Agency Information

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	9791	10/01/2001	Active	10/01/2001	02/28/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001

Company Name	Appointment Type	Status	Active Date
209
EMPIRE FIRE & MARINE INSURANCE COMPANY	Casualty	Active	02/16/2001
	Property	Active	02/16/2001
1613
Company Name	Appointment Type	Status	Active Date
NATIONAL INTERSTATE INSURANCE COMPANY	Casualty	Active	02/12/2014
	Property	Active	02/12/2014

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
CYNTHIA MARY ELBERT	Designated Resp Lic Prdcr	Yes	07/01/2021	-

1 - 1