DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rickey, Bradley William	DOIID	1252582	NAIC NPN	8567992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/23/2023		7/31/2026
Active	Non Resident	Agent	Casualty	1/23/2023		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/21/2023		7/31/2026
* 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	05/15/2026	07/31/2026
Surplus Lines Broker	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	3/20/2023	7/16/2025
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	3/20/2023	7/16/2025
Inactive	National Surety Corporation	300087	Agent - Casualty	3/20/2023	7/16/2025
Inactive	National Surety Corporation	300087	Agent - Property	3/20/2023	7/16/2025
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	2/14/2024	6/21/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	2/14/2024	6/21/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AO 1 Inc	1324122	Agent - Casualty	2/14/2024
Active	AO 1 Inc	1324122	Agent - Property	2/14/2024
Inactive	Crc Insurance Services, LLC	502276	Agent - Casualty	5/16/2024	7/16/2025
Inactive	Crc Insurance Services, LLC	502276	Agent - Property	5/16/2024	7/16/2025
Active	Crc Insurance Services, LLC	502276	Surplus Lines Broker - Not Applicable	5/16/2024
Active	Performance Insurance Services Inc	613821	Agent - Casualty	2/28/2024
Active	Performance Insurance Services Inc	613821	Agent - Property	2/28/2024
Inactive	Performance Insurance Services Inc	613821	Surplus Lines Broker - Not Applicable	2/28/2024	3/31/2025