DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chan, Clifton	DOIID	613311	NAIC NPN	8006405

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/14/2005	11/30/2020
Inactive	Non Resident	Agent	Casualty	9/14/2005	11/30/2020
Inactive	Non Resident	Agent	Personal Lines	9/14/2005	11/30/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/12/2014	11/30/2020
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	3/28/2012	11/30/2020
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	3/28/2012	11/30/2020
Inactive	HDI Global Insurance Company	676678	Agent - Casualty	5/29/2019	11/30/2020
Inactive	HDI Global Insurance Company	676678	Agent - Property	5/29/2019	11/30/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/28/2012	11/30/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/28/2012	11/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	2/20/2019	11/30/2020
Inactive	Marsh USA LLC.	514638	Agent - Casualty	2/20/2019	11/30/2020
Inactive	Marsh USA LLC.	514638	Surplus Lines Broker - Not Applicable	2/20/2019	11/30/2020