In addition to any other records requirements under this chapter, a surplus lines broker shall maintain in organized form a complete record including


(1) the amount of insurance and perils insured;


(2) a complete description of property insured and the location of the property;


(3) gross premium charged;


(4) a return premium paid;


(5) the rate of premium charged upon the several items of property;


(6) the effective date of the contract and the terms of the contract;


(7) the name and address of the insured;


(8) the name and address of the insurer;


(9) the amount of tax and other sums to be collected from the insured;


(10) the allocation of taxes by state under AS 21.34.180
;


(11) evidence of insurance issued in compliance with AS 21.34.100
;


(12) the identity and license number of the producing broker;


(13) any confirming correspondence from the insurer or the representative of the insurer; and


(14) the application.