DEPARTMENT OF INSURANCE

Affiliations

Name	Bourgeois Jr, David A	DOIID	980187	NAIC NPN	18631272

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	12/27/2017		1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	1/11/2018
Active	Core Specialty Insurance Services, Inc.	743450	Independent Adjuster - Property & Casualty	7/12/2023