DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gouwens, Patrick Robert	DOIID	374260	NAIC NPN	7202027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/4/2000	3/8/2005
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	5/10/1999	4/4/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	9/12/2023		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	1/5/2011	7/31/2014
Inactive	CNA Claimplus, Inc	569456	Adjuster - Independent	5/13/2003	3/8/2005
Inactive	Continental Casualty Company	301019	Adjuster - Independent	4/4/2000	3/8/2005
Active	Private Client Select Insurance Services LLC	1242047	Independent Adjuster - Property & Casualty	12/13/2023

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beard, Deonne Lynise	583067	Apprentice Adjuster - Not Applicable	1/15/2004	2/27/2004
Inactive	Brewer, Paula Kathryn	561896	Apprentice Adjuster - Not Applicable	12/18/2002	2/7/2003
Inactive	Cephus, Carl E	557118	Apprentice Adjuster - Not Applicable	10/15/2002	2/7/2003
Inactive	Evans, Mary Rita	583063	Apprentice Adjuster - Not Applicable	1/15/2004	2/27/2004
Inactive	Graziano, Janice Linda	557119	Apprentice Adjuster - Not Applicable	11/1/2002	2/7/2003
Inactive	Hennessy, Timothy Robert	561894	Apprentice Adjuster - Not Applicable	12/18/2002	3/21/2003
Inactive	Lamberti, Greg	561895	Apprentice Adjuster - Not Applicable	12/18/2002	2/7/2003
Inactive	Siemers, Arthur A	583287	Apprentice Adjuster - Not Applicable	1/20/2004	3/5/2004
Inactive	Skeggs, Melissa Maren	583731	Apprentice Adjuster - Not Applicable	1/27/2004	2/27/2004
Inactive	Stafford, Jennifer	556857	Apprentice Adjuster - Not Applicable	10/10/2002	2/7/2003

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Lewis R	308647	Apprentice Adjuster - Not Applicable	5/10/1999	4/4/2000