DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amos, Mario Fabricio	DOIID	1184652	NAIC NPN	18222129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	1/25/2022		6/30/2024
Pending Replacement	Non Resident	Agent	Property	1/25/2022		6/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	3/3/2022	3/3/2023
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	3/3/2022	3/3/2023
Inactive	Milbank Insurance Company	925185	Agent - Casualty	8/11/2022	3/6/2023
Inactive	Milbank Insurance Company	925185	Agent - Property	8/11/2022	3/6/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/4/2022	3/3/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/4/2022	3/3/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/2/2022	3/3/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/2/2022	3/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Casualty	3/3/2022	3/6/2023
Inactive	Awl Insurance Agency Inc	945504	Agent - Property	3/3/2022	3/6/2023