235 WALDHAUSER, Louis 08077- 2161519 08/31/2021 08/31/2022 605 Main St Ste 102 Riverton NJ 800-882-4410 3 Leonard IV 1440 235 C/o Echelon Adjusting Services 11743- 1911145 01/03/2012 01/03/2022 Waldorf, Stephen M Huntington NY 631-418-0310 [email protected] 4 Llc, 24 W Carver St 3309 235 11743- 1880698 02/23/2010 02/23/2022 Waldorf, William Gerard 24 W Carver St Fl 1 Huntington NY 631-418-0313 [email protected] 5 3309 235 78739- [email protected] 2059780 06/08/2018 06/08/2022 WALKER, NATHAN J 5700 BEXLEY CT AUSTIN TX 773-759-3322 6 1814 M 235 94133- [email protected] 2088482 04/29/2019 04/29/2022 WALLACE, JOHN HENRY 831 Montgomery St San Francisco CA 720-252-5937 7 5108 m 235 61019- 1801340 10/14/2004 10/14/2021 Waller, Kimberly L 11 Delburne Dr Davis IL 312-662-1360 [email protected] 8 9540 235 Arthur J Gallagher & Co, 1801 98102- 1834311 03/30/2007 03/30/2022 Walsh, John Philip Seattle WA 206-285-4655 [email protected] 9 Fairview Ave E Ste 200 3717 236 1959479 07/24/2014 07/24/2022 Walsh, Karen Anne 131 Oliver Street 4th Fl Boston MA 02110 617-535-7254 0 236 07724- 1980386 05/07/2015 05/07/2022 Walsh, Michael R 12 Christopher Way Ste 201 Eatontown NJ 732-842-0767 [email protected] 1 3331 236 07663- 1927135 12/20/2012 12/20/2021 Walsh, Nicholas F 250 Pehle Ave Ste 311 Saddle Brook NJ 631-754-4904 [email protected] 2 5832 236 06511- 2154897 06/29/2021 06/29/2022 WALSH, SEAMUS M 555 LONG WHARF DR FL 11 NEW HAVEN CT 203-482-3563 3 6107 236 2141174 02/08/2021 02/08/2022 WALTER, DANIEL J 661 TOWERWOOD DR BALLWIN MO 63021 636-391-4841 4 236 60603- tim_walter@specialtyrisksoluti 1973169 01/15/2015 01/15/2022 WALTER, TIMOTHY 10 S La Salle St Ste 1500 Chicago IL 630-985-7837 5 1077 ons.com 236 28557- 2087440 04/11/2019 04/11/2022 Walton, Tammy L 4913 Bridges St Morehead City NC 252-247-8709 6 9001
Page 111 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 236 2099440 09/19/2019 09/19/2021 WANG, JUN 5 COLUMBUS ST, MA LEXINGTON MA 02421 781-861-1311 7 236 91107- 2092048 06/19/2019 06/19/2022 Wanglin, Ronald Chase 3475 E Foothill Blvd # 100 Pasadena CA 310-234-0801 8 6024 236 92101- 1976837 03/11/2015 03/11/2022 WARD, CAMERON 110 W A St Ste 675 San Diego CA 858-414-9904 [email protected] 9 3712 237 2124498 09/10/2020 09/10/2022 WARD, CONAN MICHAEL 219 EDGERSTOUNE ROAD PRINCETON NJ 08540 609-921-1475 0 237 Edgewood Partners Insurance, 1 06831- 1928998 02/14/2013 02/14/2022 Ward, Timothy B Greenwich CT 203-656-1798 [email protected] 1 American Ln 2560 SEVEN HILLS INSURANCE 237 2021373 02/14/2017 02/14/2022 WARD, TRACY A AGENCY, LLC, 312 ELM CINCINNATI OH 45202 908-604-2853 [email protected] 2 STREET, SUITE 1250 237 60603- 2112536 03/18/2020 03/18/2022 