Agency Information

PRICE FORBES MIAMI INC

Address:

800 BRICKELL AVENUE

MIAMI, FL 33131

Phone

305-537-4013

URL:

Email:

marianamulic@priceforbes.com

National Producer Number:

17994080

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3634651	02/10/2021	Active	02/10/2021	02/28/2027
Non-Res. Surplus Lines Broker	3637787	02/22/2021	Active	02/22/2021	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/10/2021	Active	02/10/2021
Property	02/10/2021	Active	02/10/2021
Surplus Lines	02/22/2021	Active	02/22/2021

Company Name	Appointment Type	Status	Active Date
352
JEWELERS MUTUAL INSURANCE COMPANY, SI	Casualty	Active	04/27/2022
	Property	Active	04/27/2022

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
PAUL DAVID COHEN	Designated Resp Lic Prdcr	No	02/10/2021	-

1 - 1