DEPARTMENT OF INSURANCE

Affiliations

Name	Leavitt Pacific Ins Brokers Inc	DOIID	706711	NAIC NPN	7971180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/29/2009		3/31/2027
Active	Non Resident	Agent	Property	5/29/2009		3/31/2027
Inactive	Non Resident	Agent	Health	5/29/2009	3/12/2015
Inactive	Non Resident	Agent	Life	5/29/2009	3/12/2015
* 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	01/15/2025	03/31/2025	01/09/2025	01/09/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/14/2015	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/14/2015	3/29/2024
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/13/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/13/2013	12/3/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/14/2015	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/14/2015	10/13/2022
Inactive	Employers Assurance Company	300120	Agent - Casualty	7/17/2019	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	7/17/2019	1/3/2024
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	7/17/2019	1/3/2024
Inactive	Farmington Casualty Company	301137	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	9/13/2013	12/3/2014
Active	General Casualty Company of Wisconsin	300930	Agent - Casualty	12/7/2021
Active	General Casualty Company of Wisconsin	300930	Agent - Property	12/7/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/14/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	4/14/2015	2/3/2023
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/30/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/14/2015	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/14/2015	5/10/2024
Active	North Pointe Insurance Company	301029	Agent - Casualty	12/7/2021
Active	North Pointe Insurance Company	301029	Agent - Property	12/7/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/14/2015	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/14/2015	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/14/2015	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/14/2015	3/29/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/14/2015	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/14/2015	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/14/2015	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	4/14/2015	5/8/2025
Active	Regent Insurance Company	300411	Agent - Casualty	12/7/2021
Active	Regent Insurance Company	300411	Agent - Property	12/7/2021
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/13/2013	12/3/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/13/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	9/13/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	9/13/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	9/13/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	9/13/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/13/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/13/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/13/2013	12/3/2014
Active	Transportation Insurance Company	301575	Agent - Casualty	6/11/2019
Active	Transportation Insurance Company	301575	Agent - Property	6/11/2019
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/13/2013	12/3/2014
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/13/2013
Active	Travelers Casualty and Surety Company	301067	Agent - Property	9/13/2013
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/13/2013
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/13/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	9/13/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/13/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/13/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/13/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/13/2013	12/3/2014
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/13/2013
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/13/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/13/2013	12/21/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/13/2013	12/21/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	4/14/2015	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	4/14/2015	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aber, Jeffrey Neil	705487	Agent - Casualty	5/29/2009	3/10/2015
Inactive	Aber, Jeffrey Neil	705487	Agent - Health	5/29/2009	3/10/2015
Inactive	Aber, Jeffrey Neil	705487	Agent - Life	5/29/2009	3/10/2015
Inactive	Aber, Jeffrey Neil	705487	Agent - Property	5/29/2009	3/10/2015
Denied	Campo, Nicholas Aaron	1368267	Agent - Casualty
Denied	Campo, Nicholas Aaron	1368267	Agent - Property
Active	Stafford, Frederick Jay	715809	Agent - Casualty	3/10/2015
Active	Stafford, Frederick Jay	715809	Agent - Property	3/10/2015