DEPARTMENT OF INSURANCE

Affiliations

Name	Romero, David Brian	DOIID	334496	NAIC NPN	1965557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	6/30/2019
Inactive	Non Resident	Agent	General Lines	11/13/1998	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	6/30/2019
* 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 Modern Home Insurance Company	300791	Agent - Casualty	12/15/2014	6/30/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/15/2014	6/30/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/22/2014	6/30/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/22/2014	6/30/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/15/2014	6/30/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/15/2014	6/30/2019
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/31/2001	12/30/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/31/2001	12/30/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/26/2017	5/16/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/26/2017	5/16/2018
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/30/2014	1/25/2018
Inactive	Homesite Insurance Company	301139	Agent - Property	4/30/2014	1/25/2018
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/13/2017	1/25/2018
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/13/2017	1/25/2018
Inactive	LM General Insurance Company	300133	Agent - General Lines	1/28/1999	5/14/1999
Inactive	LM Property and Casualty Insurance Company	301658	Agent - General Lines	11/13/1998	5/14/1999
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/15/2000	12/30/2009
Inactive	Liberty Insurance Corporation	300444	Agent - General Lines	8/10/1999	8/15/2000
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/15/2000	12/30/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/15/2000	12/30/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - General Lines	8/10/1999	8/15/2000
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/15/2000	12/30/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/5/2007	12/30/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/5/2007	12/30/2009
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	11/1/2017	1/25/2018
Inactive	Midvale Indemnity Company	300292	Agent - Property	11/1/2017	1/25/2018
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/15/2012	7/8/2013
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/15/2012	7/8/2013
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	3/25/1999	5/18/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/25/1999	5/18/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	3/25/1999	5/18/2000
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/19/2014	7/8/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/19/2014	7/8/2014
Inactive	Tesla Insurance Company	300337	Agent - Casualty	10/26/2010	11/27/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	10/26/2010	11/27/2012
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	10/26/2010	11/18/2011
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	10/26/2010	11/18/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	10/28/2010	4/27/2011
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	10/28/2010	4/27/2011
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	6/1/2011	7/8/2013
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	6/1/2011	7/8/2013