DEPARTMENT OF INSURANCE

Affiliations

Name	Performance Insurance Services Inc	DOIID	613821	NAIC NPN	5786558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/24/2005	3/31/2025
Active	Non Resident	Agent	Casualty	10/24/2005	3/31/2025
Denied	Non Resident	Agent	Personal Lines
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/26/2016	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	3/25/2008	8/24/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	3/25/2008	8/24/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	3/25/2008	8/24/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	3/25/2008	8/24/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/25/2008	8/24/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/25/2008	8/24/2012
Active	AMCO Insurance Company	300204	Agent - Casualty	9/19/2019
Active	AMCO Insurance Company	300204	Agent - Property	9/19/2019
Active	Allied Insurance Company of America	793586	Agent - Casualty	9/19/2019
Active	Allied Insurance Company of America	793586	Agent - Property	9/19/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	9/19/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	9/19/2019
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	11/10/2005	7/16/2010
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	11/10/2005	7/16/2010
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/6/2020	3/21/2024
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/6/2020	3/21/2024
Active	American Home Assurance Company	300246	Agent - Casualty	3/1/2006
Active	American Home Assurance Company	300246	Agent - Property	3/1/2006
Active	American Reliable Insurance Company	301889	Agent - Casualty	1/22/2021
Active	American Reliable Insurance Company	301889	Agent - Property	1/22/2021
Active	American Select Insurance Company	301229	Agent - Casualty	7/30/2020
Active	American Select Insurance Company	301229	Agent - Property	7/30/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/10/2006	4/19/2007
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	9/13/2008	8/24/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	9/13/2008	8/24/2012
Active	Catlin Insurance Company, Inc.	300979	Agent - Casualty	6/1/2010
Active	Catlin Insurance Company, Inc.	300979	Agent - Property	6/1/2010
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/10/2006	4/19/2007
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	3/1/2006
Active	Commerce and Industry Insurance Company	300881	Agent - Property	3/1/2006
Active	Depositors Insurance Company	301634	Agent - Casualty	9/19/2019
Active	Depositors Insurance Company	301634	Agent - Property	9/19/2019
Inactive	Employers Assurance Company	300120	Agent - Casualty	7/31/2009	3/29/2019
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	7/31/2009	3/29/2019
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/23/2012
Active	Fireman's Fund Insurance Company	301423	Agent - Property	4/23/2012
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	10/1/2018
Active	Hartford Fire Insurance Company	300628	Agent - Property	10/1/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/25/2008	8/24/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/25/2008	8/24/2012
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	11/4/2009
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	11/4/2009
Active	Markel Insurance Company	301475	Agent - Casualty	9/30/2019
Active	Markel Insurance Company	301475	Agent - Property	9/30/2019
Active	National Surety Corporation	300087	Agent - Casualty	10/15/2012
Active	National Surety Corporation	300087	Agent - Property	10/15/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/27/2008
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/27/2008
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	9/19/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	9/19/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	9/19/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	9/19/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	9/19/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	9/19/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/19/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	9/19/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	9/19/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	9/19/2019
Active	New Hampshire Insurance Company	301670	Agent - Casualty	5/27/2008
Active	New Hampshire Insurance Company	301670	Agent - Property	5/27/2008
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/14/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	2/14/2024
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	9/13/2008	8/24/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	9/13/2008	8/24/2012
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	7/8/2014	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	7/8/2014	9/2/2022
Active	QBE Insurance Corporation	300515	Agent - Casualty	3/5/2013
Active	QBE Insurance Corporation	300515	Agent - Property	3/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/10/2006	4/19/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/10/2006	4/19/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/10/2006	4/19/2007
Inactive	TravCo Insurance Company	301828	Agent - Casualty	4/10/2006	4/19/2007
Inactive	TravCo Insurance Company	301828	Agent - Property	4/10/2006	4/19/2007
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	4/10/2006	4/19/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	4/10/2006	4/19/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/10/2006	4/19/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/10/2006	4/19/2007
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	4/10/2006	4/19/2007
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	4/10/2006	4/19/2007
Active	Valley Forge Insurance Company	301052	Agent - Casualty	10/1/2018
Active	Valley Forge Insurance Company	301052	Agent - Property	10/1/2018
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	11/16/2015	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	11/16/2015	2/8/2022
Active	Westfield Insurance Company	301950	Agent - Casualty	5/26/2016
Active	Westfield Insurance Company	301950	Agent - Property	5/26/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Craig, James L	1337402	Agent - Casualty
Pending	Craig, James L	1337402	Agent - Property
Inactive	Craig, Timothy Allen	575726	Agent - Casualty	10/24/2005	2/14/2024
Inactive	Craig, Timothy Allen	575726	Agent - Property	10/24/2005	2/14/2024
Inactive	Craig, Timothy Allen	575726	Surplus Lines Broker - Not Applicable	1/26/2016	2/14/2024
Active	Rickey, Bradley William	1252582	Agent - Casualty	2/28/2024
Active	Rickey, Bradley William	1252582	Agent - Property	2/28/2024
Active	Rickey, Bradley William	1252582	Surplus Lines Broker - Not Applicable	2/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	InsuraTech, LLC	851896	Agent - Casualty	9/24/2014
Active	InsuraTech, LLC	851896	Agent - Property	9/24/2014