WARE, KEVIN 1 S Dearborn St Fl 21 Chicago IL 847-212-3579 3 2302 237 Genesee General, 3025 Windward 30005- 1953280 04/03/2014 04/03/2022 Ware, Roger B Alpharetta GA 770-893-2091 [email protected] 4 Plz Ste 400 7451 237 Mckee Risk Management Inc, 610 King Of 19406- 2133701 11/06/2020 11/06/2021 Warner, John F PA 610-831-9645 [email protected] 5 Freedom Business Ctr Dr Ste 300 Prussia 1329 237 1928660 02/04/2013 02/04/2022 Warnick, Carolyn A 520 Post Oak, St e250 Houston TX 77027 713-479-6132 6 237 34522 N Scottsdale Rd Ste 120- 85266- 2145958 03/29/2021 03/29/2022 WARNQUIST, MARK Scottsdale AZ 415-730-8092 7 177 1224 237 08088- [email protected] 1914334 03/26/2012 03/26/2022 Wash, David C 457 Oakshade Rd Ste A Shamong NJ 856-396-6500 8 8444 m 237 Wexler Ins Agency Inc, 1120 33134- [email protected] 1978340 04/03/2015 04/03/2022 Wasserman, Gary James Coral Gables FL 954-349-4335 9 Ponce De Leon Blvd 3322 m 238 98019- [email protected] 1941756 09/20/2013 09/20/2022 WATERMAN, JONATHAN M 15321 Main St NE Ste 322 Duvall WA 425-216-2931 0 8574 om 238 5700 W 112TH STREET, SUITE OVERLAND 2070107 09/17/2018 09/17/2022 WATERMAN, KATHLEEN A KS 66211 913-498-4435 [email protected] 1 100 PARK SAINT 238 33702- 2132809 10/30/2020 10/30/2021 WATJE, JAMES ROBERT 801 94TH AVE N STE 110 PETERSBUR FL 916-505-0733 2 2478 G 238 Willis Towers Watson Midwest, 60606- 1954961 05/02/2014 05/02/2022 WATKISS, CARRIE Chicago IL 312-470-7906 [email protected] 3 Inc, 233 S Wacker Dr Ste 1800 6424 238 WATROUS, CHRISTOPHER CHRISTOPHER_WATROUS 1951760 03/07/2014 03/07/2022 84 STATE STREET, SUITE 550 BOSTON MA 02109 617-788-3274 4 BENJAMIN @RPSINS.COM 238 01949- 1899291 04/28/2011 04/28/2022 Watrous, Kelly Clifford 205 S Main St Middleton MA 978-774-6126 [email protected] 5 2441 238 WATSON, GARDNER 2156498 07/16/2021 07/16/2022 200 LIBERTY STREET NEW YORK NY 10281 212-309-0933 6 TAYLOR 238 60602- 2060356 06/18/2018 06/18/2022 WATT, KEVIN F Vouch Insurance, 1 N La Salle St Chicago IL 630-418-0847 [email protected] 7 3902
Page 112 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 238 Willis Towers Watson Northeast, 10281- Anne.watts@willistowerswatso 2156643 07/19/2021 07/19/2022 WATTS, ANNE STEWART New York NY 212-915-8596 8 Inc, 200 Liberty St 1082 n.com 238 WATTS, SAMUEL NAMIC INSURANCE AGENCY, INDIANAPOLI 46268- 2034254 09/06/2017 09/06/2022 IN 317-417-5307 [email protected] 9 GREGORY 3601 VINCENNES RD S 1154 239 02109- 2014942 10/20/2016 10/20/2022 Waugh, Andrew G 53 State St Ste 2201 Boston MA 617-457-7671 [email protected] 0 2820 239 S. COLORADO BOULEVARD, 2158469 08/05/2021 08/05/2022 WAXMAN, DANIEL DENVER CO 80222 314-691-7661 1 SUITES 800 & 900 239 77024- 1856169 