DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chauvin, William Pierre	DOIID	707831	NAIC NPN	1122285

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/17/2009		8/31/2026
Active	Non Resident	Agent	Casualty	6/17/2009		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/30/2009		8/31/2026
* 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	06/15/2024	08/31/2024	07/17/2024	07/17/2024	Yes
Surplus Lines Broker	06/15/2024	08/31/2024	07/17/2024	07/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Catlin Insurance Company, Inc.	300979	Agent - Casualty	6/17/2009
Active	Catlin Insurance Company, Inc.	300979	Agent - Property	6/17/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Catlin Insurance Services, Inc.	662152	Agent - Property	9/23/2016	9/29/2020
Inactive	Catlin Insurance Services, Inc.	662152	Agent - Casualty	9/23/2016	9/29/2020
Inactive	Catlin Insurance Services, Inc.	662152	Surplus Lines Broker - Not Applicable	9/23/2016	9/29/2020
Active	Convex North America Insurance Services LLC	1154417	Agent - Property	8/26/2021
Active	Convex North America Insurance Services LLC	1154417	Agent - Casualty	8/26/2021
Active	Convex North America Insurance Services LLC	1154417	Surplus Lines Broker - Not Applicable	8/26/2021