Individual Information

MARK ALLEN IVERSON

Address:

SAN DIEGO, CA 92128-8104

Status:

Active

Email:

mark.iverson@amwins.com

Date:

09/22/2008

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	616883	09/22/2008	Active	09/22/2008	09/30/2026
Non-Res. Surplus Lines Broker	3124284	11/24/2015	Active	11/24/2015	11/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/22/2008	Active	09/22/2008
Property	09/22/2008	Active	09/22/2008
Surplus Lines	11/24/2015	Active	11/24/2015

Company Name	Appointment Type	Status	Active Date
444
NATIONAL INDEMNITY COMPANY	Casualty	Active	07/20/2022
	Property	Active	07/20/2022
969
Company Name	Appointment Type	Status	Active Date
NATIONAL LIABILITY AND FIRE INSURANCE COMPANY	Casualty	Active	07/20/2022
	Property	Active	07/20/2022
1566
Company Name	Appointment Type	Status	Active Date
NORTHLAND CASUALTY COMPANY	Casualty	Active	05/29/2020
	Property	Active	05/29/2020
485
Company Name	Appointment Type	Status	Active Date
NORTHLAND INSURANCE COMPANY	Casualty	Active	05/29/2020
	Property	Active	05/29/2020

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
AMWINS TRANSPORTATION INC	Designated Resp Lic Prdcr	Agency	03/25/2020	-
LuxTrans RPG Inc	Risk Purchasing Grp-Agnt/Brkr	Company	01/30/2017	-

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