DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fulcro Insurance Of Georgia, LLC DBA : Fulcro Insurance	DOIID	958481	NAIC NPN	12802563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/23/2017		3/31/2025
Active	Non Resident	Agent	Property	6/23/2017		3/31/2025
* 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	AmGUARD Insurance Company	500010	Agent - Casualty	6/23/2020
Active	AmGUARD Insurance Company	500010	Agent - Property	6/23/2020
Active	Continental Casualty Company	301019	Agent - Casualty	2/12/2024
Active	Continental Casualty Company	301019	Agent - Property	2/12/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/26/2018
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/26/2018
Active	NorGUARD Insurance Company	500015	Agent - Casualty	6/23/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Perez, Enrique Rafael	835242	Agent - Casualty	6/23/2017
Pending Replacement	Perez, Enrique Rafael	835242	Agent - Property	6/23/2017