DEPARTMENT OF INSURANCE

Affiliations

Name	Bacic, Donald W	DOIID	689444	NAIC NPN	775901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/17/2008	5/31/2027
Active	Non Resident	Agent	Casualty	9/17/2008	5/31/2027
* 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	03/15/2025	05/31/2025	04/01/2025	04/01/2025	Yes

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	8/19/2015
Active	ACE American Insurance Company	300625	Agent - Property	8/19/2015
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	9/4/2020
Active	AGCS Marine Insurance Company	300403	Agent - Property	9/4/2020
Active	American Automobile Insurance Company	300953	Agent - Casualty	6/19/2017
Active	American Automobile Insurance Company	300953	Agent - Property	6/19/2017
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/19/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/19/2015
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/31/2012	4/19/2019
Inactive	Great American Insurance Company	301586	Agent - Property	5/31/2012	4/19/2019
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/19/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	8/19/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/20/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	7/20/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/20/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Property	7/20/2016
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/19/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/19/2015
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	9/26/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	9/26/2008
Active	West American Insurance Company	301112	Agent - Casualty	8/31/2010
Active	West American Insurance Company	301112	Agent - Property	8/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners Of Washington LLC	862933	Agent - Property	3/1/2022
Active	Assuredpartners Of Washington LLC	862933	Agent - Casualty	3/1/2022
Inactive	MCM Insurance Services , LLC	689441	Agent - Property	10/13/2008	11/19/2015
Inactive	MCM Insurance Services , LLC	689441	Agent - Casualty	10/13/2008	11/19/2015