Individual Information

LISA BROWN MONTGOLF

BIRMINGHAM, AL 35259

Active

agentlicensing@picagroup.com

04/27/2011

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	752043	04/27/2011	Active	04/27/2011	04/30/2026
Non-Res. Surplus Lines Broker	754970	05/16/2011	Active	05/16/2011	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/27/2011	Active	04/27/2011
Health	04/27/2011	Active	04/27/2011
Life	04/27/2011	Active	04/27/2011
Property	04/27/2011	Active	04/27/2011
Surplus Lines	05/16/2011	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1201
FIDELITY AND GUARANTY INSURANCE COMPANY	Casualty	Active	11/16/2021
	Property	Active	11/16/2021
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	09/25/2015
	Property	Active	09/25/2015
469
Company Name	Appointment Type	Status	Active Date
HARTFORD UNDERWRITERS INSURANCE COMPANY	Casualty	Active	08/20/2020
	Property	Active	08/20/2020
367
Company Name	Appointment Type	Status	Active Date
LIBERTY MUTUAL INSURANCE COMPANY	Casualty	Active	05/09/2024
	Property	Active	05/09/2024
1525
Company Name	Appointment Type	Status	Active Date
NORCAL INSURANCE COMPANY	Casualty	Active	08/29/2022
492
Company Name	Appointment Type	Status	Active Date
OHIO CASUALTY INSURANCE COMPANY, THE	Casualty	Active	05/09/2024
	Property	Active	05/09/2024
1622
Company Name	Appointment Type	Status	Active Date
PROASSURANCE INDEMNITY COMPANY INC	Casualty	Active	12/13/2023
1608
Company Name	Appointment Type	Status	Active Date
PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD	Casualty	Active	10/27/2024
	Property	Active	10/27/2024
584
Company Name	Appointment Type	Status	Active Date
ST PAUL FIRE AND MARINE INSURANCE COMPANY	Casualty	Active	10/24/2022
	Property	Active	10/24/2022
651
Company Name	Appointment Type	Status	Active Date
TRAVELERS INDEMNITY COMPANY OF AMERICA (THE)	Casualty	Active	11/16/2021
	Property	Active	11/16/2021
657
Company Name	Appointment Type	Status	Active Date
TWIN CITY FIRE INSURANCE COMPANY	Casualty	Active	01/08/2019
	Property	Active	01/08/2019

row(s) 1 - 20 of 20

Organization	Association Type	Type	Beg dte	End dte
PROASSURANCE AGENCY	Designated Resp Lic Prdcr	Agency	08/25/2023	-

1 - 1