DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Andre	DOIID	1041070	NAIC NPN	19166141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	5/20/2019	11/30/2021
* 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
Inactive	Bristol West Insurance Company	301655	Agent - Personal Lines	5/22/2019	6/19/2019
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Personal Lines	11/14/2019	12/16/2019
Inactive	Safe Auto Insurance Company	300419	Agent - Personal Lines	5/12/2020	5/28/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	5/23/2019	6/19/2019
Inactive	Safe Auto Group Agency Inc	557065	Agent - Personal Lines	5/27/2020	5/28/2020