Commonwealth of Puerto Rico Office of the Commissioner of Insurance Report Covered by Category and Line of Authority Corporation - Surplus Lines Broker NAME ADDRESS PHONE NUMBER EMAIL RESIDENT LICENSE NUMBER LINE OF AUTHORITY EXPIRATION DATE A. Maldonado & Asociados, Inc. PMB 359 PO Box 70250 San Juan PR 00936 7877530501 [email protected] Y 13412 1/31/2017 AB RISK SPECIALIST INC. 931 TULLIS ROAD LAWRENCEVILLE GA 30043 7703393559 [email protected] N 100109511 8/11/2017 AEGIS International Insurance Corporation 416 Ponce de Leon Ave. Suite 1701 San Juan PR 00918 7877598715 [email protected] Y 13424 1/31/2017 ALLIANT INS SERVICES INC PO BOX 120670 SAN DIEGO CA 92101-0670 6192381828 [email protected] N 59327 6/25/2017 Amwins Brokerage of New York, Inc. 88 Pine Street 6th Floor New York NY 10005 2128588900 [email protected] N 100103206 3/31/2017 Amwins Brokerage of Texas, Inc. 5910 North Central Expressway Suite 500 Dallas TX 75206 2145283999 [email protected] N 60259 6/30/2016 Anglo Puerto Rican Insurance Corporation PO Box 9023752 San Juan PR 00902 7877214900 [email protected] m Y 13445 10/31/2016 AON Benfield Puerto Rico, Inc. Popular Center 208 Avda. Ponce de Leon - Suite 1017 San Juan PR 00918 7873027002 [email protected] om Y 61296 4/30/2017 Aon Risk Solutions of Puerto Rico, Inc. PO Box 191229 San Juan PR 00919 7877548787 [email protected] Y 13450 5/1/2016 ARC Insurance Group, LLC PMB 456 Road 19 Guaynabo PR 00966 7873978788 [email protected] Y 100101178 4/30/2016 Arieta & Son Assurance Corporation 304 Ponce de Leon Ave. Suite 901 San Juan PR 00918 7876410740 [email protected] Y 13456 6/30/2016 ASSURANT SERVICES OF PUERTO RICO INC PLAZA SCOTIABANK - SUITE 1300 273 AVE. PONCE DE LEON SAN JUAN PR 00919 7872506470 [email protected] om Y 13488 11/10/2016 Balzac & Associates, LLC 161 San Jorge Street Suite 401 San Juan PR 00911 7879932112 [email protected] Y 100101557 6/30/2016 BB&T Insurance Services, Inc. 3605 Glenwood Ave. Suite 201 Raleigh NC 27612 9197169754 [email protected] N 56423 6/30/2016 BENITEZ INS AGENCY INC PO BOX 86 BARRANQUITAS PR 00794 7877634776 [email protected] m Y 13476 1/31/2017 Berkley International Puerto Rico, LLC 530 Avenida de La Constitucion San Juan PR 00901 7872897846 [email protected] Y 100103390 3/31/2017 BHR Risk Services, Inc. Edificio Cobians Plaza Numero 1607 Santurce PR 00918 7877259637 [email protected] Y 57762 6/30/2016 Page 1 of 4 Report Covered by Category and Line of Authority Corporation - Surplus Lines Broker NAME ADDRESS PHONE NUMBER EMAIL RESIDENT LICENSE NUMBER LINE OF AUTHORITY EXPIRATION DATE Bonnet Insurance Brokerage Corporation PO Box 9020602 San Juan PR 00902 7877231950 [email protected] Y 13480 2/28/2017 Carlos M. Benitez, Inc. PMB 272 PO Box 194000 San Juan PR 00919-4000 7877641223 [email protected] m Y 13494 8/31/2016 Carrion, Laffitte & Casellas, Inc. PO Box 195556 San Juan PR 00917 7876412738 magdalena.maldonado@hubinte rnational.com Y 18215 12/31/2016 Christiansen Insurance Group, Inc. PO Box 11992 San Juan PR 