DEPARTMENT OF INSURANCE

Affiliations

Name	Randall, Michael Alan	DOIID	921277	NAIC NPN	14379338

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/15/2016	11/30/2026
Active	Non Resident	Agent	Casualty	7/15/2016	11/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/15/2016	11/30/2026
* 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	AmTrust Insurance Company	300179	Agent - Casualty	2/15/2019
Active	AmTrust Insurance Company	300179	Agent - Property	2/15/2019
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	7/28/2021
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	7/28/2021
Active	American Zurich Insurance Company	300592	Agent - Casualty	7/28/2021
Active	American Zurich Insurance Company	300592	Agent - Property	7/28/2021
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	2/15/2019
Active	Milford Casualty Insurance Company	301460	Agent - Property	2/15/2019
Inactive	Park National Insurance Company	692514	Agent - Casualty	2/15/2019	12/16/2023
Inactive	Park National Insurance Company	692514	Agent - Property	2/15/2019	12/16/2023
Active	Security National Insurance Company	301151	Agent - Casualty	2/15/2019
Active	Security National Insurance Company	301151	Agent - Property	2/15/2019
Active	Selective Insurance Company of America	500018	Agent - Casualty	11/9/2020
Active	Selective Insurance Company of America	500018	Agent - Property	11/9/2020
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	11/9/2020
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	11/9/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	9/20/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/9/2020
Active	Technology Insurance Company	613278	Agent - Casualty	2/15/2019
Active	Technology Insurance Company	613278	Agent - Property	2/15/2019
Active	United Financial Casualty Company	301886	Agent - Casualty	5/6/2020
Active	United Financial Casualty Company	301886	Agent - Property	5/6/2020
Active	Wesco Insurance Company	300534	Agent - Casualty	2/15/2019
Active	Wesco Insurance Company	300534	Agent - Property	2/15/2019
Active	Zurich American Insurance Company	301121	Agent - Casualty	7/28/2021
Active	Zurich American Insurance Company	301121	Agent - Property	7/28/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	7/28/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	7/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Of Oregon LLC	905764	Agent - Property	5/10/2022	2/13/2024
Inactive	Assuredpartners Of Oregon LLC	905764	Agent - Casualty	5/10/2022	2/13/2024
Inactive	Assuredpartners Of Oregon LLC	905764	Surplus Lines Broker - Not Applicable	5/10/2022	8/18/2023