08/11/2008 08/11/2022 Way, Lyndon B 800 Gessner Rd Ste 600 Houston TX 713-935-7400 [email protected] 2 4538 239 1838611 08/01/2007 08/01/2022 Wayne, Alexander Ernest 2551 N. Clark St. #601 Chicago IL 60614 773-860-8599 [email protected] 3 239 Webberley, Constance Newport 92660- 1863430 02/03/2009 02/03/2022 1301 Dove St, Suite 200 CA 949-660-5901 4 Joanne Joyce Beach 2436 239 WEBER, DARRELL 19809- 2006792 07/05/2016 07/05/2022 405 Silverside Rd Ste 102b Wilmington DE 484-354-4693 [email protected] 5 ANDREW 1768 239 eweber@thefloodinsuranceag 2087711 04/16/2019 04/16/2022 WEBER, ERIC 5700 SW 34TH ST, SUITE 402 B GAINESVILLE FL 32608 352-363-6645 6 ency.com 239 36602- 2023203 03/16/2017 03/16/2022 Webster, David Fradd 11 N Water St Mobile AL 251-544-0253 [email protected] 7 3809 239 02110- 1823124 06/09/2006 06/09/2022 Webster, Elizabeth B 99 High St Boston MA 781-944-4149 8 2320 239 Arthur J Gallagher & Co., 11550 77034- 1935913 06/20/2013 06/20/2022 Weger, Donovan R Jr. Houston TX 281-648-1059 [email protected] 9 Fuqua St Ste 205 4537 240 1000 WILSHIRE BLVD., SUITE # LOS 2154758 06/28/2021 06/28/2022 WEISINGER, DI CA 90017 626-348-8437 0 2200 ANGELES 240 Assuredpartners Of Illinois, Llc, 60555- 2100280 09/26/2019 09/26/2022 WEISS, HOWARD A Warrenville IL 630-544-3443 [email protected] 1 4350 Weaver Pkwy 3925 240 2127069 09/30/2020 09/30/2022 WEISS, STEVEN PAUL 3007 NORRIS DRIVE HOUSTON TX 77025 832-530-7981 2 240 91403- 2020063 01/24/2017 01/24/2022 Weiss, Susan Mindy 15303 Ventura Blvd #1200 Sherman Oaks CA 310-306-0922 3 5817 240 77019- brian.welch@worthaminsuran 1844681 11/21/2007 11/21/2021 Welch, Brian Rolan 2929 Allen Pkwy Houston TX 832-450-4327 4 7100 ce.com 240 01615- pwellington@braleywellington 1791545 01/06/2004 01/06/2022 Wellington, Parker 44 Park Ave, Po Box 15127 Worcester MA 508-754-7255 5 0127 group.com 240 1890349 10/13/2010 10/13/2021 Werner, Peter J 98 Merchants Row Rutland VT 05701 802-775-2311 [email protected] 6 240 1031490 11/07/1998 11/07/2021 Wernik-Levine, Bonnie M 50 Salem Street, Building B Lynnfield MA 01940 781-599-3949 [email protected] 7 240 10006- 2105852 11/27/2019 11/27/2021 WEST, MASON S 165 Broadway New York NY 212-441-1701 [email protected] 8 1404
Page 113 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 240 60601- 1948685 01/14/2014 01/14/2022 WEST, MAX JAMES 200 E RANDOLPH ST CHICAGO IL 847-998-0024 [email protected] 9 6436 241 20814- 2070108 09/17/2018 09/17/2022 West, Richard Thomas 7500 Old Georgetown Rd Ste 925 Bethesda MD 301-765-2071 0 6133 241 2110584 02/18/2020 02/18/2022 Weston, Richard David 860 Winter St. Waltham MA 02451 603-351-1078 [email protected] 1 RANCHO 241 30211 AVE DE