DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaffer, Derek	DOIID	765692	NAIC NPN	9183433

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/4/2011		3/31/2025
Active	Non Resident	Agent	Property	10/4/2011		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/4/2011		3/31/2025
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	3/29/2015
Active	ACE American Insurance Company	300625	Agent - Property	3/29/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	3/29/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	3/29/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/29/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/29/2015
Active	Arch Insurance Company	300688	Agent - Casualty	12/21/2016
Active	Arch Insurance Company	300688	Agent - Property	12/21/2016
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	3/29/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	3/29/2015
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	3/29/2015
Active	Westchester Fire Insurance Company	300990	Agent - Property	3/29/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022