DEPARTMENT OF INSURANCE

Affiliations

Name	Intrepid Direct Ins Agency LLC	DOIID	931179	NAIC NPN	17860208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/29/2016	3/31/2026
Active	Non Resident	Agent	Casualty	9/29/2016	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/19/2017	3/31/2026
* 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
Active	Berkley Casualty Company	300731	Agent - Casualty	10/17/2019
Active	Berkley Insurance Company	301355	Agent - Casualty	3/23/2017
Active	Berkley Insurance Company	301355	Agent - Property	4/23/2019
Active	Berkley National Insurance Company	515028	Agent - Casualty	5/11/2018
Active	Berkley National Insurance Company	515028	Agent - Property	5/11/2018
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	5/11/2018
Active	Berkley Regional Insurance Company	300920	Agent - Property	5/11/2018
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	10/25/2016
Active	Carolina Casualty Insurance Company	300271	Agent - Property	10/25/2016
Active	Intrepid Casualty Company	1196014	Agent - Casualty	9/5/2023
Active	Intrepid Casualty Company	1196014	Agent - Property	9/5/2023
Active	Intrepid Insurance Company	567182	Agent - Casualty	2/8/2017
Active	Intrepid Insurance Company	567182	Agent - Property	2/8/2017
Active	Key Risk Insurance Company	630687	Agent - Casualty	10/17/2019
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	2/20/2018
Active	StarNet Insurance Company	502746	Agent - Casualty	2/20/2018
Active	StarNet Insurance Company	502746	Agent - Property	5/11/2018
Active	Western Surety Company	300283	Agent - Casualty	7/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ainsworth, Melissa Katherine	1330926	Agent - Casualty	7/1/2024
Active	Ainsworth, Melissa Katherine	1330926	Agent - Property	7/1/2024
Active	Ainsworth, Melissa Katherine	1330926	Surplus Lines Broker - Not Applicable	4/12/2024
Inactive	Bradley, Laura Lynne	1256120	Agent - Casualty	9/6/2023	12/23/2024
Inactive	Bradley, Laura Lynne	1256120	Agent - Property	9/6/2023	12/23/2024
Active	Chastain, Nathaniel Stephen	779044	Agent - Casualty	9/6/2023
Active	Chastain, Nathaniel Stephen	779044	Agent - Property	9/6/2023
Active	Clanton, Margaret Page	1230942	Agent - Casualty	9/6/2023
Active	Clanton, Margaret Page	1230942	Agent - Property	9/6/2023
Active	Crowder, Christopher Tye	712221	Agent - Casualty	10/17/2023
Active	Crowder, Christopher Tye	712221	Agent - Property	10/17/2023
Active	Dicarlo, Nicholas Robert	1072536	Agent - Casualty	9/6/2023
Active	Dicarlo, Nicholas Robert	1072536	Agent - Property	9/6/2023
Inactive	Fitzmaurice, Elizabeth Kaye	1253725	Agent - Casualty	9/5/2023	4/26/2024
Inactive	Fitzmaurice, Elizabeth Kaye	1253725	Agent - Property	9/5/2023	4/26/2024
Inactive	Lee, Chad A	811254	Agent - Casualty	9/29/2016	7/23/2018
Inactive	Lee, Chad A	811254	Agent - Property	9/29/2016	7/23/2018
Active	Nash, Stephen Andrew	1248177	Agent - Casualty	10/17/2023
Active	Nash, Stephen Andrew	1248177	Agent - Property	10/17/2023
Active	Regnier, Nolan Rayl	1230902	Agent - Casualty	9/6/2023
Active	Regnier, Nolan Rayl	1230902	Agent - Property	9/6/2023
Active	Richard, Stephven Xavier	969575	Agent - Casualty	9/6/2023
Active	Richard, Stephven Xavier	969575	Agent - Property	9/6/2023
Active	Schrier, Tawny E	1256444	Agent - Casualty	9/6/2023
Active	Schrier, Tawny E	1256444	Agent - Property	9/6/2023
Denied	Shearon, Ty J	1331059	Agent - Casualty
Denied	Shearon, Ty J	1331059	Agent - Property
Active	Shearon, Ty J	1331059	Surplus Lines Broker - Not Applicable	4/12/2024
Active	Smith, Daniel Andrew John	1253734	Agent - Casualty	10/17/2023
Active	Smith, Daniel Andrew John	1253734	Agent - Property	10/17/2023
Active	Strout, William S	910617	Agent - Casualty	9/29/2016
Active	Strout, William S	910617	Agent - Property	9/29/2016
Active	Strout, William S	910617	Surplus Lines Broker - Not Applicable	7/19/2017
Active	Taker, Lisa M	716395	Agent - Casualty	9/6/2023
Active	Taker, Lisa M	716395	Agent - Property	9/6/2023
Inactive	Treder, April	696505	Agent - Casualty	8/25/2023	11/20/2023
Inactive	Treder, April	696505	Agent - Property	8/25/2023	11/20/2023
Active	Treder, April	696505	Surplus Lines Broker - Not Applicable	8/25/2023
Denied	West, Austin R	1209697	Agent - Casualty
Denied	West, Austin R	1209697	Agent - Property