DEPARTMENT OF INSURANCE

Affiliations

Name	Gulfshore Ins Inc	DOIID	548253	NAIC NPN	3333694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/2/2011	3/31/2022
Inactive	Non Resident	Agent	Casualty	5/2/2011	3/31/2022
* 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	11/8/2011	1/28/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	11/8/2011	1/28/2019
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	3/29/2018	3/31/2022
Inactive	AIG Property Casualty Company	300621	Agent - Property	3/29/2018	3/31/2022
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	4/10/2018	5/28/2020
Inactive	AmTrust Insurance Company	300179	Agent - Property	4/10/2018	5/28/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	11/8/2011	1/28/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	11/8/2011	1/28/2019
Inactive	Federal Insurance Company	301144	Agent - Casualty	5/5/2011	1/28/2019
Inactive	Federal Insurance Company	301144	Agent - Property	5/5/2011	1/28/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/15/2002	5/24/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	10/15/2002	5/24/2004
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	5/5/2011	1/28/2019
Inactive	Great Northern Insurance Company	301107	Agent - Property	5/5/2011	1/28/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/15/2015	1/28/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	7/15/2015	1/28/2019
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	4/10/2018	5/28/2020
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	4/10/2018	5/28/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/15/2015	1/28/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/15/2015	1/28/2019
Inactive	Park National Insurance Company	692514	Agent - Casualty	4/10/2018	5/28/2020
Inactive	Park National Insurance Company	692514	Agent - Property	4/10/2018	5/28/2020
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	12/13/2016	3/31/2022
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	12/13/2016	3/31/2022
Inactive	Security National Insurance Company	301151	Agent - Casualty	4/10/2018	5/28/2020
Inactive	Security National Insurance Company	301151	Agent - Property	4/10/2018	5/28/2020
Inactive	Technology Insurance Company	613278	Agent - Casualty	4/10/2018	5/28/2020
Inactive	Technology Insurance Company	613278	Agent - Property	4/10/2018	5/28/2020
Inactive	Wesco Insurance Company	300534	Agent - Casualty	4/10/2018	5/28/2020
Inactive	Wesco Insurance Company	300534	Agent - Property	4/10/2018	5/28/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Havemeier, Bradley	599915	Agent - Casualty	5/2/2011	3/31/2022
Inactive	Havemeier, Bradley	599915	Agent - Property	5/2/2011	3/31/2022
Inactive	Macinnes, Jon N	328818	Agent - Casualty	10/15/2002	2/24/2003
Inactive	Macinnes, Jon N	328818	Agent - Property	10/15/2002	2/24/2003