DEPARTMENT OF INSURANCE
Affiliations
NameEQ One Insurance Services, LLCDOIID705707NAIC NPN3227176
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/13/2009 3/31/2027
ActiveNon ResidentAgentCasualty5/13/2009 3/31/2027
ActiveNon ResidentSurplus Lines BrokerNot Applicable6/11/2009 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePraetorian Insurance Company301021Agent - Casualty3/17/20101/28/2016
InactivePraetorian Insurance Company301021Agent - Property3/17/20101/28/2016
InactiveQBE Insurance Corporation300515Agent - Casualty3/17/20101/28/2016
InactiveQBE Insurance Corporation300515Agent - Property3/17/20101/28/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGaston, Tia Marie 1258882Agent - Casualty5/25/2023 
ActiveGaston, Tia Marie 1258882Agent - Property5/25/2023 
ActiveGaston, Tia Marie 1258882Surplus Lines Broker - Not Applicable5/4/2023 
InactiveGonzalez, Guillermo Ernesto 830683Agent - Casualty3/19/20155/4/2023
InactiveGonzalez, Guillermo Ernesto 830683Agent - Property3/19/20155/4/2023
InactiveGonzalez, Guillermo Ernesto 830683Surplus Lines Broker - Not Applicable3/19/20151/31/2024
InactiveUrrutia, Angela Cribbs 692057Agent - Casualty5/13/200910/31/2015
InactiveUrrutia, Angela Cribbs 692057Agent - Property5/13/200910/31/2015
InactiveUrrutia, Angela Cribbs 692057Surplus Lines Broker - Not Applicable6/11/200910/31/2015

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