Individual Information

CHESTER JOHN GOOD

PHOENIX, AZ 85029-4755

Active

chester.good@homesite.com

02/13/2015

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	1017297	02/13/2015	Active	02/13/2015	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/13/2015	Active	02/13/2015
Life	02/13/2015	Active	02/13/2015
Property	02/13/2015	Active	02/13/2015

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	07/18/2022
	Property	Active	07/18/2022
536
Company Name	Appointment Type	Status	Active Date
HOMESITE INDEMNITY COMPANY	Casualty	Active	03/25/2015
	Property	Active	03/25/2015
1281
Company Name	Appointment Type	Status	Active Date
HOMESITE INSURANCE COMPANY	Casualty	Active	09/23/2015
	Property	Active	09/23/2015
11242
Company Name	Appointment Type	Status	Active Date
INDEPENDENCE AMERICAN INSURANCE COMPANY	Casualty	Active	11/10/2023
	Property	Active	11/10/2023
1409
Company Name	Appointment Type	Status	Active Date
MIDVALE INDEMNITY COMPANY	Casualty	Active	10/29/2015
	Property	Active	10/29/2015
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	07/18/2022
	Property	Active	07/18/2022
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	07/18/2022
	Property	Active	07/18/2022
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	07/18/2022
	Property	Active	07/18/2022
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	07/18/2022
	Property	Active	07/18/2022
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	03/21/2019
	Property	Active	03/21/2019
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	07/18/2022
	Property	Active	07/18/2022

row(s) 1 - 22 of 22

Organization	Association Type	Type	Beg dte	End dte
HOMESITE INS AGENCY INC	Designated Resp Lic Prdcr	Agency	07/01/2021	-

1 - 1