Individual Information

THOMAS A PASQUALE

BINGHAMTON, NY 13901-3110

Active

producerlicensing@amyntagroup.com

04/04/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3149223	04/04/2016	Active	04/04/2016	04/30/2025
Non-Res. Surplus Lines Broker	3577085	09/09/2020	Active	03/24/2023	03/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/04/2016	Active	04/04/2016
Property	04/04/2016	Active	04/04/2016
Surplus Lines	09/09/2020	Active	03/24/2023

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Casualty	Active	06/05/2023
	Property	Active	06/05/2023
151
Company Name	Appointment Type	Status	Active Date
COREPOINTE INSURANCE COMPANY	Casualty	Active	10/29/2021
	Property	Active	10/29/2021
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
603
Company Name	Appointment Type	Status	Active Date
SOUTHERN INSURANCE COMPANY	Casualty	Active	10/29/2021
	Property	Active	10/29/2021
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	09/30/2021
	Property	Active	09/30/2021
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	09/30/2021
	Property	Active	09/30/2021

row(s) 1 - 18 of 18

Organization	Association Type	Type	Beg dte	End dte
Amynta P&C, LLC	Designated Resp Lic Prdcr	Agency	11/15/2023	-
TOTAL PROGRAM MANAGEMENT LLC	Designated Resp Lic Prdcr	Agency	07/07/2021	-
ORYX INS BROKERAGE INC	Designated Resp Lic Prdcr	Agency	02/17/2021	-

1 - 3