DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	US Risk Of Virginia Llc	DOIID	658430	NAIC NPN	9382847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/28/2007	9/14/2016
Inactive	Non Resident	Agent	Casualty	6/28/2007	9/14/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/28/2007	9/14/2016
* 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	Employers Assurance Company	300120	Agent - Casualty	9/11/2013	9/14/2016
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	9/11/2013	9/14/2016
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/13/2008	3/14/2012
Inactive	Federal Insurance Company	301144	Agent - Property	3/13/2008	3/14/2012
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/10/2008	9/14/2016
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	10/10/2008	9/14/2016
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	9/16/2010	9/14/2016
Inactive	North Pointe Insurance Company	301029	Agent - Property	9/16/2010	9/14/2016
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	10/10/2008	9/14/2016
Inactive	Pie Insurance Company (The)	300514	Agent - Property	10/10/2008	9/14/2016
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	9/16/2010	9/14/2016
Inactive	Praetorian Insurance Company	301021	Agent - Property	9/16/2010	9/14/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/16/2010	9/14/2016
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/16/2010	9/14/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Darling, Jeffrey Reid	563331	Agent - Casualty
Denied	Darling, Jeffrey Reid	563331	Agent - Property
Inactive	Goss, Randall George	358752	Agent - Casualty	6/28/2007	9/14/2016
Inactive	Goss, Randall George	358752	Agent - Property	6/28/2007	9/14/2016
Inactive	Goss, Randall George	358752	Surplus Lines Broker - Not Applicable	6/28/2007	9/14/2016
Denied	Seifert, Arthur Bradford	566085	Agent - Casualty
Denied	Seifert, Arthur Bradford	566085	Agent - Property
Inactive	Stanislaw, Peter W	668105	Agent - Casualty	10/17/2008	9/14/2016
Inactive	Stanislaw, Peter W	668105	Agent - Property	10/17/2008	9/14/2016
Inactive	Wesson, Lawrence Mcbride	692809	Agent - Casualty	8/20/2015	9/14/2016
Inactive	Wesson, Lawrence Mcbride	692809	Agent - Property	8/20/2015	9/14/2016
Inactive	Wesson, Lawrence Mcbride	692809	Surplus Lines Broker - Not Applicable	8/20/2015	9/14/2016