DEPARTMENT OF INSURANCE

Affiliations

Name	Bacic, Donald W	DOIID	689444	NAIC NPN	775901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/17/2008	5/31/2027
Active	Non Resident	Agent	Casualty	9/17/2008	5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	8/19/2015
Active	ACE American Insurance Company	300625	Agent - Property	8/19/2015
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	9/4/2020
Active	AGCS Marine Insurance Company	300403	Agent - Property	9/4/2020
Active	American Automobile Insurance Company	300953	Agent - Casualty	6/19/2017
Active	American Automobile Insurance Company	300953	Agent - Property	6/19/2017
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	6/4/2025
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	6/4/2025
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/19/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/19/2015
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/31/2012	4/19/2019
Inactive	Great American Insurance Company	301586	Agent - Property	5/31/2012	4/19/2019
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/19/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	8/19/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/20/2016	6/4/2025
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/20/2016	6/4/2025
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/20/2016	6/4/2025
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/20/2016	6/4/2025
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/19/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/19/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/26/2008	6/4/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/26/2008	6/4/2025
Inactive	West American Insurance Company	301112	Agent - Casualty	8/31/2010	6/4/2025
Inactive	West American Insurance Company	301112	Agent - Property	8/31/2010	6/4/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners Of Washington LLC	862933	Agent - Property	3/1/2022
Active	Assuredpartners Of Washington LLC	862933	Agent - Casualty	3/1/2022
Inactive	MCM Insurance Services , LLC	689441	Agent - Property	10/13/2008	11/19/2015
Inactive	MCM Insurance Services , LLC	689441	Agent - Casualty	10/13/2008	11/19/2015