DEPARTMENT OF INSURANCE

Affiliations

Name	Reliance Risk Solutions LLC	DOIID	1070078	NAIC NPN	19371116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/8/2020	3/31/2026
Active	Non Resident	Agent	Casualty	1/8/2020	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/8/2020	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	5/6/2020
Active	ACE American Insurance Company	300625	Agent - Property	5/6/2020
Active	AIG Property Casualty Company	300621	Agent - Casualty	7/30/2020
Active	AIG Property Casualty Company	300621	Agent - Property	7/30/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/4/2020	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/4/2020	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/4/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/4/2020
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	5/6/2020
Active	Bankers Standard Insurance Company	301620	Agent - Property	5/6/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	5/6/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	5/6/2020
Active	Chubb National Insurance Company	301392	Agent - Casualty	5/6/2020
Active	Chubb National Insurance Company	301392	Agent - Property	5/6/2020
Active	Federal Insurance Company	301144	Agent - Casualty	5/6/2020
Active	Federal Insurance Company	301144	Agent - Property	5/6/2020
Active	Great Northern Insurance Company	301107	Agent - Casualty	5/6/2020
Active	Great Northern Insurance Company	301107	Agent - Property	5/6/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/6/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/6/2020
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	5/6/2020
Active	Pacific Employers Insurance Company	301753	Agent - Property	5/6/2020
Active	Pacific Indemnity Company	301610	Agent - Casualty	5/6/2020
Active	Pacific Indemnity Company	301610	Agent - Property	5/6/2020
Active	Vigilant Insurance Company	301143	Agent - Casualty	5/6/2020
Active	Vigilant Insurance Company	301143	Agent - Property	5/6/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Kountz, Paul D	1069110	Agent - Casualty	1/8/2020
Active	Kountz, Paul D	1069110	Agent - Property	1/8/2020
Active	Kountz, Paul D	1069110	Surplus Lines Broker - Not Applicable	1/8/2020