Individual Information

LARRY JOHN SIMONS

Address:

CARMEL, IN 46032-1739

Status:

Active

Email:

larry.simons@assuredpartners.com

Date:

09/01/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3100301	09/01/2015	Active	09/01/2015	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/01/2015	Active	09/01/2015
Property	09/01/2015	Active	09/01/2015
Surplus Lines	01/12/2016	Inactive	07/01/2021

Company Name	Appointment Type	Status	Active Date
608
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	05/29/2020
	Property	Active	05/29/2020
4
Company Name	Appointment Type	Status	Active Date
TRAVELERS CASUALTY AND SURETY COMPANY	Casualty	Active	05/29/2020
	Property	Active	05/29/2020

row(s) 1 - 4 of 4

Organization	Association Type	Type	Beg dte	End dte
ASSUREDPARTNERS OF INDIANA LLC	Designated Resp Lic Prdcr	Agency	03/20/2020	-

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