LAS BANDERAS, 2145687 03/25/2021 03/25/2022 WEXLER, KATHARINE SANTA CA 92688 949-683-7050 2 200 MARGARITA 241 [email protected] 1799822 08/24/2004 08/24/2022 Wexler, Michael Jay 1120 Ponce De Leon Blvd Coral Gables FL 33134 305-238-9149 3 m 241 01060- 2148960 04/30/2021 04/30/2022 Whalen, Peter Joseph 71 King Street Northampton MA 413-584-1616 [email protected] 4 3275 241 68133- 1974451 02/06/2015 02/06/2022 WHALEY, GREG L 2107 Leigh St Papillion NE 402-345-1818 [email protected] 5 3313 241 84070- [email protected] 2143131 03/01/2021 03/01/2022 WHEAT, DARRIN LAMAR Acrisure, Llc, 39 W 9000 S Sandy UT 801-634-8700 6 2008 M 241 WHELAN, ZACHARY 10006- [email protected] 2045934 01/18/2018 01/18/2022 165 Broadway New York NY 212-441-1250 7 THOMAS 1404 OM 241 2154898 06/29/2021 06/29/2022 WHIPPLE, DAVID 2606 MARAZZI TRAIL APEX NC 27502 919-451-2919 8 241 33432- 1928845 02/07/2013 02/07/2022 WHISMAN, MARCIA ANN 120 E Palmetto Park Rd Ste 300 Boca Raton FL 561-962-4378 [email protected] 9 4841 242 WHITAKER, SCOTT 75204- 2160208 08/19/2021 08/19/2022 3131 Mckinney Ave Ste 535 Dallas TX 214-673-1052 [email protected] 0 ANDREW 2426 242 2026570 05/09/2017 05/09/2022 White, Bruce F Jr. 109 Pheasant Run Newtown PA 18940 215-579-6416 1 242 10006- 1903640 08/15/2011 08/15/2022 White, Chester Donald 165 Broadway New York NY 212-441-1551 2 1404 242 30305- 1852649 05/19/2008 05/19/2022 White, Elizabeth B 3525 Piedmont Rd NE Ste 700 Atlanta GA 404-406-6649 [email protected] 3 1608 242 78288- 2087964 04/19/2019 04/19/2022 WHITE, GARRETT 9800 Fredericksburg Rd San Antonio TX 210-531-8111 [email protected] 4 0001 242 21046- 2024865 04/10/2017 04/10/2022 WHITE, JEREMIAH A 9841 Broken Land Pkwy Ste 305 Columbia MD 410-547-2925 [email protected] 5 3072 242 27262- murraywhite@murraymwhitein 2069428 09/10/2018 09/10/2022 WHITE, MURRAY M III 606 Idol St High Point NC 336-889-4747 6 7858 c.com 242 30076- OWHITE@PUREPROGRAMS 2091403 06/11/2019 06/11/2022 WHITE, ORNELLA CHERON 300 Colonial Center Pkwy Ste 200 Roswell GA 914-367-1888 7 8844 .COM Willis Towers Watson Midwest, 242 55437- 2035602 09/22/2017 09/22/2022 WHITEFORD, Katie Ann Inc., 8400 Normandale Lake Blvd Minneapolis MN 763-302-7161 8 3837 Ste 1700
Page 114 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date HOLMES MURPHY AND 242 50263- 2117975 06/29/2020 06/29/2022 WHITEHEAD, LORI M ASSOCIATES LLC, 2727 GRAND WAUKEE IA 515-267-8644 9 8844 PRAIRIE PKWY 243 Alps Corporation, 111 N Higgins 59802- [email protected] 2097518 08/30/2019 08/30/2022 WHITMIRE, KURT CARL Missoula MT 406-360-6746 0 Ave Ste 600 4494 M 243 POULOS INSURANCE INC, 36 S 03110- [email protected] 2150574 05/17/2021 05/17/2022 WHYTE, DANIEL J