Agency Information

BELPOINTE SPECIALTY INSURANCE LLC

255 GLENVILLE RD

GREENWICH, CT 06831

203-622-6006

pfaranova@belpointe.com

17179694

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3161683	05/31/2016	Active	05/31/2016	05/31/2025
Non-Res. Surplus Lines Broker	3409966	01/23/2019	Active	01/23/2019	01/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/31/2016	Active	05/31/2016
Property	05/31/2016	Active	05/31/2016
Surplus Lines	01/23/2019	Active	01/23/2019

Company Name	Appointment Type	Status	Active Date
1709
CHUBB INDEMNITY INSURANCE COMPANY	Casualty	Active	04/25/2018
	Property	Active	04/25/2018
1752
Company Name	Appointment Type	Status	Active Date
CHUBB NATIONAL INSURANCE COMPANY	Casualty	Active	04/25/2018
	Property	Active	04/25/2018
187
Company Name	Appointment Type	Status	Active Date
CONTINENTAL CASUALTY COMPANY	Casualty	Active	12/04/2023
	Property	Active	12/04/2023
1610
Company Name	Appointment Type	Status	Active Date
EXECUTIVE RISK INDEMNITY INCORPORATED	Casualty	Active	04/25/2018
	Property	Active	04/25/2018
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Casualty	Active	03/14/2018
	Property	Active	03/14/2018
1513
Company Name	Appointment Type	Status	Active Date
GENERAL CASUALTY COMPANY OF WISCONSIN	Casualty	Active	12/03/2019
	Property	Active	12/03/2019
292
Company Name	Appointment Type	Status	Active Date
GREAT NORTHERN INSURANCE COMPANY	Casualty	Active	04/25/2018
	Property	Active	04/25/2018
119026
Company Name	Appointment Type	Status	Active Date
NORTH POINTE INSURANCE COMPANY	Casualty	Active	01/31/2022
	Property	Active	01/31/2022
510
Company Name	Appointment Type	Status	Active Date
PACIFIC INDEMNITY COMPANY	Casualty	Active	03/14/2018
	Property	Active	03/14/2018
1514
Company Name	Appointment Type	Status	Active Date
REGENT INSURANCE COMPANY	Casualty	Active	12/03/2019
	Property	Active	12/03/2019
708
Company Name	Appointment Type	Status	Active Date
VIGILANT INSURANCE COMPANY	Casualty	Active	03/14/2018
	Property	Active	03/14/2018

row(s) 1 - 22 of 22

Name	Association Type	Agent	Begin Date	End Date
BENEDICT CHRISTOPHER GILBERT	Designated Resp Lic Prdcr	Yes	11/19/2020	-

1 - 1