DEPARTMENT OF INSURANCE

Affiliations

Name	Gomez, Ernest	DOIID	908534	NAIC NPN	17868207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/2/2016	5/31/2018
Inactive	Non Resident	Agent	Property	3/2/2016	5/31/2018
* 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	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	3/21/2016	5/31/2018
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	3/21/2016	5/31/2018
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	3/21/2016	5/31/2018
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	3/21/2016	5/31/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/24/2016	4/12/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/24/2016	4/12/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/29/2016	4/12/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/29/2016	4/12/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/9/2016	3/31/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/9/2016	3/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/29/2016	4/12/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/29/2016	4/12/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/29/2016	4/12/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/29/2016	4/12/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/29/2016	4/12/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/29/2016	4/12/2017
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	3/21/2016	5/31/2018
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	3/21/2016	5/31/2018
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/21/2016	5/31/2018
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/21/2016	5/31/2018
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/21/2016	5/31/2018
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	3/21/2016	5/31/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/24/2016	4/12/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/24/2016	4/12/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	3/24/2016	4/12/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	3/24/2016	4/12/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/24/2016	4/12/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/24/2016	4/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regions Insurance Services, Inc.	609425	Agent - Property	4/5/2016	4/6/2016
Inactive	Regions Insurance Services, Inc.	609425	Agent - Casualty	4/5/2016	4/6/2016
Inactive	Regions Insurance, Inc.	502037	Agent - Property	4/6/2016	4/17/2017
Inactive	Regions Insurance, Inc.	502037	Agent - Casualty	4/6/2016	4/17/2017