DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gagliano, Vincent John	DOIID	861018	NAIC NPN	8490429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/14/2014		4/30/2026
Active	Non Resident	Agent	Casualty	11/14/2014		4/30/2026
Inactive	Non Resident	Managing General Agent	Not Applicable	2/15/2016	5/31/2017
* 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	American Interstate Insurance Company	301092	Agent - Casualty	11/25/2014
Active	American Interstate Insurance Company	301092	Agent - Property	11/25/2014
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	1/13/2015	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	1/13/2015	12/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amerisafe General Agency Inc	400210	Agent - Property	3/9/2015
Active	Amerisafe General Agency Inc	400210	Agent - Casualty	3/9/2015
Inactive	Amerisafe General Agency Inc	400210	Managing General Agent - Not Applicable	2/15/2016	5/31/2017