Individual Information

WILLIAM MARTIN

Address:

SAINT LOUIS, MO 63146-3224

Status:

Active

Email:

bill.martin@gua-stl.com

Date:

07/19/2012

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	829642	07/19/2012	Active	07/19/2012	07/31/2027
Non-Res. Surplus Lines Broker	838211	09/07/2012	Active	09/07/2012	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/30/2012	Active	07/30/2012
Property	07/19/2012	Active	07/19/2012
Surplus Lines	09/07/2012	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
693
UNITED STATES LIABILITY INSURANCE COMPANY	Casualty	Active	08/30/2012
	Property	Active	08/30/2012

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
GATEWAY UNDERWRITERS AGCY INC	Designated Resp Lic Prdcr	Agency	09/15/2020	-

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