DEPARTMENT OF INSURANCE

Affiliations

Name	Seattle Specialty Ins Services Inc	DOIID	611726	NAIC NPN	2763110

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/23/2005	3/31/2027
Active	Non Resident	Agent	Casualty	9/23/2005	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/14/2008	3/31/2027
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/7/2005	6/16/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/7/2005	6/16/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/7/2005	6/16/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/7/2005	6/16/2021
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	9/2/2015	7/15/2016
Inactive	American National Property and Casualty Company	300392	Agent - Property	9/2/2015	7/15/2016
Active	Arch Insurance Company	300688	Agent - Casualty	7/31/2007
Active	Arch Insurance Company	300688	Agent - Property	7/31/2007
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/27/2005
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	10/27/2005
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/27/2005
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/27/2005
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/25/2005	11/14/2022
Inactive	Great American Assurance Company	300327	Agent - Property	10/25/2005	11/14/2022
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/25/2005	11/14/2022
Inactive	Great American Insurance Company	301586	Agent - Property	10/25/2005	11/14/2022
Active	Integon National Insurance Company	301600	Agent - Casualty	10/28/2016
Active	Integon National Insurance Company	301600	Agent - Property	10/28/2016
Active	MIC General Insurance Corporation	300398	Agent - Casualty	10/28/2016
Active	MIC General Insurance Corporation	300398	Agent - Property	10/28/2016
Inactive	National Interstate Insurance Company	301301	Agent - Casualty	10/5/2005	6/28/2006
Inactive	National Interstate Insurance Company	301301	Agent - Property	10/5/2005	6/28/2006
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	10/6/2005	12/31/2008
Inactive	Spinnaker Insurance Company	300099	Agent - Property	10/6/2005	12/31/2008
Inactive	Tesla Insurance Company	300337	Agent - Casualty	1/4/2006	9/8/2014
Inactive	Tesla Insurance Company	300337	Agent - Property	1/4/2006	9/8/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dickson, John Allan	734742	Agent - Casualty	6/27/2011	3/9/2015
Inactive	Dickson, John Allan	734742	Agent - Property	6/27/2011	3/9/2015
Inactive	Dickson, John Allan	734742	Surplus Lines Broker - Not Applicable	6/27/2011	3/9/2015
Inactive	Kuhn, David Allen	595028	Agent - Casualty	6/27/2011	3/19/2012
Inactive	Kuhn, David Allen	595028	Agent - Property	6/27/2011	3/19/2012
Inactive	Kuhn, David Allen	595028	Surplus Lines Broker - Not Applicable	6/27/2011	3/19/2012
Active	Montcrieffe, Evelina Katherina	996826	Agent - Casualty	4/12/2019
Active	Montcrieffe, Evelina Katherina	996826	Agent - Property	4/12/2019
Active	Montcrieffe, Evelina Katherina	996826	Surplus Lines Broker - Not Applicable	3/25/2019
Inactive	Pedack, Richard E	352654	Agent - Casualty	9/23/2005	3/25/2019
Inactive	Pedack, Richard E	352654	Agent - Property	9/23/2005	3/25/2019
Inactive	Pedack, Richard E	352654	Surplus Lines Broker - Not Applicable	1/14/2008	3/25/2019