DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petcoff, Andrew Daniel	DOIID	1112775	NAIC NPN	16751270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/4/2020		5/31/2025
Active	Non Resident	Agent	Casualty	12/4/2020		5/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/23/2022		5/31/2025
* 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	White Pine Insurance Company	868947	Agent - Casualty	10/31/2022
Active	White Pine Insurance Company	868947	Agent - Property	10/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sycamore Specialty Underwriters LLC	1245678	Agent - Casualty	12/7/2022
Active	Sycamore Specialty Underwriters LLC	1245678	Agent - Property	12/7/2022
Active	Sycamore Specialty Underwriters LLC	1245678	Surplus Lines Broker - Not Applicable	12/7/2022
Active	The Roots Insurance Agency, LLC	1303177	Agent - Casualty	10/5/2023
Active	The Roots Insurance Agency, LLC	1303177	Agent - Property	10/5/2023
Active	Venture Agency Holdings Inc	877277	Agent - Casualty	10/31/2022
Active	Venture Agency Holdings Inc	877277	Agent - Property	10/31/2022
Active	Venture Agency Holdings Inc	877277	Surplus Lines Broker - Not Applicable	10/31/2022