BEDFORD NH 603-616-7536 1 RIVER RD 6717 m 243 94596- [email protected] 2094098 07/19/2019 07/19/2022 Widman, Thomas A 1990 N California Blvd Fl 8 Walnut Creek CA 925-360-1972 2 3742 m 243 SANTA 2073251 10/19/2018 10/19/2022 WILEY, ROBERT ALLEN 1600 ANACAPA ST. CA 93101 805-672-2923 [email protected] 3 BARBARA 243 1548385 11/26/1999 11/26/2021 Wiley, Robert Chavez 1600 Anacapa St Santa Barbara CA 93101 805-684-0272 [email protected] 4 243 02494- 1844682 11/21/2007 11/21/2021 Wilk, Walter Lawrence 50 Cabot St Needham MA 617-904-4156 [email protected] 5 2819 243 1166 AVENUE OF THE 2153959 06/21/2021 06/21/2022 WILKINS, LAURA NEW YORK NY 10036 585-354-2137 6 AMERICAS 243 75007- 2160207 08/19/2021 08/19/2022 WILKINSON, MARK ALLEN 4000 International Pkwy Carrollton TX 972-820-4521 [email protected] 7 1951 ALLEN INSURANCE AND 243 WILLIAMS, PETER 2049944 02/21/2018 02/21/2022 FINANCIAL, 22 SCHOOL ROCKLAND ME 04843 207-236-4311 [email protected] 8 MANNING STREET 243 WILLIAMS, ROBB 33712- [email protected] 1974452 02/06/2015 02/06/2022 Acrirange, 2038 1st Ave S St Petersburg FL 727-290-9801 9 CHRISTOPHER 1202 om SLAWSBY INSURANCE 244 03054- 2090104 05/22/2019 05/22/2022 WILLIAMS, Susan A AGENCY, INC., 3 MOUND CT MERRIMACK NH 603-533-8363 0 4412 STE B 244 2086459 03/29/2019 03/29/2022 Willis, Christopher J One 13th Street Boston MA 02129 617-880-9096 1 244 300 COLONIAL CENTER PKWY 30076- 2021197 02/10/2017 02/10/2022 WILLIS, JOHN J ROSWELL GA 914-830-5591 [email protected] 2 STE 200 8844 244 2151770 05/28/2021 05/28/2022 WILLITTS, LISA LACEY 1601 MAIN ST BASTROP TX 78602 512-985-5614 3 244 06032- 1692413 12/03/2002 12/03/2021 Willsey, John S. 308 Farmington Ave Farmington CT 860-777-2821 [email protected] 4 1921 244 WILLSON, MINYETTE 98021- 2104860 11/12/2019 11/12/2021 22522 29TH DR SE STE 212 BOTHELL WA 206-818-0881 5 LYNN 4443 244 19087- 2094969 07/31/2019 07/31/2022 Wilmerding, Charles Thayer 201 King Of Prussia Rd Ste 100 Radnor PA 610-975-0289 [email protected] 6 5152 244 49024- 2057280 05/17/2018 05/17/2022 WILSON, DAVID PAUL 8036 MOORSBRIDGE RD PORTAGE MI 269-327-4130 [email protected] 7 4419 OUTDOOR UNDERWRITERS, 244 29210- 2002167 04/27/2016 04/27/2022 WILSON, George Edward INC., 140 STONERIDGE DRIVE, COLUMBIA SC 803-951-0444 [email protected] 8 8200 SUITE 260
