DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simons, Douglas	DOIID	904784	NAIC NPN	2629776

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/26/2016		4/30/2026
Active	Non Resident	Agent	Property	1/26/2016		4/30/2026
* 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
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/12/2016
Active	Fireman's Fund Insurance Company	301423	Agent - Property	2/12/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/9/2017	10/24/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/9/2017	10/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	2/15/2016	1/31/2023
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	2/15/2016	1/31/2023
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	2/12/2016	2/15/2016
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	2/12/2016	2/15/2016