DEPARTMENT OF INSURANCE

Affiliations

Name	Private Client Ins Group Llc	DOIID	806416	NAIC NPN	13731115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/22/2013	11/17/2016
Inactive	Non Resident	Agent	Property	3/22/2013	11/17/2016
Denied	Non Resident	Managing General Agent	Not Applicable
Denied	Non Resident	Surplus Lines Broker	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	ACE American Insurance Company	300625	Agent - Casualty	4/20/2015	9/2/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	4/20/2015	9/2/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/20/2015	9/2/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/20/2015	9/2/2016
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	5/13/2013	11/17/2016
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	5/13/2013	11/17/2016
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	5/13/2013	11/17/2016
Inactive	Chubb National Insurance Company	301392	Agent - Property	5/13/2013	11/17/2016
Inactive	Federal Insurance Company	301144	Agent - Casualty	5/13/2013	11/17/2016
Inactive	Federal Insurance Company	301144	Agent - Property	5/13/2013	11/17/2016
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	5/13/2013	11/17/2016
Inactive	Great Northern Insurance Company	301107	Agent - Property	5/13/2013	11/17/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/20/2015	9/2/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/20/2015	9/2/2016
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	4/20/2015	9/2/2016
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	4/20/2015	9/2/2016
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	5/13/2013	11/17/2016
Inactive	Pacific Indemnity Company	301610	Agent - Property	5/13/2013	11/17/2016
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	5/13/2013	11/17/2016
Inactive	Vigilant Insurance Company	301143	Agent - Property	5/13/2013	11/17/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Celedinas, Ray Steven	789253	Agent - Casualty	3/22/2013	11/17/2016
Inactive	Celedinas, Ray Steven	789253	Agent - Property	3/22/2013	11/17/2016