DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Thomas	DOIID	383187	NAIC NPN	363310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		2/28/2026
Active	Resident	Agent	Casualty	8/15/2000		2/28/2026
Inactive	Resident	Agent	General Lines	2/26/1988	8/15/2000
Active	Resident	Surplus Lines Broker	Not Applicable	7/28/2020		2/28/2026
* 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	12/15/2025	02/28/2026
Surplus Lines Broker	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acadia Insurance Company	557871	Agent - Casualty	6/20/2006	6/20/2012
Inactive	Acadia Insurance Company	557871	Agent - Property	6/20/2006	6/20/2012
Inactive	Addison Insurance Company	874810	Agent - Casualty	9/7/2018	10/18/2021
Inactive	Addison Insurance Company	874810	Agent - Property	9/7/2018	10/18/2021
Inactive	Allegheny Casualty Company	545740	Agent - Casualty	6/6/2017	12/22/2020
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/27/2015
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/27/2015
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/27/2015
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/27/2015
Active	American Automobile Insurance Company	300953	Agent - Casualty	7/14/2011
Active	American Automobile Insurance Company	300953	Agent - Property	7/14/2011
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	10/12/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	10/12/1989	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	10/12/2010
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/27/2022
Active	American Fire and Casualty Company	300567	Agent - Casualty	9/21/2007
Active	American Fire and Casualty Company	300567	Agent - Property	9/21/2007
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/23/2002	4/28/2006
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/23/2002	4/28/2006
Inactive	American Home Assurance Company	300246	Agent - Casualty	12/18/2000	4/28/2006
Inactive	American Home Assurance Company	300246	Agent - Property	12/18/2000	4/28/2006
Inactive	American Select Insurance Company	301229	Agent - Casualty	9/24/2008	9/1/2009
Inactive	American Select Insurance Company	301229	Agent - Property	9/24/2008	9/1/2009
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/23/2002	4/28/2006
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/23/2002	4/28/2006
Active	Amerisure Insurance Company	300298	Agent - Casualty	6/20/2016
Active	Amerisure Insurance Company	300298	Agent - Property	6/20/2016
Active	Amerisure Mutual Insurance Company	301576	Agent - Casualty	6/20/2016
Active	Amerisure Mutual Insurance Company	301576	Agent - Property	6/20/2016
Active	Amerisure Partners Insurance Company	760791	Agent - Casualty	6/20/2016
Active	Amerisure Partners Insurance Company	760791	Agent - Property	6/20/2016
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	4/14/2011	5/18/2016
Inactive	Ansur America Insurance Company	520667	Agent - Property	4/14/2011	5/18/2016
Active	Arch Insurance Company	300688	Agent - Casualty	8/3/2018
Active	Arch Insurance Company	300688	Agent - Property	8/3/2018
Inactive	Assurance Company of America	300432	Agent - Casualty	8/23/2002	4/28/2006
Inactive	Assurance Company of America	300432	Agent - General Lines	10/28/1994	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	8/23/2002	4/28/2006
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	10/13/2000	4/28/2006
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	10/13/2000	4/28/2006
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	10/25/2000	4/28/2006
Inactive	BITCO National Insurance Company	301366	Agent - Property	10/25/2000	4/28/2006
Inactive	Berkley Regional Insurance Company	300920	Agent - Casualty	5/20/2005	4/28/2006
Inactive	Berkley Regional Insurance Company	300920	Agent - Property	5/20/2005	4/28/2006
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/12/2019
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	5/3/2005	8/15/2013
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	5/3/2005	8/15/2013
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	5/20/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	5/20/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	5/20/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	5/20/2021
Active	Cincinnati Insurance Company	301298	Agent - Casualty	5/20/2021
Active	Cincinnati Insurance Company	301298	Agent - Property	5/20/2021
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	12/18/2000	4/28/2006
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	12/18/2000	4/28/2006
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/2/2006	4/28/2006
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/2/2006	4/28/2006
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	10/12/2010
Inactive	Continental Casualty Company	301019	Agent - General Lines	10/12/1989	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	10/12/2010
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	8/2/1989	8/15/2000
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	6/20/2006	6/20/2012
Inactive	Continental Western Insurance Company	300576	Agent - Property	6/20/2006	6/20/2012
Active	Contractors Bonding and Insurance Company	300184	Agent - Casualty	10/14/2021
Active	Contractors Bonding and Insurance Company	300184	Agent - Property	10/14/2021
Inactive	Cumberland Casualty & Surety Company	301881	Agent - Casualty	8/15/2000	3/31/2004
Inactive	Cumberland Casualty & Surety Company	301881	Agent - General Lines	2/24/2000	8/15/2000
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/24/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/24/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015
Active	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/15/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/15/2018
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	1/19/2007
Active	Employers Mutual Casualty Company	300202	Agent - Property	1/19/2007
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/30/2006	12/16/2019
Inactive	Farmington Casualty Company	301137	Agent - Property	5/30/2006	12/16/2019
Inactive	Federal Insurance Company	301144	Agent - General Lines	12/8/1992	3/31/1998
