Individual Information

MARK A BROSTOWITZ

Address:

DAYTONA BEACH, FL 32124-3783

Status:

Active

Email:

compliance@amba.info

Date:

11/13/2007

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	569339	11/13/2007	Active	11/13/2007	11/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	11/13/2007	Active	11/13/2007
Property	11/13/2007	Active	11/13/2007

Company Name	Appointment Type	Status	Active Date
1345
EVEREST NATIONAL INSURANCE COMPANY	Casualty	Active	10/11/2023
	Property	Active	10/11/2023
287
Company Name	Appointment Type	Status	Active Date
GRANITE STATE INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
1507
Company Name	Appointment Type	Status	Active Date
ILLINOIS NATIONAL INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Casualty	Active	09/19/2023
	Property	Active	09/19/2023
466
Company Name	Appointment Type	Status	Active Date
NEW HAMPSHIRE INSURANCE COMPANY	Casualty	Active	09/19/2023
	Property	Active	09/19/2023

row(s) 1 - 10 of 10

Organization	Association Type	Type	Beg dte	End dte
FINANCIAL SERVICES PROFESSIONAL RISK PURCHASING GROUP	Risk Purchasing Grp-Agnt/Brkr	Company	01/15/2014	-
AMERICAN HEALTH CARE PROFESSIONS PG ASSOCIATION	Risk Purchasing Grp-Agnt/Brkr	Company	01/15/2014	-
HEALTH CARE PROFESSIONS PURCHASING GROUP ASSOCIATION	Risk Purchasing Grp-Agnt/Brkr	Company	01/15/2014	-
NURSES PURCHASING GROUP ASSOCIATION, INC.	Risk Purchasing Grp-Agnt/Brkr	Company	01/15/2014	-
ASSOCIATIONS & PROFESSIONALS GENERAL LIABILITY PURCHASING GROUP	Risk Purchasing Grp-Agnt/Brkr	Company	01/15/2014	-
AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS RPG	Risk Purchasing Grp-Agnt/Brkr	Company	01/15/2014	-

1 - 6