Individual Information

NICHOLAS BOZZO

Address:

FAIRFIELD, NJ 07004-2137

Status:

Active

Email:

nbozzo@crcgroup.com

Date:

01/13/2010

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	683273	01/13/2010	Active	01/13/2010	01/31/2028
Non-Res. Surplus Lines Broker	694260	04/12/2010	Active	04/12/2010	04/30/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/13/2010	Active	01/13/2010
Property	01/13/2010	Active	01/13/2010
Surplus Lines	04/12/2010	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1342
ARCH INSURANCE COMPANY	Casualty	Active	05/24/2016
	Property	Active	05/24/2016
438
Company Name	Appointment Type	Status	Active Date
NATIONAL CASUALTY COMPANY	Casualty	Active	03/10/2010
	Property	Active	03/10/2010
1730
Company Name	Appointment Type	Status	Active Date
SCOTTSDALE INDEMNITY COMPANY	Casualty	Active	03/10/2010
	Property	Active	03/10/2010
657
Company Name	Appointment Type	Status	Active Date
TWIN CITY FIRE INSURANCE COMPANY	Casualty	Active	07/10/2018
	Property	Active	07/10/2018

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
AMERICAN TAX PREPARERS PURCHASING GROUP	Risk Purchasing Grp-Agnt/Brkr	Company	08/18/2014	-

1 - 1