Agency Information

BRENT ORCHARD INSURANCE AGENCY LLC

5795 SANDHILL RD SUITE G

LAS VEGAS, NV 89120

702-259-0015

borchard@farmersagent.com

17013899

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	891044	07/19/2013	Active	07/19/2013	07/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/19/2013	Active	07/19/2013
Health	07/19/2013	Active	07/19/2013
Life	07/19/2013	Active	07/19/2013
Property	07/19/2013	Active	07/19/2013
Var. Annuities/Var. Life	07/19/2013	Active	07/19/2013

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	01/07/2014
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	01/07/2014
	Life	Active	01/07/2014
	Var. Annuities/Var. Life	Active	05/09/2018
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	01/07/2014
	Property	Active	01/07/2014
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	10/03/2017

row(s) 1 - 15 of 15

Name	Association Type	Agent	Begin Date	End Date
BRENT JOSEPH ORCHARD	Designated Resp Lic Prdcr	Yes	11/13/2020	-

1 - 1