Individual Information

CHINMOY BHAKTA

TINTON FALLS, NJ 07701-4964

Active

rockybhakta@worldinsurance.com

04/17/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3235909	04/17/2017	Active	04/17/2017	04/30/2026
Non-Res. Surplus Lines Broker	3235936	04/18/2017	Active	04/18/2017	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/17/2017	Active	04/17/2017
Property	04/17/2017	Active	04/17/2017
Surplus Lines	04/18/2017	Active	04/18/2017

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1608
Company Name	Appointment Type	Status	Active Date
PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD	Casualty	Active	12/31/2024
	Property	Active	12/31/2024
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	04/12/2023

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
WORLD INS ASSOC LLC	Designated Resp Lic Prdcr	Agency	01/20/2022	-

1 - 1