Page 115 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 244 HYLANT GROUP, INC., 811 1939725 08/26/2013 08/26/2022 WILSON, JUDY K TOLEDO OH 43604 419-724-1981 [email protected] 9 MADISON AVENUE 245 WILSON, KELLIE 90071- 2100026 09/25/2019 09/25/2021 633 W 5th St Los Angeles CA 916-799-9754 [email protected] 0 ELIZABETH 2005 MCGRIFF INSURANCE 245 29910- 2149403 05/05/2021 05/05/2022 WINE, THERESA L SERVICES INC., 7 ARLEY WAY BLUFFTON SC 866-925-7118 1 4302 STE 300 245 Owner-operator Services, Inc., 1 64029- 1845853 12/24/2007 12/24/2021 Winkler, Deborah E. Grain Valley MO 660-232-4162 [email protected] 2 Ooida Dr 7903 245 14203- 1835444 05/02/2007 05/02/2022 Winsky, Barbara J 295 Main St Rm 866 Buffalo NY 413-203-1772 [email protected] 3 2521 245 07981- 1950998 02/24/2014 02/24/2022 Winterfeldt, Kristina Leigh 200 Jefferson Park Whippany NJ 973-921-8123 [email protected] 4 1069 245 300 COLONIAL CENTER PKWY 30076- 2030265 07/14/2017 07/14/2022 WINTERS, DAVID S ROSWELL GA 732-740-9694 [email protected] 5 STE 200 8844 245 2001519 04/14/2016 04/14/2022 Wirkus, Eric Christopher 10 Granite Street, Suite 2 Quincy MA 02169 508-528-8370 [email protected] 6 245 02109- 1969085 11/14/2014 11/14/2021 Wise, Christian Thomas 53 State St Ste 2201 Boston MA 978-887-2423 7 2820 245 77057- 2106948 12/18/2019 12/18/2021 WISE, PHILIP BRYAN 6224 CEDAR CREEK DR HOUSTON TX 713-860-8840 [email protected] 8 1804 245 C/O MARSH USA INC, 1166 2118960 07/13/2020 07/13/2022 WITKOVSKY, VERA NEW YORK NY 10036 631-888-0107 9 AVENUE OF THE AMERICAS 246 WOHLWEND, BRUCE Risk Placement Services, Inc., 77479- BRUCE_WOHLWEND@ALES 1954258 04/22/2014 04/22/2022 Sugar Land TX 713-401-3505 0 DEAN 2245 Texas Dr Ste 140 2190 CORMS.COM 246 33702- 1869995 06/11/2009 06/11/2022 Wolf, Boyd Hoover 9800 4th St N Ste 400 St Petersburg FL 813-258-9653 1 2464 246 200 SOUTH WACKER DRIVE - 60606- 2107272 12/26/2019 12/26/2021 WOLF, JEFFERY M CHICAGO IL 812-598-8903 [email protected] 2 SUITE 1000 5860 246 94111- 2109881 02/07/2020 02/07/2022 WOLFE, LAUREN 4 Embarcadero Ctr San Francisco CA 617-378-8494 3 4106 246 1926124 12/03/2012 12/03/2021 Wolpert, Michael A 18 John St Worcester MA 01609 508-366-0064 [email protected] 4 246 WOLTEMATH, Stephanie RISK PLACEMENT SERVICES, OVERLAND 2047308 01/25/2018 01/25/2022 KS 66213 913-681-6151 5 Lynn INC., 7450 W. 130TH STREET PARK AON RISK SERVICES 246 77056- 2129199 10/09/2020 10/09/2021 WONG, RICHARD LEE SOUTHWEST, INC, 5555 SAN HOUSTON TX 800-953-4542 [email protected] 6 2739 FELIPE ST STE 1500 246 361 NEWBURY STREET, 4TH 2143133 03/01/2021 03/01/2022 WONG, VIRGINIA H BOSTON MA 02115 617-599-6028 7 FLOOR 246 30024- 1798448 07/16/2004 07/16/2022 Wood, Bruce A 3325 Paddock Pkwy Ste 200 Suwanee GA 678-845-6505 [email protected] 8 6068
