Agency Information

FAIRMONT INSURANCE BROKERS LLC

1600 60TH STREET

BROOKLYN, NY 11204

718-232-3300

pesachk@fairmontins.com

15714310

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3904201	05/31/2023	Active	05/31/2023	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/31/2023	Active	05/31/2023
Property	05/31/2023	Active	05/31/2023

Company Name	Appointment Type	Status	Active Date
130977
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY	Casualty	Active	08/24/2023
1545
Company Name	Appointment Type	Status	Active Date
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY	Casualty	Active	08/24/2023
	Property	Active	08/24/2023
110894
Company Name	Appointment Type	Status	Active Date
CITIZENS INSURANCE COMPANY OF AMERICA	Casualty	Active	08/24/2023
	Property	Active	08/24/2023
115655
Company Name	Appointment Type	Status	Active Date
HANOVER AMERICAN INSURANCE COMPANY, THE	Casualty	Active	08/24/2023
	Property	Active	08/24/2023
304
Company Name	Appointment Type	Status	Active Date
HANOVER INSURANCE COMPANY, THE	Casualty	Active	08/24/2023
	Property	Active	08/24/2023
110699
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS BAY INSURANCE COMPANY	Casualty	Active	08/24/2023
	Property	Active	08/24/2023
1776
Company Name	Appointment Type	Status	Active Date
OHIO SECURITY INSURANCE COMPANY	Casualty	Active	11/10/2023
	Property	Active	11/10/2023
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	09/01/2023
	Property	Active	09/01/2023
1054
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA	Casualty	Active	09/01/2023
	Property	Active	09/01/2023
1669
Company Name	Appointment Type	Status	Active Date
VERLAN FIRE INSURANCE COMPANY	Casualty	Active	08/24/2023
	Property	Active	08/24/2023

row(s) 1 - 19 of 19

Name	Association Type	Agent	Begin Date	End Date
MOISHE MISHKOWITZ	Designated Resp Lic Prdcr	Yes	05/31/2023	-

1 - 1