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	1/25/2005	2/9/2005
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	1/25/2005	2/9/2005
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	4/22/2002	4/28/2006
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	4/22/2002	4/28/2006
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	4/22/2002	4/28/2006
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	4/22/2002	4/28/2006
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/15/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	2/26/1988	3/31/1996
Active	Fireman's Fund Insurance Company	301423	Agent - Property	2/15/2007
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	8/14/2008	6/20/2012
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	8/14/2008	6/20/2012
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/15/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/15/2018
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	First Sealord Surety, Inc.	301841	Agent - Casualty	1/21/2011	2/13/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/12/2012	2/27/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/12/2012	2/27/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/12/2012	2/27/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/12/2012	2/27/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/12/2012	2/27/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/12/2012	2/27/2014
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	4/14/2011	5/18/2016
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	4/14/2011	5/18/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Denied	Glatfelter Insurance Company	301640	Agent - Casualty
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	10/28/1994	3/31/1996
Denied	Glatfelter Insurance Company	301640	Agent - Property
Active	Granite Re, Inc.	707503	Agent - Casualty	8/16/2021
Active	Granite Re, Inc.	707503	Agent - Property	8/16/2021
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	11/19/2008	7/16/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	11/19/2008	7/16/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	11/19/2008	7/16/2019
Inactive	Great American Assurance Company	300327	Agent - Property	11/19/2008	7/16/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	11/19/2008	7/16/2019
Inactive	Great American Insurance Company	301586	Agent - General Lines	4/3/1995	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	11/19/2008	7/16/2019
Active	Greenwich Insurance Company	301754	Agent - Casualty	4/30/2008
Active	Greenwich Insurance Company	301754	Agent - Property	4/30/2008
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	1/19/2007	1/1/2018
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	1/19/2007	1/1/2018
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/27/2015
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/27/2015
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	12/11/2013
Active	Hanover Insurance Company (The)	300508	Agent - Property	12/11/2013
Active	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/26/2006	4/28/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/26/2006	4/28/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/26/2006	4/28/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/26/2006	4/28/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/26/2006	4/28/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/26/2006	4/28/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/26/2006	4/28/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/26/2006	4/28/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/26/2006	4/28/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/26/2006	4/28/2006
Active	Hudson Insurance Company	523144	Agent - Casualty	8/21/2009
Active	Hudson Insurance Company	523144	Agent - Property	8/21/2009
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/2/2006	4/28/2006
Inactive	Indiana Insurance Company	301909	Agent - Property	3/2/2006	4/28/2006
Active	International Fidelity Insurance Company	301131	Agent - Casualty	1/23/2009
Inactive	International Fidelity Insurance Company	301131	Agent - General Lines	10/20/1994	8/15/2000
Active	LM Insurance Corporation	301061	Agent - Casualty	1/15/2018
Active	LM Insurance Corporation	301061	Agent - Property	1/15/2018
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/15/2018
Active	Liberty Insurance Corporation	300444	Agent - Property	1/15/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/15/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/15/2018
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/23/2002	4/28/2006
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/28/1994	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	8/23/2002	4/28/2006
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	12/11/2013
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	12/11/2013
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/1/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/13/2011
Active	Motorists Mutual Insurance Company	300963	Agent - Property	1/13/2011
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	10/12/2010
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	10/12/1989	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	10/12/2010
Active	National Surety Corporation	300087	Agent - Casualty	7/14/2011
Active	National Surety Corporation	300087	Agent - Property	7/14/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/18/2000	4/28/2006
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/18/2000	4/28/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/2/2006	4/28/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/2/2006	4/28/2006
Active	NorthStone Insurance Company	818905	Agent - Casualty	3/12/2019
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/23/2002	4/28/2006
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	10/28/1994	3/31/1996
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/23/2002	4/28/2006
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/21/2007
Active	Ohio Casualty Insurance Company	301492	Agent - Property	9/21/2007
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	9/24/2008	9/1/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	9/24/2008	9/1/2009
