DEPARTMENT OF INSURANCE

Affiliations

Name	Leavitt Recreation & Hospitality Ins Inc	DOIID	660397	NAIC NPN	659760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/7/2014		3/31/2027
Active	Non Resident	Agent	Casualty	8/16/2007		3/31/2027
Active	Non Resident	Agent	Property	8/16/2007		3/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/30/2014	1/24/2018
* 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	American Automobile Insurance Company	300953	Agent - Casualty	8/19/2016
Active	American Automobile Insurance Company	300953	Agent - Property	8/19/2016
Inactive	American Economy Insurance Company	300315	Agent - Casualty	10/18/2007	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	10/18/2007	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Casualty	10/18/2007	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	10/18/2007	3/29/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	10/12/2016
Active	Auto-Owners Insurance Company	301480	Agent - Property	10/12/2016
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	7/15/2014	7/16/2018
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	7/15/2014	7/16/2018
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	2/7/2019
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	10/13/2022
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/12/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Property	10/12/2021
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/18/2007	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	10/18/2007	10/13/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/18/2007	3/29/2024
Inactive	General Insurance Company of America	300261	Agent - Property	10/18/2007	3/29/2024
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	2/28/2018
Active	Great American Alliance Insurance Company	301247	Agent - Property	2/28/2018
Active	Great American Assurance Company	300327	Agent - Casualty	2/28/2018
Active	Great American Assurance Company	300327	Agent - Property	2/28/2018
Active	Great American Insurance Company	301586	Agent - Casualty	2/28/2018
Active	Great American Insurance Company	301586	Agent - Property	2/28/2018
Active	Great American Insurance Company of New York	301897	Agent - Casualty	2/28/2018
Active	Great American Insurance Company of New York	301897	Agent - Property	2/28/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/3/2023
Active	Markel Insurance Company	301475	Agent - Casualty	1/8/2017
Active	Markel Insurance Company	301475	Agent - Health	1/8/2017
Active	Markel Insurance Company	301475	Agent - Property	1/8/2017
Inactive	National General Insurance Company	300152	Agent - Casualty	3/6/2014	3/7/2016
Inactive	National General Insurance Company	300152	Agent - Property	3/6/2014	3/7/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	5/10/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	3/29/2024
Active	Owners Insurance Company	300796	Agent - Casualty	5/22/2025
Active	Owners Insurance Company	300796	Agent - Property	5/22/2025
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	5/8/2025
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	9/16/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	1/25/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	9/16/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/14/2011	5/28/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/14/2011	5/28/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/14/2011	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/14/2011	12/9/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/18/2007	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/18/2007	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/18/2007	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/18/2007	3/29/2024
Active	SECURA Insurance Company	301656	Agent - Casualty	3/21/2016
Active	SECURA Insurance Company	301656	Agent - Property	3/21/2016
Active	SECURA Supreme Insurance Company	645533	Agent - Casualty	3/21/2016
Active	SECURA Supreme Insurance Company	645533	Agent - Property	3/21/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	1/14/2011	5/28/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	1/14/2011	5/28/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hipple, Chris Alan	725534	Agent - Casualty	10/4/2016
Active	Hipple, Chris Alan	725534	Agent - Health	11/7/2014
Active	Hipple, Chris Alan	725534	Agent - Property	10/4/2016
Inactive	Hipple, Chris Alan	725534	Surplus Lines Broker - Not Applicable	7/30/2014	1/23/2018
Active	Pies, Mitchell James	1055773	Agent - Casualty	11/29/2023
Active	Pies, Mitchell James	1055773	Agent - Property	11/29/2023
Inactive	Poisson, Nichole Lorraine	616832	Agent - Casualty	6/10/2014	2/17/2015
Inactive	Poisson, Nichole Lorraine	616832	Agent - Property	6/10/2014	2/18/2015
Inactive	Poisson, Nichole Lorraine	616832	Surplus Lines Broker - Not Applicable	2/12/2015	2/18/2015
Inactive	Suhr, John	959530	Agent - Casualty	7/19/2017	9/30/2022
Inactive	Suhr, John	959530	Agent - Property	7/19/2017	9/30/2022
Active	Tolli, Bryan J	929266	Agent - Casualty	9/30/2016
Active	Tolli, Bryan J	929266	Agent - Property	9/30/2016
Active	Tumblin, James F	618078	Agent - Casualty	10/18/2007
Active	Tumblin, James F	618078	Agent - Property	10/18/2007
Active	Williams, Vance H	1310746	Agent - Casualty	6/4/2025
Active	Williams, Vance H	1310746	Agent - Property	6/4/2025