Agency Information

SPORT AND EVENT INSURANCE SOLUTIONS, INC

Address:

3248 NE 28TH AVE

LIGHTHOUSE POINT, FL 33064

Phone

866-889-4763

URL:

Email:

mark@sportinsurance.com

National Producer Number:

19157109

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3477506	09/23/2019	Active	09/23/2019	09/30/2025
Non-Res. Surplus Lines Broker	3725413	09/22/2021	Active	09/22/2021	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/23/2019	Active	09/23/2019
Health	09/23/2019	Active	09/23/2019
Life	09/23/2019	Active	09/23/2019
Property	09/23/2019	Active	09/23/2019
Surplus Lines	09/22/2021	Active	09/22/2021

Company Name	Appointment Type	Status	Active Date
1786
COLONY SPECIALTY INSURANCE COMPANY	Casualty	Active	03/12/2020
	Property	Active	03/12/2020
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	12/02/2021
	Property	Active	12/02/2021

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
MARK A DI PERNO	Designated Resp Lic Prdcr	Yes	11/28/2020	-

1 - 1