DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Souwei	DOIID	1156943	NAIC NPN	4509808

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/7/2021	12/31/2022
Inactive	Non Resident	Agent	Casualty	9/7/2021	12/31/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/8/2021	4/21/2022
* 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
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	9/14/2021	11/14/2022
Inactive	Zurich American Insurance Company	301121	Agent - Property	9/14/2021	11/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Northeast Inc	537673	Surplus Lines Broker - Not Applicable	9/14/2021	4/19/2022
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Property	9/14/2021	4/12/2022
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	9/14/2021	4/12/2022