Page 116 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date Nfp Healthcare Industry Insurance 246 85258- [email protected] 1587110 09/19/2000 09/19/2022 Wood, David Allan Services, Inc., 8201 N Hayden Rd Scottsdale AZ 480-905-3912 9 2453 m Ste 300 247 1964054 09/23/2014 09/23/2022 WOOD, JULIA 3560 LENOX ROAD, STE 2400 ATLANTA GA 30326 404-279-0614 [email protected] 0 247 380 SOUTH 200 WEST, P.O. BOX 1999923 03/18/2016 03/18/2022 WOOD, SCOTT GLENN FARMINGTON UT 84025 801-390-9478 [email protected] 1 977 247 NEW ENGLAND EXCESS 2099038 09/17/2019 09/17/2021 WOOD, TODD LENTZ BARRE VT 05641 828-773-6441 2 EXCHANGE, 57 PARKER RD 247 R-t Specialty, Llc, 500 S Grand 90071- 1929749 03/01/2013 03/01/2022 Woodcock, Anthony David Los Angeles CA 310-779-4420 3 Ave Ste 2100 2668 247 28104- 1901224 06/16/2011 06/16/2022 WOODS, Bruce A 408 MIDDLETON AVE MATTHEWS NC 843-437-9008 4 7347 247 60661- 2145688 03/25/2021 03/25/2022 WOODWARD, BRETT M 500 W MADISON ST STE 2710 CHICAGO IL 630-323-3889 5 4568 247 45236- [email protected] 1785392 07/31/2003 07/31/2022 Worrall, Joseph M 5905 E Galbraith Rd Ste 9000 Cincinnati OH 513-936-7377 6 2383 m 247 92130- 1854952 07/21/2008 07/21/2022 Wozny, Ann Rodell 12707 High Bluff Dr Ste 140 San Diego CA 704-816-4380 [email protected] 7 2097 247 2139266 01/16/2021 01/16/2022 Wright, McCulle 1 Metro Park Drive #400 Birmingham AL 37209 214-265-2618 8 247 38305- 2127068 09/30/2020 09/30/2021 WRIGHT, PHILLIP GLEN 119 WYNDCHASE DR JACKSON TN 731-300-7060 [email protected] 9 7537 248 DAN SERVICES, INC., 6 W 27705- 2004700 05/25/2016 05/25/2022 WRIGHT, ROCHELLE L DURHAM NC 919-684-2948 [email protected] 0 COLONY PL # 200 5588 248 151 WEST CONGRESS STREET, 2077092 11/29/2018 11/29/2021 WRONSKI, Robert Julian DETROIT MI 48226 617-571-7894 [email protected] 1 SUITE 420 248 WURTZ, GREGORY 2143132 03/01/2021 03/01/2022 823 ALICIA CT. WEST LINN OR 97068 503-919-1499 2 THOMAS 248 801 SOUTH FIGUEROA STREET, LOS 2160206 08/19/2021 08/19/2022 YACOE, MARSHALL CA 90017 310-383-6559 3 SUITE 800 ANGELES 248 Willis Towers Watson Midwest Inc, 60606- 2113073 03/30/2020 03/30/2022 YANAK, MICHAEL A Chicago IL 312-288-7126 4 233 S Wacker Dr Ste 2000 6400 248 2159999 08/18/2021 08/18/2022 Yang, Milton Ming-Keng 1240 Blalock Rd, Suite 250 Houston TX 77055 281-768-4139 5 248 2103518 10/26/2019 10/26/2021 YANG, QI 80 PINE HILL RD, MA BEDFORD MA 01730 202-297-6708 6 248 60601- 2158468 08/05/2021 08/05/2022 YANG, YING 200 E Randolph St Chicago IL 312-381-0559 [email protected] 7 6436 248 2079894 01/02/2019 01/02/2022 YANOVSKY, SKYE EMMA 37 RADIO CIRCLE DRIVE MT. KISCO NY 10549 914-299-6753 [email protected] 8 248 60606- 1899962 05/16/2011 05/16/2022 Yergin, Kathleen Helen 155 N Wacker Dr Chicago IL 630-530-4893 9 1787
