DEPARTMENT OF INSURANCE
Affiliations
NameDacosta, David DOIID1180825NAIC NPN16805567
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty1/3/2022 6/30/2026
ActiveNon ResidentAgentCasualty1/3/2022 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGreat West Casualty Company301015Agent - Casualty1/25/2022 
ActiveGreat West Casualty Company301015Agent - Property1/25/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcrisure LLC696181Agent - Casualty2/3/202212/23/2024
InactiveAcrisure LLC696181Agent - Property2/3/202212/23/2024
ActiveAcrisure South Insurance Services LLC1272242Agent - Casualty12/23/2024 
ActiveAcrisure South Insurance Services LLC1272242Agent - Property12/23/2024 

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