Active	Ohio Security Insurance Company	300622	Agent - Casualty	9/21/2007
Active	Ohio Security Insurance Company	300622	Agent - Property	9/21/2007
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Active	Old Republic Insurance Company	301225	Agent - Casualty	11/17/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	2/19/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	2/19/2008
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/2/2006	4/28/2006
Inactive	Peerless Insurance Company	301910	Agent - General Lines	6/30/2000	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	3/2/2006	4/28/2006
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	2/1/2018
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	2/1/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	7/14/2011	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	7/14/2011	9/2/2022
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/12/2019
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/10/2011	2/15/2017
Active	RLI Insurance Company	301217	Agent - Casualty	10/14/2021
Active	RLI Insurance Company	301217	Agent - Property	10/14/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	5/27/2022
Inactive	Seaboard Surety Company	300510	Agent - Casualty	4/22/2002	4/28/2006
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/22/2002	4/28/2006
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/22/2002	4/28/2006
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	4/22/2002	4/28/2006
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	4/22/2002	4/28/2006
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	4/22/2002	4/28/2006
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	4/22/2002	4/28/2006
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	4/22/2002	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	4/22/2002	4/21/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/30/2006	12/16/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/18/1988	3/31/1996
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/30/2006	12/16/2019
Active	SummitPoint Insurance Company	819084	Agent - Casualty	3/12/2019
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	10/12/1989	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/6/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Transportation Insurance Company	301575	Agent - General Lines	10/12/1989	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/6/2004
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/30/2006	12/16/2019
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/30/2006	12/16/2019
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	4/28/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	4/18/1988	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	4/28/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	1/22/2004	4/28/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	1/22/2004	4/28/2006
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/30/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/30/2006	8/2/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/31/2007	12/16/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/31/2007	12/16/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/26/2006	4/28/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/26/2006	4/28/2006
Inactive	Union Insurance Company	547433	Agent - Casualty	6/20/2006	6/20/2012
Inactive	Union Insurance Company	547433	Agent - Property	6/20/2006	6/20/2012
Active	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015
Active	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015
Inactive	United Fire & Casualty Company	301374	Agent - Casualty	9/7/2018	10/18/2021
Inactive	United Fire & Casualty Company	301374	Agent - Property	9/7/2018	10/18/2021
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	4/28/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	3/21/1988	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	4/28/2006
Inactive	United States Fire Insurance Company	301682	Agent - Casualty	11/1/2003	12/31/2003
Active	United States Fire Insurance Company	582240	Agent - Casualty	8/30/2018
Inactive	United States Fire Insurance Company	301682	Agent - Property	11/1/2003	12/31/2003
Active	United States Fire Insurance Company	582240	Agent - Property	8/30/2018
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/6/2004
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	10/12/1989	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/6/2004
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	10/27/2015
Active	Verlan Fire Insurance Company	517102	Agent - Property	10/27/2015
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	11/17/1992	5/12/2000
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	7/14/2011	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	7/14/2011	2/8/2022
Active	West American Insurance Company	301112	Agent - Casualty	9/21/2007
Active	West American Insurance Company	301112	Agent - Property	9/21/2007
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/11/2011	4/24/2023
Inactive	West Bend Insurance Company	672974	Agent - Property	3/11/2011	4/24/2023
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	9/24/2008
Active	Westfield Insurance Company	301950	Agent - Property	9/24/2008
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	9/24/2008	9/1/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	9/24/2008	9/1/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/23/2002	4/28/2006
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/23/2002	4/28/2006
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/23/2002	4/28/2006
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/23/2002	4/28/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/9/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/9/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Surplus Lines Broker - Not Applicable	8/3/2020
Inactive	Garrett-Stotz Co	400616	Agent - General Lines	3/9/1988	8/15/2000
Inactive	Garrett-Stotz Co	400616	Agent - Property	8/15/2000	12/18/2019
Inactive	Garrett-Stotz Co	400616	Agent - Casualty	8/15/2000	12/18/2019