Page 117 of 118 License Original Renewal Individual Address City State Zip Phone # Email # Approval Date 249 23060- 1910415 12/12/2011 12/12/2021 Yerly, Vicki B 4951 Lake Brook Dr Ste 300 Glen Allen VA 804-527-2385 0 9280 249 02111- 2054341 04/14/2018 04/14/2022 York, Brian 1 Financial Ctr Fl 13 Boston MA 610-812-2115 [email protected] 1 2688 249 85254- Shila.Youdelman@wellsfargo. 2122242 08/16/2020 08/16/2022 YOUDELMAN, SHILA 16220 N Scottsdale Rd Ste 600 Scottsdale AZ 602-787-6244 2 1804 com 249 08867- [email protected] 1803730 12/29/2004 12/29/2021 Young, James Albert 17 Duke Ct Pittstown NJ 908-713-1997 3 4117 om 249 YOVINO, GREGORY 10006- 2021196 02/10/2017 02/10/2022 165 Broadway New York NY 212-441-1399 [email protected] 4 MICHAEL 1404 249 C/o Marsh Usa Inc., 1166 Avenue 10036- 1822580 05/25/2006 05/25/2022 Yuen, Chui New York NY 914-238-6134 [email protected] 5 Of The Americas 2708 249 Althans Insurance Agency, 543 44022- 1842902 10/09/2007 10/09/2022 Yuhas, Nickolas Charles Chagrin Falls OH 216-952-3741 [email protected] 6 Washington St 4446 249 1919762 08/07/2012 08/07/2022 Zaccagnino, Salvatore 1166 Avenue of the Americas New York NY 10036 516-676-4653 7 249 2138472 01/07/2021 01/07/2022 Zack, Thomas Howard 200 East Randolph St Chicago IL 60601 678-522-3011 8 249 Willis Towers Watson Northeast, 02116- Ronald.zaiger@willistowerswa 1653523 02/21/2002 02/21/2022 Zaiger, Ronald S Boston MA 617-351-7578 9 Inc., 75 Arlington St Fl 10 3936 tson.com 250 Arthur J Gallagher & Co., 300 S 60606- 2089487 05/14/2019 05/14/2022 ZEID, AARON Chicago IL 312-803-6036 [email protected] 0 Riverside Plz Ste 1500 6637 250 Willis Towers Watson Northeast, 02116- 2026235 05/03/2017 05/03/2022 Zeller, Hilary C Boston MA 617-638-3945 [email protected] 1 Inc., 75 Arlington St Fl 10 3936 250 1945415 11/07/2013 11/07/2021 Zemaitis, Joseph R 108 Shrewsbury St Worcester MA 01604 508-284-4235 [email protected] 2 WILLIS TOWERS WATSON 250 2153960 06/21/2021 06/21/2022 ZIMMERMAN, ANDREW NORTHEAST, INC., 200 LIBERTY NEW YORK NY 10281 212-915-8631 3 STREET 250 Willis Personal Lines, 233 S 60606- 2012382 09/15/2016 09/15/2022 ZIMMERMAN, ANDRIA R Chicago IL 312-288-7340 [email protected] 4 Wacker Dr Ste 2000 6400 250 21701- 2137185 12/16/2020 12/16/2021 ZIMMERMAN, MICHAEL 14 W Patrick St Ste 201 Frederick MD 301-514-0123 [email protected] 5 5690 250 17011- 1926132 12/03/2012 12/03/2021 Zito, Kay 214 Senate Ave Ste 201 Camp Hill PA 717-214-7545 [email protected] 6 2336 250 2154899 06/29/2021 06/29/2022 ZIVKOVIC, JASON 200 LIBERTY STREET NEW YORK NY 10281 917-348-5854 7 250 Hamilton Insurance Agency, 4100 22030- Licensing@hamiltoninsurance 1948909 01/17/2014 01/17/2022 Zuccari, Alan J Fairfax VA 703-359-8100 8 Monument Corner Dr Ste 500 8621 .com 250 2103817 10/30/2019 10/30/2021 ZUCKERMAN, TAMIR 2060 CANTERBURY RD EMPORIA KS 66801 620-757-0785 9
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