DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pacific General Insurance Agency Inc	DOIID	749737	NAIC NPN	19863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Property	3/10/2011	3/31/2021
Inactive	Non Resident	Agent	Casualty	3/10/2011	3/31/2021
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	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/16/2019	12/19/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/16/2019	12/19/2019
Inactive	United Financial Casualty Company	301886	Agent - Casualty	9/16/2019	12/19/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	9/16/2019	12/19/2019
Inactive	Western Surety Company	300283	Agent - Casualty	4/12/2011	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wieringa, David B	685030	Agent - Casualty	3/10/2011	3/31/2021
Inactive	Wieringa, David B	685030	Agent - Property	3/10/2011	3/31/2021