DEPARTMENT OF INSURANCE

Affiliations

Name	Southwest Risk LP	DOIID	766909	NAIC NPN	8054033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/18/2011	3/31/2027
Active	Non Resident	Agent	Property	10/18/2011	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/7/2012	3/31/2027
* 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	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/24/2021	8/25/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/24/2021	8/25/2022
Active	Arch Insurance Company	300688	Agent - Casualty	5/5/2014
Active	Arch Insurance Company	300688	Agent - Property	5/5/2014
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	3/13/2013	6/7/2018
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	3/13/2013	6/7/2018
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	10/16/2024
Active	Berkley Regional Insurance Company	300920	Agent - Property	10/16/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	5/13/2019	11/27/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	5/13/2019	11/27/2024
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Casualty	6/29/2021	7/15/2024
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Property	6/29/2021	7/15/2024
Active	HDI Global Insurance Company	676678	Agent - Casualty	1/6/2025
Active	HDI Global Insurance Company	676678	Agent - Property	1/6/2025
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/23/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	2/23/2016
Active	Midvale Indemnity Company	300292	Agent - Casualty	4/22/2021
Active	Midvale Indemnity Company	300292	Agent - Property	4/22/2021
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	3/15/2012
Active	Starr Indemnity and Liability Company	301685	Agent - Property	3/15/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherlin, Timothy Randall	801498	Agent - Casualty	9/21/2015
Active	Sutherlin, Timothy Randall	801498	Agent - Property	9/21/2015
Active	Sutherlin, Timothy Randall	801498	Surplus Lines Broker - Not Applicable	2/13/2013
Inactive	Wilburn, Bryan	649862	Agent - Casualty	10/18/2011	6/10/2013
Inactive	Wilburn, Bryan	649862	Agent - Property	10/18/2011	6/10/2013
Inactive	Wilburn, Bryan	649862	Surplus Lines Broker - Not Applicable	3/7/2012	6/27/2013