DEPARTMENT OF INSURANCE

Affiliations

Name	Dominguez, Manuel	DOIID	898444	NAIC NPN	17769717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/10/2015	8/31/2026
Active	Non Resident	Agent	Property	11/10/2015	8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/25/2016	6/22/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/25/2016	6/22/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/26/2015	6/22/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/26/2015	6/22/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/26/2015	6/22/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/26/2015	6/22/2017
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/13/2025
Active	Bristol West Insurance Company	301655	Agent - Property	1/13/2025
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/24/2015	7/25/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/24/2015	7/25/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/24/2015	7/25/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/24/2015	7/25/2017
Inactive	Esurance Insurance Company	301072	Agent - Casualty	12/7/2015	6/21/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	12/7/2015	6/21/2016
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/5/2018
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/5/2018
Active	Farmers Insurance Exchange	300336	Agent - Casualty	9/19/2025
Active	Farmers Insurance Exchange	300336	Agent - Property	9/19/2025
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/5/2018
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/5/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/4/2015	6/24/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/4/2015	6/24/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/7/2015	6/23/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/7/2015	6/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/7/2015	6/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/7/2015	6/23/2017
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	11/26/2015	6/22/2017
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	11/26/2015	6/22/2017
Inactive	United Services Automobile Association	300158	Agent - Casualty	3/14/2018	3/22/2018
Inactive	United Services Automobile Association	300158	Agent - Property	3/14/2018	3/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/18/2015	6/19/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/18/2015	6/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Property	6/3/2021
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/3/2021
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	11/18/2015	6/16/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	11/18/2015	6/16/2017