DEPARTMENT OF INSURANCE

Affiliations

Name	Intrepid Direct Ins Agency LLC	DOIID	931179	NAIC NPN	17860208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/29/2016	3/31/2026
Active	Non Resident	Agent	Casualty	9/29/2016	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/19/2017	3/31/2026
* 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	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Berkley Casualty Company	300731	Agent - Casualty	10/17/2019
Active	Berkley Insurance Company	301355	Agent - Casualty	3/23/2017
Active	Berkley Insurance Company	301355	Agent - Property	4/23/2019
Active	Berkley National Insurance Company	515028	Agent - Casualty	5/11/2018
Active	Berkley National Insurance Company	515028	Agent - Property	5/11/2018
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	5/11/2018
Active	Berkley Regional Insurance Company	300920	Agent - Property	5/11/2018
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	10/25/2016
Active	Carolina Casualty Insurance Company	300271	Agent - Property	10/25/2016
Active	Intrepid Casualty Company	1196014	Agent - Casualty	9/5/2023
Active	Intrepid Casualty Company	1196014	Agent - Property	9/5/2023
Active	Intrepid Insurance Company	567182	Agent - Casualty	2/8/2017
Active	Intrepid Insurance Company	567182	Agent - Property	2/8/2017
Active	Key Risk Insurance Company	630687	Agent - Casualty	10/17/2019
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	2/20/2018
Active	StarNet Insurance Company	502746	Agent - Casualty	2/20/2018
Active	StarNet Insurance Company	502746	Agent - Property	5/11/2018
Active	Western Surety Company	300283	Agent - Casualty	7/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ainsworth, Melissa Katherine	1330926	Agent - Casualty	7/1/2024
Active	Ainsworth, Melissa Katherine	1330926	Agent - Property	7/1/2024
Active	Ainsworth, Melissa Katherine	1330926	Surplus Lines Broker - Not Applicable	4/12/2024
Inactive	Bradley, Laura Lynne	1256120	Agent - Casualty	9/6/2023	12/23/2024
Inactive	Bradley, Laura Lynne	1256120	Agent - Property	9/6/2023	12/23/2024
Inactive	Chastain, Nathaniel Stephen	779044	Agent - Casualty	9/6/2023	4/24/2025
Inactive	Chastain, Nathaniel Stephen	779044	Agent - Property	9/6/2023	4/24/2025
Active	Clanton, Margaret Page	1230942	Agent - Casualty	9/6/2023
Active	Clanton, Margaret Page	1230942	Agent - Property	9/6/2023
Active	Crowder, Christopher Tye	712221	Agent - Casualty	10/17/2023
Active	Crowder, Christopher Tye	712221	Agent - Property	10/17/2023
Active	Dicarlo, Nicholas Robert	1072536	Agent - Casualty	9/6/2023
Active	Dicarlo, Nicholas Robert	1072536	Agent - Property	9/6/2023
Inactive	Fitzmaurice, Elizabeth Kaye	1253725	Agent - Casualty	9/5/2023	4/26/2024
Inactive	Fitzmaurice, Elizabeth Kaye	1253725	Agent - Property	9/5/2023	4/26/2024
Inactive	Lee, Chad A	811254	Agent - Casualty	9/29/2016	7/23/2018
Inactive	Lee, Chad A	811254	Agent - Property	9/29/2016	7/23/2018
Active	Nash, Stephen Andrew	1248177	Agent - Casualty	10/17/2023
Active	Nash, Stephen Andrew	1248177	Agent - Property	10/17/2023
Pending	Pearson, James Baker	845574	Agent - Casualty
Pending	Pearson, James Baker	845574	Agent - Property
Active	Regnier, Nolan Rayl	1230902	Agent - Casualty	9/6/2023
Active	Regnier, Nolan Rayl	1230902	Agent - Property	9/6/2023
Active	Richard, Stephven Xavier	969575	Agent - Casualty	9/6/2023
Active	Richard, Stephven Xavier	969575	Agent - Property	9/6/2023
Active	Schrier, Tawny E	1256444	Agent - Casualty	9/6/2023
Active	Schrier, Tawny E	1256444	Agent - Property	9/6/2023
Denied	Shearon, Ty J	1331059	Agent - Casualty
Denied	Shearon, Ty J	1331059	Agent - Property
Active	Shearon, Ty J	1331059	Surplus Lines Broker - Not Applicable	4/12/2024
Active	Smith, Daniel Andrew John	1253734	Agent - Casualty	10/17/2023
Active	Smith, Daniel Andrew John	1253734	Agent - Property	10/17/2023
Active	Strout, William S	910617	Agent - Casualty	9/29/2016
Active	Strout, William S	910617	Agent - Property	9/29/2016
Active	Strout, William S	910617	Surplus Lines Broker - Not Applicable	7/19/2017
Active	Taker, Lisa M	716395	Agent - Casualty	9/6/2023
Active	Taker, Lisa M	716395	Agent - Property	9/6/2023
Inactive	Treder, April	696505	Agent - Casualty	8/25/2023	11/20/2023
Inactive	Treder, April	696505	Agent - Property	8/25/2023	11/20/2023
Active	Treder, April	696505	Surplus Lines Broker - Not Applicable	8/25/2023
Denied	West, Austin R	1209697	Agent - Casualty
Denied	West, Austin R	1209697	Agent - Property