Individual Information

AMIT VERMA

Address:

CRYSTAL BAY, NV 89402-8014

Status:

Active

Email:

agent@kibatech.com

Date:

07/02/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	3689781	07/02/2021	Active	07/02/2021	07/31/2027
Res. Surplus Lines Broker	3694266	07/14/2021	Active	07/14/2021	07/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/02/2021	Active	07/02/2021
Property	07/02/2021	Active	07/02/2021
Surplus Lines	07/14/2021	Active	07/14/2021
Casualty	09/17/2020	Inactive	07/02/2021
Property	09/17/2020	Inactive	07/02/2021
Surplus Lines	06/02/2021	Inactive	07/02/2021

Company Name	Appointment Type	Status	Active Date
10868
CLEAR BLUE INSURANCE COMPANY	Casualty	Active	08/29/2025
	Property	Active	08/29/2025

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
Assureful, Inc.	Designated Resp Lic Prdcr	Agency	02/15/2025	-
CARIBOU INSURANCE SERVICES, LLC	Designated Resp Lic Prdcr	Agency	02/16/2022	-
ROAM INSURANCE SERVICES, LLC	Designated Resp Lic Prdcr	Agency	11/05/2024	-
KETTLE INSURANCE SERVICES LLC	Designated Resp Lic Prdcr	Agency	07/25/2025	-

1 - 4