DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simone, Michael	DOIID	615264	NAIC NPN	8048933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/23/2019		2/28/2025
Active	Non Resident	Agent	Casualty	7/23/2019		2/28/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/16/2019		2/28/2025
* 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	Old Republic General Insurance Corporation	300949	Agent - Casualty	1/1/2009	2/16/2011
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	1/1/2009	2/16/2011
Inactive	Old Republic Insurance Company	301225	Agent - Property	1/1/2009	2/16/2011
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	9/29/2005	2/28/2007
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	9/29/2005	2/28/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bitco Construction Insurance Agency Inc	567310	Agent - Property	10/1/2009	2/16/2011
Inactive	Bitco Construction Insurance Agency Inc	567310	Agent - Casualty	10/1/2009	2/16/2011
Inactive	Rokstone Construction Risk Underwriters Ltd	1065768	Agent - Property	11/19/2019	3/4/2024
Inactive	Rokstone Construction Risk Underwriters Ltd	1065768	Agent - Casualty	11/19/2019	3/4/2024
Inactive	Rokstone Construction Risk Underwriters Ltd	1065768	Surplus Lines Broker - Not Applicable	11/22/2019	3/4/2024