DEPARTMENT OF INSURANCE

Affiliations

Name	Dominguez, Manuel	DOIID	898444	NAIC NPN	17769717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/10/2015	8/31/2026
Active	Non Resident	Agent	Casualty	11/10/2015	8/31/2026
* 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	2/25/2016	6/22/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/25/2016	6/22/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/26/2015	6/22/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/26/2015	6/22/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/26/2015	6/22/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/26/2015	6/22/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/26/2015	6/22/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/26/2015	6/22/2017
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/24/2015	7/25/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/24/2015	7/25/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/24/2015	7/25/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/24/2015	7/25/2017
Inactive	Esurance Insurance Company	301072	Agent - Casualty	12/7/2015	6/21/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	12/7/2015	6/21/2016
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/5/2018
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/5/2018
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/5/2018
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/5/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/4/2015	6/24/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/4/2015	6/24/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/7/2015	6/23/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/7/2015	6/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/7/2015	6/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/7/2015	6/23/2017
Inactive	United Services Automobile Association	300158	Agent - Casualty	3/14/2018	3/22/2018
Inactive	United Services Automobile Association	300158	Agent - Property	3/14/2018	3/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/18/2015	6/19/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/18/2015	6/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Property	6/3/2021
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/3/2021
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	11/18/2015	6/16/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	11/18/2015	6/16/2017