DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wells Fargo Ins Services Northwest Inc	DOIID	608327	NAIC NPN	659780

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Life
Denied	Non Resident	Agent	Health
Inactive	Non Resident	Agent	Property	8/5/2008	6/2/2011
Inactive	Non Resident	Agent	Casualty	8/5/2008	6/2/2011
Denied	Non Resident	Surplus Lines Broker	Not Applicable
* 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	Arch Insurance Company	300688	Agent - Casualty	3/20/2009	3/22/2010
Inactive	Arch Insurance Company	300688	Agent - Property	3/20/2009	3/22/2010
Inactive	NOVA Casualty Company	622806	Agent - Casualty	11/13/2009	6/2/2011
Inactive	NOVA Casualty Company	622806	Agent - Property	11/13/2009	6/2/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Derouin, Brian E	614895	Agent - Casualty
Denied	Derouin, Brian E	614895	Agent - Health
Denied	Derouin, Brian E	614895	Agent - Property
Inactive	Sawyer, Joshua S	390666	Agent - Casualty	8/5/2008	6/1/2011
Inactive	Sawyer, Joshua S	390666	Agent - Property	8/5/2008	6/1/2011
Denied	Soroka, Jay A	666629	Agent - Casualty
Denied	Soroka, Jay A	666629	Agent - Health
Denied	Soroka, Jay A	666629	Agent - Life
Denied	Soroka, Jay A	666629	Agent - Property