DEPARTMENT OF INSURANCE

Affiliations

Name	Small, Patrick S	DOIID	510004	NAIC NPN	765867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/31/2008		5/31/2026
Active	Non Resident	Agent	Casualty	8/15/2000		5/31/2026
Active	Non Resident	Agent	Property	8/15/2000		5/31/2026
Active	Non Resident	Agent	Health	12/31/2008		5/31/2026
Inactive	Non Resident	Agent	General Lines	6/14/2000	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/5/2004		5/31/2026
* 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
Inactive	ACE American Insurance Company	300625	Agent - Casualty	9/20/2009	5/5/2014
Inactive	ACE American Insurance Company	300625	Agent - Health	9/20/2009	6/1/2015
Inactive	ACE American Insurance Company	300625	Agent - Property	9/20/2009	5/5/2014
Active	Accredited Surety and Casualty Company, Inc.	502744	Agent - Casualty	9/22/2022
Active	Accredited Surety and Casualty Company, Inc.	502744	Agent - Property	9/22/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/11/2003	9/11/2020
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/11/2003	9/11/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	9/11/2020
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	6/14/2000	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	9/11/2020
Active	Freedom Specialty Insurance Company	300890	Agent - Casualty	7/24/2024
Active	Freedom Specialty Insurance Company	300890	Agent - Property	7/24/2024
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	2/20/2024
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	2/20/2024
Active	National Casualty Company	301483	Agent - Casualty	7/24/2024
Active	National Casualty Company	301483	Agent - Property	7/24/2024
Active	National Summit Insurance Company	300348	Agent - Casualty	1/30/2024
Active	National Summit Insurance Company	300348	Agent - Property	1/30/2024
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	2/20/2024
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	2/20/2024
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	2/20/2024
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	2/20/2024
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/20/2009	10/28/2014
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/20/2009	10/28/2014
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	7/24/2024
Active	Scottsdale Indemnity Company	300232	Agent - Property	7/24/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/23/2014
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	6/23/2014
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	6/3/2021	12/19/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	6/3/2021	12/19/2024
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	1/25/2010	12/19/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	1/25/2010	12/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Property	3/14/2025
Active	CRC Ins Services, LLC	502276	Agent - Casualty	3/14/2025
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	3/14/2025
Pending	CRC Ins Services, LLC	502276	Agent - Life
Pending	CRC Ins Services, LLC	502276	Agent - Health
Active	Dual Commercial LLC	810926	Agent - Property	1/20/2021
Active	Dual Commercial LLC	810926	Agent - Casualty	1/20/2021
Active	Dual Commercial LLC	810926	Surplus Lines Broker - Not Applicable	1/20/2021
Active	Dual Commercial LLC	810926	Agent - Life	9/1/2023
Active	Dual Commercial LLC	810926	Agent - Health	9/1/2023
Inactive	Financial & Professional Risk Solutions, Inc.	396155	Agent - Property	3/8/2004	3/13/2007
Inactive	Financial & Professional Risk Solutions, Inc.	396155	Agent - Casualty	3/8/2004	3/13/2007
Inactive	Financial & Professional Risk Solutions, Inc.	396155	Surplus Lines Broker - Not Applicable	9/6/2006	1/14/2008
Inactive	Safehold Special Risk, Inc	658217	Agent - Property	6/20/2007	4/30/2014
Inactive	Safehold Special Risk, Inc	658217	Agent - Casualty	6/20/2007	4/30/2014
Inactive	Safehold Special Risk, Inc	658217	Surplus Lines Broker - Not Applicable	4/3/2008	4/30/2014
Inactive	Safehold Special Risk, Inc	658217	Agent - Life	6/26/2009	4/30/2014
Inactive	Safehold Special Risk, Inc	658217	Agent - Health	6/26/2009	4/30/2014