DEPARTMENT OF INSURANCE

Affiliations

Name	Leavitt Recreation & Hospitality Ins Inc	DOIID	660397	NAIC NPN	659760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/16/2007		3/31/2027
Active	Non Resident	Agent	Health	11/7/2014		3/31/2027
Active	Non Resident	Agent	Casualty	8/16/2007		3/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/30/2014	1/24/2018
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Automobile Insurance Company	300953	Agent - Casualty	8/19/2016
Active	American Automobile Insurance Company	300953	Agent - Property	8/19/2016
Inactive	American Economy Insurance Company	300315	Agent - Casualty	10/18/2007	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	10/18/2007	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Casualty	10/18/2007	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	10/18/2007	3/29/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	10/12/2016
Active	Auto-Owners Insurance Company	301480	Agent - Property	10/12/2016
Active	Berkshire Hathaway Direct Insurance Company	300925	Agent - Casualty	3/21/2026
Active	Berkshire Hathaway Direct Insurance Company	300925	Agent - Property	3/21/2026
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	7/15/2014	7/16/2018
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	7/15/2014	7/16/2018
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	2/7/2019
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	10/13/2022
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/12/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Property	10/12/2021
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/18/2007	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	10/18/2007	10/13/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/18/2007	3/29/2024
Inactive	General Insurance Company of America	300261	Agent - Property	10/18/2007	3/29/2024
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	2/28/2018
Active	Great American Alliance Insurance Company	301247	Agent - Property	2/28/2018
Active	Great American Assurance Company	300327	Agent - Casualty	2/28/2018
Active	Great American Assurance Company	300327	Agent - Property	2/28/2018
Active	Great American Insurance Company	301586	Agent - Casualty	2/28/2018
Active	Great American Insurance Company	301586	Agent - Property	2/28/2018
Active	Great American Insurance Company of New York	301897	Agent - Casualty	2/28/2018
Active	Great American Insurance Company of New York	301897	Agent - Property	2/28/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/3/2023
Active	Markel Insurance Company	301475	Agent - Casualty	1/8/2017
Active	Markel Insurance Company	301475	Agent - Health	1/8/2017
Active	Markel Insurance Company	301475	Agent - Property	1/8/2017
Inactive	National General Insurance Company	300152	Agent - Casualty	3/6/2014	3/7/2016
Inactive	National General Insurance Company	300152	Agent - Property	3/6/2014	3/7/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	5/10/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	3/29/2024
Inactive	Owners Insurance Company	300796	Agent - Casualty	5/22/2025	10/8/2025
Inactive	Owners Insurance Company	300796	Agent - Property	5/22/2025	10/8/2025
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	5/8/2025
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	9/16/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	1/25/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	9/16/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/14/2011	5/28/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/14/2011	5/28/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/14/2011	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/14/2011	12/9/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/18/2007	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/18/2007	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/18/2007	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/18/2007	3/29/2024
Active	SECURA Insurance Company	301656	Agent - Casualty	3/21/2016
Active	SECURA Insurance Company	301656	Agent - Property	3/21/2016
Active	SECURA Supreme Insurance Company	645533	Agent - Casualty	3/21/2016
Active	SECURA Supreme Insurance Company	645533	Agent - Property	3/21/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	1/14/2011	5/28/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	1/14/2011	5/28/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hipple, Chris Alan	725534	Agent - Casualty	10/4/2016
Active	Hipple, Chris Alan	725534	Agent - Health	11/7/2014
Active	Hipple, Chris Alan	725534	Agent - Property	10/4/2016
Inactive	Hipple, Chris Alan	725534	Surplus Lines Broker - Not Applicable	7/30/2014	1/23/2018
Active	Pies, Mitchell James	1055773	Agent - Casualty	11/29/2023
Active	Pies, Mitchell James	1055773	Agent - Property	11/29/2023
Inactive	Poisson, Nichole Lorraine	616832	Agent - Casualty	6/10/2014	2/17/2015
Inactive	Poisson, Nichole Lorraine	616832	Agent - Property	6/10/2014	2/18/2015
Inactive	Poisson, Nichole Lorraine	616832	Surplus Lines Broker - Not Applicable	2/12/2015	2/18/2015
Inactive	Suhr, John	959530	Agent - Casualty	7/19/2017	9/30/2022
Inactive	Suhr, John	959530	Agent - Property	7/19/2017	9/30/2022
Active	Tolli, Bryan J	929266	Agent - Casualty	9/30/2016
Active	Tolli, Bryan J	929266	Agent - Property	9/30/2016
Active	Tumblin, James F	618078	Agent - Casualty	10/18/2007
Active	Tumblin, James F	618078	Agent - Property	10/18/2007
Inactive	Williams, Vance H	1310746	Agent - Casualty	6/4/2025	10/2/2025
Inactive	Williams, Vance H	1310746	Agent - Property	6/4/2025	10/2/2025