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