DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gough Jr, Preston Hampton	DOIID	574624	NAIC NPN	1487865

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/18/2003	4/20/2017
Inactive	Non Resident	Agent	Property	9/18/2003	4/20/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/25/2004	4/20/2017
* 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	4/27/2005	4/20/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	4/27/2005	4/20/2017
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/18/2011	5/16/2014
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/18/2011	5/16/2014
Inactive	Canal Insurance Company	301360	Agent - Casualty	1/5/2014	4/20/2017
Inactive	Canal Insurance Company	301360	Agent - Property	1/5/2014	4/20/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/27/2005	4/20/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/27/2005	4/20/2017
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	10/29/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	10/29/2008	1/5/2010
Inactive	National Casualty Company	301483	Agent - Casualty	6/28/2004	4/20/2017
Inactive	National Casualty Company	301483	Agent - Property	6/28/2004	4/20/2017
Inactive	National Indemnity Company	301929	Agent - Casualty	3/11/2013	4/20/2017
Inactive	National Indemnity Company	301929	Agent - Property	3/11/2013	4/20/2017
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	4/27/2005	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	4/20/2017
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	4/27/2005	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	4/20/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CRC Ins Services, LLC	502276	Agent - Casualty	4/1/2015	4/20/2017
Inactive	CRC Ins Services, LLC	502276	Agent - Property	4/1/2015	4/20/2017
Inactive	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	4/1/2015	4/20/2017