DEPARTMENT OF INSURANCE

Affiliations

Name	U S Excess & Surplus Lines Ins Agcy Inc DBA : USX/S	DOIID	683150	NAIC NPN	1883333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	7/29/2008	7/17/2018
Inactive	Non Resident	Agent	Casualty	7/29/2008	7/17/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/12/2013	7/17/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/23/2008	7/17/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	8/23/2008	7/17/2018
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/23/2008	7/17/2018
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/23/2008	7/17/2018
Inactive	Allied World Insurance Company	301336	Agent - Casualty	7/27/2013	7/17/2018
Inactive	Allied World Insurance Company	301336	Agent - Property	7/27/2013	7/17/2018
Inactive	Allied World National Assurance Company	611268	Agent - Casualty	7/27/2013	7/17/2018
Inactive	Allied World National Assurance Company	611268	Agent - Property	7/27/2013	7/17/2018
Inactive	Allied World Specialty Insurance Company	301088	Agent - Casualty	7/27/2013	7/17/2018
Inactive	Allied World Specialty Insurance Company	301088	Agent - Property	7/27/2013	7/17/2018
Inactive	Markel American Insurance Company	300377	Agent - Casualty	4/4/2011	7/17/2018
Inactive	Markel American Insurance Company	300377	Agent - Property	4/4/2011	7/17/2018
Inactive	Markel Insurance Company	301475	Agent - Casualty	1/12/2011	7/17/2018
Inactive	Markel Insurance Company	301475	Agent - Property	1/12/2011	7/17/2018
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/11/2018	7/17/2018
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/11/2018	7/17/2018
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	8/23/2008	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	7/17/2018
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	8/23/2008	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	7/17/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rivera, Jose D	335107	Agent - Casualty	7/29/2008	7/17/2018
Inactive	Rivera, Jose D	335107	Agent - Property	7/29/2008	7/17/2018
Inactive	Rivera, Jose D	335107	Surplus Lines Broker - Not Applicable	11/12/2013	9/14/2022