DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Friesen, Jeffery D	DOIID	815956	NAIC NPN	6226172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/1/2018	5/31/2021
Inactive	Non Resident	Agent	Casualty	6/1/2018	5/31/2021
Inactive	Non Resident	Property & Casualty Consultant	Not Applicable	8/15/2013	5/31/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/11/2018	5/31/2021
* 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	4/5/2021	5/31/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	4/5/2021	5/31/2021
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/5/2021	5/31/2021
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/5/2021	5/31/2021
Inactive	Federal Insurance Company	301144	Agent - Casualty	4/5/2021	5/31/2021
Inactive	Federal Insurance Company	301144	Agent - Property	4/5/2021	5/31/2021
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/5/2021	5/31/2021
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/5/2021	5/31/2021
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	4/5/2021	5/31/2021
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	4/5/2021	5/31/2021
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	6/11/2018	5/31/2021
Inactive	Zurich American Insurance Company	301121	Agent - Property	6/11/2018	5/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Oregon Inc	523955	Agent - Casualty	6/18/2018	1/13/2020
Inactive	Willis Of Oregon Inc	523955	Agent - Property	6/18/2018	1/13/2020
Inactive	Willis Of Oregon Inc	523955	Surplus Lines Broker - Not Applicable	6/18/2018	7/8/2020