DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fredricksen, Clayton James	DOIID	1267514	NAIC NPN	11531347

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/7/2023		2/28/2026
Active	Non Resident	Agent	Casualty	4/7/2023		2/28/2026
* 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	Lyndon Southern Insurance Company	609602	Agent - Casualty	1/17/2024
Active	Lyndon Southern Insurance Company	609602	Agent - Property	1/17/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	U.S. Law Shield LLC	1277899	Agent - Casualty	6/2/2023
Active	U.S. Law Shield LLC	1277899	Agent - Property	6/2/2023