DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Deborah	DOIID	988260	NAIC NPN	9498060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	6/26/2018	9/30/2025
Active	Resident	Agent	Casualty	6/26/2018	9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	9/26/2022
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	8/27/2018
Active	EMCASCO Insurance Company	842790	Agent - Property	8/27/2018
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	8/27/2018
Active	Employers Mutual Casualty Company	300202	Agent - Property	8/27/2018
Active	National American Insurance Company	301352	Agent - Casualty	1/27/2025
Active	National American Insurance Company	301352	Agent - Property	1/27/2025
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	Old Republic Insurance Company	301225	Agent - Casualty	8/25/2020
Active	Platte River Insurance Company	301089	Agent - Casualty	9/26/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/7/2021
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	1/7/2021
Active	Union Insurance Company of Providence	842791	Agent - Casualty	8/27/2018
Active	Union Insurance Company of Providence	842791	Agent - Property	8/27/2018
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	9/10/2018
Active	Westfield Insurance Company	301950	Agent - Property	9/10/2018
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	PCF Insurance Services Of The West, LLC	976137	Agent - Casualty	5/27/2021
Active	PCF Insurance Services Of The West, LLC	976137	Agent - Property	5/27/2021
Active	Triple Crown Insurance, LLC	808123	Agent - Casualty	8/27/2018
Active	Triple Crown Insurance, LLC	808123	Agent - Property	8/27/2018