DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bristol West Ins Services Inc Of Florida	DOIID	641653	NAIC NPN	1048252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/27/2013		3/31/2026
Active	Non Resident	Agent	Property	9/27/2013		3/31/2026
* 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/21/2014
Active	Bristol West Insurance Company	301655	Agent - Property	3/21/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burtch, Douglas Richard	908382	Agent - Casualty	5/9/2016	12/29/2022
Inactive	Burtch, Douglas Richard	908382	Agent - Property	5/9/2016	12/29/2022
Active	Fenu, Timothy	763437	Agent - Casualty	12/29/2022
Active	Fenu, Timothy	763437	Agent - Property	12/29/2022
Inactive	Mcdaniel, Lynn M	642197	Agent - Casualty	9/27/2013	6/21/2016
Inactive	Mcdaniel, Lynn M	642197	Agent - Property	9/27/2013	6/21/2016
Inactive	Vari, Vincent Conway	641415	Agent - Casualty	11/27/2006	4/30/2009
Inactive	Vari, Vincent Conway	641415	Agent - Property	11/27/2006	4/30/2009