Individual Information

JOHN VICTOR WAGNER JR

Address:

LOS ALTOS, CA 94022-1531

Status:

Active

Email:

johnwagner@prosurancegroup.com

Date:

09/14/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	193728	09/14/2004	Active	09/14/2004	09/30/2025
Non-Res. Surplus Lines Broker	222280	06/29/2006	Active	06/29/2006	06/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/14/2004	Active	09/14/2004
Property	09/14/2004	Active	09/14/2004
Surplus Lines	06/29/2006	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1652
MARKEL AMERICAN INSURANCE COMPANY	Casualty	Active	11/03/2011
	Property	Active	11/03/2011
1105
Company Name	Appointment Type	Status	Active Date
MARKEL INSURANCE COMPANY	Casualty	Active	07/09/2010
	Property	Active	07/09/2010

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Organization	Association Type	Type	Beg dte	End dte
PROSURANCE GROUP INC	Designated Resp Lic Prdcr	Agency	10/16/2020	-

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