00922-1992 7877050707 Y 51915 7/31/2016 Colonial Insurance Agency, Inc. PO Box 192511 San Juan PR 00919 7877547150 [email protected] Y 13510 9/30/2016 Conde Insurance, Inc. P. O. Box 364952 San Juan PR 00936 7877933077 [email protected] Y 61565 5/31/2017 Consuelo Revuelta Insurance Broker, Inc. P. O. Box 40168 Minillas Station San Juan PR 00940 7877584700 [email protected] Y 58528 7/31/2017 CVR Insurance Group, Inc. Edificio Tres Rios Suite 300 27 Ave. Gonzalez Giusti Guaynabo PR 00968 7875220505 [email protected] Y 57993 4/30/2017 Donald P. Pipino Company, Ltd. 7600 Market Street Boardman OH 44512-6078 3307268177 [email protected] N 100101437 6/30/2016 Dual Specialty Underwriters, Inc. 22 Avda. Giusti Ste 222 Guaynabo PR 00968 7877086376 [email protected] Y 56146 9/30/2016 Eastern America Insurance Agency, Inc. PO Box 193900 San Juan PR 00919 7872731288 [email protected] Y 13536 11/30/2016 Edwin I. Rivera Brokers Corp. PO Box 270204 San Juan PR 00927 7872731808 [email protected] Y 58698 3/31/2017 Energi Insurance Services, Inc. 10 Centennial Drive Peabody MA 1960 9785311822 [email protected] N 63997 7/1/2017 Fao Toro, Inc. PO Box 368032 San Juan PR 00936-8032 7877583131 [email protected] Y 13547 1/8/2017 Fedelta Insurance, Corp. PO Box 195562 San Juan PR 00919 7877058547 [email protected] Y 16812 3/31/2017 FirstBank Insurance Agency, Inc. PO Box 9146 San Juan PR 00908-0146 7872924380 [email protected] Y 13558 3/31/2017 Font Insurance, Inc. P. O. Box 1641 San Sebastian PR 00685 7874033332 [email protected] Y 60978 9/30/2016 Page 2 of 4 Report Covered by Category and Line of Authority Corporation - Surplus Lines Broker NAME ADDRESS PHONE NUMBER EMAIL RESIDENT LICENSE NUMBER LINE OF AUTHORITY EXPIRATION DATE Formal Insurance Agency, Inc. PO Box 360815 San Juan PR 00936 7877770740 [email protected] m Y 13560 6/11/2017 Fulcro Insurance, Inc. PO Box 9024048 San Juan PR 00902 7877255880 [email protected] Y 13555 10/30/2016 Garcia Cespedes Insurance, Inc PO Box 191628 San Juan PR 00919 7879987101 garciacespedesinsurance@gmai l.com Y 51425 2/28/2017 General Insurance Brokers, Inc. #1510 Franklin D. Roosevelt Ave. Suite 11B-2 Guaynabo PR 00968-2622 7876251700 [email protected] Y 13572 2/28/2017 Gonzalez & Goenaga, Inc. Apartado 364643 San Juan PR 00936 7877289100 [email protected] Y 13580 4/30/2017 Hub International New England, LLC 299 Ballvardvale St. Wilmington MA 1887 9786616873 marina.bevens@hubinternationa l.com N 60073 6/30/2016 IKON Insurance, Inc. 7876200585 Y 13600 8/31/2016 270 Ave. Munoz Rivera PH-1 San Juan PR 00918 Integrated Assurance Solutions, LLC PMB 292 1353 AVE. LUIS VIGOREAUX Guaynabo PR 00966 7874794477 [email protected] Y 65118 11/30/2015 J. Jaramillo Insurance, Inc. P. O. Box 195357 San Juan PR 00919 7877285555 [email protected] Y 55225 7/31/2016 Jose Ruben Alvarez & Asociados, Inc. Condominio Interamericano 1 Calle Comolly Suite 102 San German PR 00683 7878310000 [email protected] Y 13627 3/31/2017 Key Insurance Agency, Inc. PO Box 70128 San Juan PR 