DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fortuna Insurance Services LLC	DOIID	618183	NAIC NPN	8621855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	10/18/2005	3/31/2023
Inactive	Resident	Agent	Casualty	10/18/2005	3/31/2023
Denied	Resident	Surplus Lines Broker	Not Applicable
* 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	Catlin Insurance Company, Inc.	300979	Agent - Casualty	12/17/2007	12/16/2022
Inactive	Catlin Insurance Company, Inc.	300979	Agent - Property	12/17/2007	12/16/2022
Inactive	Great American Assurance Company	300327	Agent - Casualty	11/15/2005	4/2/2020
Inactive	Great American Assurance Company	300327	Agent - Property	11/15/2005	4/2/2020
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Casualty	5/12/2016	4/13/2020
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Property	5/12/2016	4/13/2020
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	10/21/2005	12/16/2022
Inactive	XL Specialty Insurance Company	301605	Agent - Property	10/21/2005	12/16/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bushnell, Fara G	368578	Agent - Casualty	11/3/2008	10/31/2020
Inactive	Bushnell, Fara G	368578	Agent - Property	11/3/2008	10/31/2020
Denied	Bushnell, Fara G	368578	Surplus Lines Broker - Not Applicable
Inactive	Jones, Bobby G	313668	Agent - Casualty	5/10/2019	3/31/2023
Inactive	Jones, Bobby G	313668	Agent - Property	5/10/2019	3/31/2023