DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Foundation Surety & Insurance Solutions, Lp	DOIID	1146940	NAIC NPN	19993901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/30/2021	3/21/2024
Inactive	Non Resident	Agent	Property	7/30/2021	3/21/2024
* 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	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	6/15/2022	3/21/2024
Inactive	Merchants National Bonding Inc.	787525	Agent - Casualty	6/15/2022	3/21/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gibbs, Peter Charles	1192492	Agent - Casualty	6/10/2022	3/21/2024
Denied	Gibbs, Peter Charles	1192492	Agent - Property
Inactive	Johansson, Erik Kent	963470	Agent - Casualty	7/30/2021	3/21/2024
Inactive	Johansson, Erik Kent	963470	Agent - Property	7/30/2021	3/21/2024