DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Jose	DOIID	799196	NAIC NPN	16843063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/8/2012	10/31/2020
Inactive	Non Resident	Agent	Casualty	12/8/2012	10/31/2020
* 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	American Family Home Insurance Company	301817	Agent - Casualty	4/1/2013	3/7/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/1/2013	3/7/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/31/2013	3/7/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/31/2013	3/7/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/14/2013	3/7/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/14/2013	3/7/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/14/2013	3/7/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/14/2013	3/7/2018
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/21/2014	6/22/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	4/21/2014	6/22/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/13/2014	2/19/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/13/2014	2/19/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/21/2013	3/7/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/21/2013	3/7/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/17/2015	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/17/2015	8/21/2017
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/31/2018	8/11/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/31/2018	8/11/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/31/2018	8/11/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/31/2018	8/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	1/22/2013	2/8/2018
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	1/22/2013	2/8/2018