Individual Information

THOMAS G WIERZBOWSKI

DOYLESTOWN, PA 18901-4872

Active

theresa@willowrisk.com

12/16/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3128129	12/16/2015	Active	12/16/2015	12/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/16/2015	Active	12/16/2015
Property	12/16/2015	Active	12/16/2015

Company Name	Appointment Type	Status	Active Date
1342
ARCH INSURANCE COMPANY	Casualty	Active	07/11/2019
	Property	Active	07/11/2019
187
Company Name	Appointment Type	Status	Active Date
CONTINENTAL CASUALTY COMPANY	Casualty	Active	06/17/2024
	Property	Active	06/17/2024
810
Company Name	Appointment Type	Status	Active Date
DOCTORS COMPANY AN INTERINSURANCE EXCHANGE,THE	Casualty	Active	01/24/2022
	Property	Active	01/24/2022
1684
Company Name	Appointment Type	Status	Active Date
HARTFORD INSURANCE COMPANY OF THE MIDWEST	Casualty	Active	03/12/2024
	Property	Active	03/12/2024
469
Company Name	Appointment Type	Status	Active Date
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	11/14/2023
	Property	Active	11/14/2023
1525
Company Name	Appointment Type	Status	Active Date
NORCAL INSURANCE COMPANY	Casualty	Active	10/16/2019
1622
Company Name	Appointment Type	Status	Active Date
PROASSURANCE INDEMNITY COMPANY INC	Casualty	Active	12/13/2023
705
Company Name	Appointment Type	Status	Active Date
VALLEY FORGE INSURANCE COMPANY	Casualty	Active	10/13/2023
	Property	Active	10/13/2023

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
WILLOW RISK ADVISORS INC	Designated Resp Lic Prdcr	Agency	09/01/2020	-
Orion Health RPG LLC	Risk Purchasing Grp-Agnt/Brkr	Company	02/21/2020	-
Orion Health IP2 RPG LLC	Risk Purchasing Grp-Agnt/Brkr	Company	02/21/2020	-

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