Individual Information

CYNTHIA LEE LA MANTIA

ROLLING MEADOWS, IL 60008-4050

Active

cindy_lamantia@ajg.com

07/11/2006

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	222845	07/11/2006	Active	07/11/2006	07/31/2024
Non-Res. Surplus Lines Broker	519582	12/29/2006	Active	12/29/2006	12/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/11/2006	Active	07/11/2006
Property	07/11/2006	Active	07/11/2006
Surplus Lines	12/29/2006	Active	08/14/2014
Casualty	12/08/1997	Inactive	01/01/2001
Property	12/08/1997	Inactive	01/01/2001

Company Name	Appointment Type	Status	Active Date
1634
ACCREDITED SURETY AND CASUALTY COMPANY INC	Casualty	Active	08/18/2022
	Property	Active	08/18/2022
1124
Company Name	Appointment Type	Status	Active Date
AGCS MARINE INSURANCE COMPANY	Casualty	Active	08/01/2018
	Property	Active	08/01/2018
757
Company Name	Appointment Type	Status	Active Date
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY	Casualty	Active	07/18/2017
	Property	Active	07/18/2017
28
Company Name	Appointment Type	Status	Active Date
AMERICAN AUTOMOBILE INSURANCE COMPANY	Casualty	Active	04/21/2022
	Property	Active	04/21/2022
132816
Company Name	Appointment Type	Status	Active Date
BLACKBOARD INSURANCE COMPANY	Casualty	Active	08/17/2017
	Property	Active	08/17/2017
454
Company Name	Appointment Type	Status	Active Date
NATIONAL SURETY CORPORATION	Casualty	Active	01/03/2017
	Property	Active	01/03/2017

row(s) 1 - 12 of 12

Organization	Association Type	Type	Beg dte	End dte
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES INC	Designated Resp Lic Prdcr	Agency	05/03/2020	-

1 - 1