DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wieringa, David B	DOIID	685030	NAIC NPN	1576796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/17/2008	5/31/2021
Inactive	Non Resident	Agent	Casualty	7/17/2008	5/31/2021
* 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	Western Surety Company	300283	Agent - Casualty	6/6/2014	10/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pacific General Insurance Agency Inc	749737	Agent - Property	3/10/2011	3/31/2021
Inactive	Pacific General Insurance Agency Inc	749737	Agent - Casualty	3/10/2011	3/31/2021
Denied	Robertson Ryan & Associates Inc	584123	Agent - Property
Denied	Robertson Ryan & Associates Inc	584123	Agent - Casualty