Individual Information

ANDREW BASS

NEW YORK, NY 10004-2261

Active

rbooth@haskellbrokerage.com

10/07/2005

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	209824	10/07/2005	Active	10/07/2005	10/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/07/2005	Active	10/07/2005
Property	10/07/2005	Active	10/07/2005

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Casualty	Active	04/08/2022
	Property	Active	04/08/2022
97
Company Name	Appointment Type	Status	Active Date
AUTOMOBILE INSURANCE COMPANY OF HARTFORD CONNECTICUT (THE)	Casualty	Active	05/29/2020
	Property	Active	05/29/2020
852
Company Name	Appointment Type	Status	Active Date
BANKERS STANDARD INSURANCE COMPANY	Casualty	Active	04/08/2022
	Property	Active	04/08/2022
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Casualty	Active	04/08/2022
	Property	Active	04/08/2022
1233
Company Name	Appointment Type	Status	Active Date
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA	Casualty	Active	04/08/2022
	Property	Active	04/08/2022
508
Company Name	Appointment Type	Status	Active Date
PACIFIC EMPLOYERS INSURANCE COMPANY	Casualty	Active	04/08/2022
	Property	Active	04/08/2022
708
Company Name	Appointment Type	Status	Active Date
VIGILANT INSURANCE COMPANY	Casualty	Active	04/08/2022
	Property	Active	04/08/2022

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
HASKELL BROKERAGE CORP	Designated Resp Lic Prdcr	Agency	09/16/2020	-

1 - 1