DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pacific Wholesale Insurance Brokers, LLC	DOIID	598518	NAIC NPN	7909668

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/21/2005	6/18/2012
Inactive	Non Resident	Agent	Casualty	1/21/2005	6/18/2012
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/22/2006	6/18/2012
* 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	2/11/2005	6/18/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	2/11/2005	6/18/2012
Inactive	Allied World Specialty Insurance Company	301088	Agent - Casualty	4/10/2008	6/18/2012
Inactive	Allied World Specialty Insurance Company	301088	Agent - Property	4/10/2008	6/18/2012
Inactive	Arch Insurance Company	300688	Agent - Casualty	6/20/2008	6/18/2012
Inactive	Arch Insurance Company	300688	Agent - Property	6/20/2008	6/18/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	2/11/2005	6/18/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	2/11/2005	6/18/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	2/11/2005	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	6/18/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	2/11/2005	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	6/18/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Martin, Jeffrey Young	596506	Agent - Casualty	1/21/2005	6/18/2012
Inactive	Martin, Jeffrey Young	596506	Agent - Property	1/21/2005	6/18/2012
Inactive	Martin, Jeffrey Young	596506	Surplus Lines Broker - Not Applicable	6/22/2006	6/18/2012
Inactive	Ricker, Gary	609698	Agent - Casualty	10/30/2006	6/18/2012
Inactive	Ricker, Gary	609698	Agent - Property	10/30/2006	6/18/2012
Inactive	Ricker, Gary	609698	Surplus Lines Broker - Not Applicable	10/30/2006	6/18/2012
Inactive	Sce, James Anthony	596679	Agent - Casualty	8/7/2006	6/18/2012
Inactive	Sce, James Anthony	596679	Agent - Property	8/7/2006	6/18/2012
Inactive	Sce, James Anthony	596679	Surplus Lines Broker - Not Applicable	6/22/2006	7/11/2013