DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Deberry, David S	DOIID	653734	NAIC NPN	1435459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/17/2007	11/30/2008
Active	Non Resident	Agent	Casualty	4/26/2017		11/30/2024
Active	Non Resident	Agent	Property	4/26/2017		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arch Insurance Company	300688	Agent - Casualty	3/9/2010	11/4/2016
Inactive	Arch Insurance Company	300688	Agent - Property	3/9/2010	11/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Concord Specialty Risk Inc	693151	Agent - Casualty
Denied	Concord Specialty Risk Inc	693151	Agent - Property
Inactive	Rsg Underwriting Managers LLC	621659	Agent - Casualty	11/5/2013	11/4/2016
Inactive	Rsg Underwriting Managers LLC	621659	Agent - Property	11/5/2013	11/4/2016