DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Jose D	DOIID	335107	NAIC NPN	2425606

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/14/2022
Inactive	Non Resident	Agent	Property	8/15/2000	9/14/2022
Inactive	Non Resident	Agent	General Lines	5/18/1999	8/15/2000
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/4/2013	9/14/2022
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/26/2008	9/14/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	6/26/2008	9/14/2022
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/23/2008	9/14/2022
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/23/2008	9/14/2022
Inactive	Arch Insurance Company	300688	Agent - Casualty	11/11/2019	9/14/2022
Inactive	Arch Insurance Company	300688	Agent - Property	11/11/2019	9/14/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	9/14/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	5/18/1999	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	9/14/2022
Inactive	Markel American Insurance Company	300377	Agent - Casualty	4/4/2011	9/14/2022
Inactive	Markel American Insurance Company	300377	Agent - Property	4/4/2011	9/14/2022
Inactive	Markel Insurance Company	301475	Agent - Casualty	1/12/2011	9/14/2022
Inactive	Markel Insurance Company	301475	Agent - Property	1/12/2011	9/14/2022
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/11/2018	9/14/2022
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/11/2018	9/14/2022
Inactive	Navigators Insurance Company	301312	Agent - Casualty	4/12/2006	9/14/2022
Inactive	Navigators Insurance Company	301312	Agent - Property	4/12/2006	9/14/2022
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/26/2001	9/5/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/26/2001	9/5/2019
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/26/2008	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	9/14/2022
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/26/2008	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	9/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Placement Services Inc	509419	Agent - Property	7/12/2018	9/14/2022
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	7/12/2018	9/14/2022
Inactive	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	7/12/2018	9/14/2022
Inactive	U S Excess & Surplus Lines Ins Agcy Inc	683150	Agent - Property	7/29/2008	7/17/2018
Inactive	U S Excess & Surplus Lines Ins Agcy Inc	683150	Agent - Casualty	7/29/2008	7/17/2018
Inactive	U S Excess & Surplus Lines Ins Agcy Inc	683150	Surplus Lines Broker - Not Applicable	11/12/2013	9/14/2022