DEPARTMENT OF INSURANCE

Affiliations

Name	Kountz, Paul D	DOIID	1069110	NAIC NPN	9499911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/26/2019	3/31/2027
Active	Non Resident	Agent	Life	12/26/2019	3/31/2027
Active	Non Resident	Agent	Property	12/26/2019	3/31/2027
Active	Non Resident	Agent	Health	12/26/2019	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/26/2019	3/31/2027
* 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	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	4/28/2020
Active	ACE American Insurance Company	300625	Agent - Property	4/28/2020
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/27/2020
Active	AIG Property Casualty Company	300621	Agent - Property	6/27/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/6/2022	6/2/2026
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/6/2022	6/2/2026
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	4/28/2020
Active	Bankers Standard Insurance Company	301620	Agent - Property	4/28/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	4/28/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	4/28/2020
Active	Chubb National Insurance Company	301392	Agent - Casualty	4/28/2020
Active	Chubb National Insurance Company	301392	Agent - Property	4/28/2020
Active	Contractors Bonding and Insurance Company	300184	Agent - Casualty	8/5/2025
Active	Contractors Bonding and Insurance Company	300184	Agent - Property	8/5/2025
Active	Federal Insurance Company	301144	Agent - Casualty	4/28/2020
Active	Federal Insurance Company	301144	Agent - Property	4/28/2020
Active	Great Northern Insurance Company	301107	Agent - Casualty	4/28/2020
Active	Great Northern Insurance Company	301107	Agent - Property	4/28/2020
Active	Hudson Insurance Company	523144	Agent - Casualty	7/16/2025
Active	Hudson Insurance Company	523144	Agent - Property	7/16/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/28/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/28/2020
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	4/28/2020
Active	Pacific Employers Insurance Company	301753	Agent - Property	4/28/2020
Active	Pacific Indemnity Company	301610	Agent - Casualty	4/28/2020
Active	Pacific Indemnity Company	301610	Agent - Property	4/28/2020
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	12/17/2025
Active	Palomar Specialty Insurance Company	841441	Agent - Property	12/17/2025
Active	RLI Insurance Company	301217	Agent - Casualty	7/21/2025
Active	RLI Insurance Company	301217	Agent - Property	7/21/2025
Inactive	Spinnaker Insurance Company	300099	Agent - Casualty	3/14/2022	12/9/2023
Inactive	Spinnaker Insurance Company	300099	Agent - Property	3/14/2022	12/9/2023
Active	Vigilant Insurance Company	301143	Agent - Casualty	4/28/2020
Active	Vigilant Insurance Company	301143	Agent - Property	4/28/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Appalachian Underwriters Inc	519927	Agent - Casualty	8/15/2024
Active	Appalachian Underwriters Inc	519927	Agent - Property	8/15/2024
Active	Appalachian Underwriters Inc	519927	Surplus Lines Broker - Not Applicable	8/15/2024
Active	Reliance Risk Solutions LLC	1070078	Agent - Casualty	1/8/2020
Active	Reliance Risk Solutions LLC	1070078	Agent - Property	1/8/2020
Active	Reliance Risk Solutions LLC	1070078	Surplus Lines Broker - Not Applicable	1/8/2020