DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Derek Justin	DOIID	612563	NAIC NPN	7368984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/26/2005	7/31/2017
Inactive	Non Resident	Agent	Property	7/26/2005	7/31/2017
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	9/13/2005	1/21/2016
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	9/13/2005	1/21/2016
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/3/2005	1/27/2016
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/3/2005	1/27/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/13/2009	7/31/2017
Inactive	First National Insurance Company of America	301690	Agent - Property	8/13/2009	7/31/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/13/2009	7/31/2017
Inactive	General Insurance Company of America	300261	Agent - Property	8/13/2009	7/31/2017
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/7/2009	6/6/2016
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/7/2009	6/6/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/15/2011	6/6/2016
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/15/2011	6/6/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/13/2009	7/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/13/2009	7/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/13/2009	7/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/13/2009	7/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCIC Ins Agency Inc	852600	Agent - Property	10/15/2014	9/17/2016
Inactive	PCIC Ins Agency Inc	852600	Agent - Casualty	10/15/2014	9/17/2016
Inactive	Pulte Ins Agency Inc	909683	Agent - Property	3/29/2016	8/28/2016
Inactive	Pulte Ins Agency Inc	909683	Agent - Casualty	3/29/2016	8/28/2016
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	9/19/2006	12/5/2014
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	9/19/2006	12/5/2014