00936 7877810707 Y 13632 6/30/2016 KRAUTER & CO LLC 1350 AVE OF THE AMERICAS 18TH & 19TH FLOOR NEW YORK NY 10019 2125963402 [email protected] N 51069 6/30/2016 Las Vistas Insurance Agency, Corp. PO Box 195585 San Juan PR 00919 7877634010 [email protected] m Y 13635 12/31/2015 Lone Star Insurance Producers, LLC 701 Ponce de Leon Ave. Centro de Seguros Building Suite 313 San Juan PR 00907-3246 7877258881 [email protected] Y 13644 10/31/2016 Luis R. Quinones Insurance Agency, PO Box 192019 San Juan PR 00919 Inc. 7877639936 [email protected] Y 13646 11/30/2016 MAPFRE Insurance Agency of Puerto Rico 7872506500 [email protected] Y 13727 10/31/2016 PO Box 70333 San Juan PR 00936 Page 3 of 4 Report Covered by Category and Line of Authority Corporation - Surplus Lines Broker NAME ADDRESS PHONE NUMBER EMAIL RESIDENT LICENSE NUMBER Y 60038 12/31/2017 LINE OF AUTHORITY EXPIRATION DATE Marcos Feliciano Insurance Group, Inc. P. O. Box 140157 Arecibo PR 00614 7878802157 Marsh Saldana, Inc. PO Box 9023549 San Juan PR 00902 7877212600 [email protected] om Y 13659 10/31/2016 Myriad Benefits Incorporated PO Box 1377 Guaynabo PR 00970 7877655554 [email protected] Y 36524 11/30/2016 Overseas Insurance Agency, Inc. PO Box 71467 San Juan PR 00936 7877833838 [email protected] Y 13695 4/30/2017 Owner's Risk Insurance Management, Inc. PO Box 518 Caguas PR 00726 7876530222 [email protected] Y 13696 8/31/2016 Popular Insurance LLC PO Box 70331 San Juan PR 00936 7877064111 [email protected] Y 13712 2/28/2017 Popular Risk Services LLC Apartado 71390 San Juan PR 00936 7877064111 [email protected] Y 13593 8/31/2016 PROCTOR FINANCIAL INC 5225 CROOKS RD. TROY MI 48098-2823 2482695700 [email protected] N 100104573 8/27/2017 RE Zequeira & Asociados, Inc. PO Box 9023392 San Juan PR 00902 7877275035 [email protected] Y 13740 1/31/2017 Seguros Lineas Especiales, Inc. PMB 130 #1353 Carretera 19 Guaynabo PR 00966 7875024898 [email protected] Y 59195 7/31/2016 Seguros N. Colon, Inc. PO Box 1267 Aibonito PR 00705 7877358031 [email protected] Y 13772 1/31/2017 Socius Insurance Services, Inc. 301 Howard Street Suite 1030 San Francisco CA 94105 4157780310 [email protected] N 100102207 6/30/2016 Swett & Crawford Group, Inc. 3350 Riverwood Parkway SE Suite 1100 Atlanta GA 30339 2134393400 [email protected] N 57944 6/30/2016 Triple-S Insurance Agency, Inc. PO Box 360838 San Juan PR 00936 7877814000 [email protected] Y 13779 4/30/2016 V.M.O. & Associates, Inc. PO Box 1717 Guaynabo PR 00970 7877081440 [email protected] Y 58147 3/31/2017 Vela Insurance, Corp. PO Box 11645 San Juan PR 00922-1645 7877200800 [email protected] Y 100100147 12/2/2015 Vidal & Rodriguez, Inc. Cond. Capital Center - Suite 501 Ave. Arterial Hostos 239 Torre Sur San Juan PR 00918 7877517610 [email protected] Y 13829 10/31/2016 Wells Fargo Insurance Services USA, Inc. 6100 Fairview Road Suite 1400, MAC D1067-140 Charlotte NC 28210 7045430258 [email protected] N 100101571 6/30/2016 Page 4 of 4
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