DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bourgoin, Nicholas G	DOIID	1231323	NAIC NPN	20468192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/21/2022		4/30/2025
Active	Non Resident	Agent	Casualty	9/21/2022		4/30/2025
* 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
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	10/17/2022	11/2/2022
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	10/17/2022	11/2/2022
Active	Continental Casualty Company	301019	Agent - Casualty	10/17/2022
Active	Continental Casualty Company	301019	Agent - Property	10/17/2022
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	10/17/2022	11/2/2022
Inactive	Continental Insurance Company (The)	301242	Agent - Property	10/17/2022	11/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Casualty	10/17/2022
Active	Paychex Insurance Agency Inc	509469	Agent - Property	10/17/2022