DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ponderosa Insurance Agency LLC	DOIID	686248	NAIC NPN	11292479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/19/2008		3/31/2026
Active	Non Resident	Agent	Property	9/19/2008		3/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/28/2020	12/13/2021
* 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
Active	Repwest Insurance Company	300987	Agent - Casualty	6/10/2011
Active	Repwest Insurance Company	300987	Agent - Property	6/10/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amoroso, Richard Michael	598284	Agent - Casualty	9/19/2008	6/30/2013
Inactive	Amoroso, Richard Michael	598284	Agent - Property	9/19/2008	6/30/2013
Active	Coronado, Louis	972490	Agent - Casualty	1/18/2024
Active	Coronado, Louis	972490	Agent - Property	1/18/2024
Inactive	Johnson, Philip Blake	803782	Agent - Casualty	9/13/2013	1/18/2024
Inactive	Johnson, Philip Blake	803782	Agent - Property	9/13/2013	1/18/2024
Inactive	Johnson, Philip Blake	803782	Surplus Lines Broker - Not Applicable	1/28/2020	5/23/2022