DEPARTMENT OF INSURANCE

Affiliations

Name	Risk Services LLC	DOIID	667294	NAIC NPN	2990196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/1/2007	3/31/2025
Active	Non Resident	Agent	Property	11/1/2007	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/23/2012	3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	12/27/2018
Active	ACE American Insurance Company	300625	Agent - Property	12/27/2018
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	7/14/2009	10/15/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	7/14/2009	10/15/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/14/2009	10/15/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/14/2009	10/15/2012
Active	AmTrust Insurance Company	300179	Agent - Casualty	6/17/2019
Active	AmTrust Insurance Company	300179	Agent - Property	6/17/2019
Inactive	Arch Insurance Company	300688	Agent - Casualty	9/1/2015	11/30/2016
Inactive	Arch Insurance Company	300688	Agent - Property	9/1/2015	11/30/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	7/14/2009	10/15/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	7/14/2009	10/15/2012
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	8/15/2012	9/25/2014
Inactive	Guarantee Insurance Company	300611	Agent - Property	8/15/2012	9/25/2014
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	6/17/2019
Active	Milford Casualty Insurance Company	301460	Agent - Property	6/17/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/14/2009	10/15/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/14/2009	10/15/2012
Active	Park National Insurance Company	692514	Agent - Casualty	6/17/2019
Active	Park National Insurance Company	692514	Agent - Property	6/17/2019
Active	Security National Insurance Company	301151	Agent - Casualty	6/17/2019
Active	Security National Insurance Company	301151	Agent - Property	6/17/2019
Active	Technology Insurance Company	613278	Agent - Casualty	6/17/2019
Active	Technology Insurance Company	613278	Agent - Property	6/17/2019
Active	Wesco Insurance Company	300534	Agent - Casualty	6/17/2019
Active	Wesco Insurance Company	300534	Agent - Property	6/17/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harris, George Wayne	330579	Agent - Casualty	11/1/2007	11/13/2008
Inactive	Harris, George Wayne	330579	Agent - Property	11/1/2007	11/13/2008
Active	Rogers, Michael T	375852	Agent - Casualty	11/24/2008
Active	Rogers, Michael T	375852	Agent - Property	11/24/2008
Active	Rogers, Michael T	375852	Surplus Lines Broker - Not Applicable	5/23/2012