DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simons, Douglas	DOIID	904784	NAIC NPN	2629776

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/26/2016		4/30/2026
Active	Non Resident	Agent	Property	1/26/2016		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/12/2016
Active	Fireman's Fund Insurance Company	301423	Agent - Property	2/12/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/9/2017	10/24/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/9/2017	10/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Property	2/15/2016	1/31/2023
Inactive	Arthur J Gallagher & Co Ins Brokers Of California Inc	513894	Agent - Casualty	2/15/2016	1/31/2023
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	2/12/2016	2/15/2016
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	2/12/2016	2/15/2016