DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Guarantee Underwriters, Inc.	DOIID	712455	NAIC NPN	14070208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/1/2009	6/1/2018
Inactive	Non Resident	Agent	Property	9/1/2009	6/1/2018
Denied	Non Resident	Managing General Agent	Not Applicable
* 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
Inactive	Accident Insurance Company, Inc.	681435	Agent - Casualty	10/29/2010	10/18/2012
Inactive	Accident Insurance Company, Inc.	681435	Agent - Property	10/29/2010	10/18/2012
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/30/2011	2/17/2015
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/30/2011	2/17/2015
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/30/2011	2/17/2015
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/30/2011	2/17/2015
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	3/3/2010	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	3/3/2010	12/18/2017
Inactive	National Casualty Company	301483	Agent - Casualty	4/23/2014	1/12/2015
Inactive	National Casualty Company	301483	Agent - Property	4/23/2014	1/12/2015
Inactive	ULLICO Casualty Company	300505	Agent - Casualty	9/11/2009	8/21/2012
Inactive	ULLICO Casualty Company	300505	Agent - Property	9/11/2009	8/21/2012
Inactive	WCF National Insurance Company	300727	Agent - Casualty	1/10/2011	1/20/2014
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/30/2011	2/17/2015
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/30/2011	2/17/2015
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/30/2011	2/17/2015
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/30/2011	2/17/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arafa, Mohamed	923004	Agent - Casualty	9/2/2016	4/27/2017
Inactive	Arafa, Mohamed	923004	Agent - Property	9/2/2016	4/27/2017
Inactive	Bisazza, Beverly K	582506	Agent - Casualty	12/10/2012	2/15/2013
Inactive	Bisazza, Beverly K	582506	Agent - Property	12/10/2012	6/3/2013
Inactive	Garber, Gregory Page	555132	Agent - Casualty	9/1/2009	2/15/2013
Inactive	Garber, Gregory Page	555132	Agent - Property	9/1/2009	6/3/2013
Inactive	Halter, Paul V	392547	Agent - Casualty	12/10/2012	1/7/2016
Inactive	Halter, Paul V	392547	Agent - Property	12/10/2012	1/7/2016
Inactive	Keyes, Tricia Marie	922873	Agent - Casualty	9/2/2016	3/31/2018
Inactive	Keyes, Tricia Marie	922873	Agent - Property	9/2/2016	3/31/2018
Inactive	Stango, Daniel Michael	897292	Agent - Casualty	1/7/2016	1/7/2016
Inactive	Stango, Daniel Michael	897292	Agent - Property	1/7/2016	1/7/2016
Inactive	Travis, John W	806442	Agent - Casualty	5/31/2013	9/2/2016
Inactive	Travis, John W	806442	Agent - Property	5/31/2013	9/2/2016