DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Palomar International Corporation, LLC	DOIID	599075	NAIC NPN	1055351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/24/2004	3/31/2016
Inactive	Non Resident	Agent	Property	11/24/2004	3/31/2016
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2014	3/31/2016
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2014	3/31/2016
Inactive	Western Surety Company	300283	Agent - Casualty	1/3/2005	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Locker, David A	305068	Agent - Casualty	11/24/2004	3/31/2016
Inactive	Locker, David A	305068	Agent - Property	11/24/2004	3/31/2016