Individual Information

DONALD K FORD

LAKEVILLE, MN 55044-5066

Active

don.ford@usi.com

06/08/2005

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	204448	06/08/2005	Active	06/08/2005	06/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/08/2005	Active	06/08/2005
Property	06/08/2005	Active	06/08/2005
Surety	06/08/2005	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	06/05/2018
130765
Company Name	Appointment Type	Status	Active Date
EMCASCO INSURANCE COMPANY	Casualty	Active	05/15/2019
	Property	Active	05/15/2019
215
Company Name	Appointment Type	Status	Active Date
EMPLOYERS MUTUAL CASUALTY COMPANY	Casualty	Active	05/15/2019
	Property	Active	05/15/2019
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	06/05/2018
	Property	Active	06/05/2018
1236
Company Name	Appointment Type	Status	Active Date
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY	Casualty	Active	02/15/2024
	Property	Active	02/15/2024
162
Company Name	Appointment Type	Status	Active Date
NATIONWIDE ASSURANCE COMPANY	Casualty	Active	02/15/2024
	Property	Active	02/15/2024
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	02/15/2024
	Property	Active	02/15/2024
548
Company Name	Appointment Type	Status	Active Date
PROTECTIVE INSURANCE COMPANY	Casualty	Active	03/23/2023
	Property	Active	03/23/2023
1800
Company Name	Appointment Type	Status	Active Date
SAGAMORE INSURANCE COMPANY	Casualty	Active	03/23/2023
	Property	Active	03/23/2023
294
Company Name	Appointment Type	Status	Active Date
VANLINER INSURANCE COMPANY	Casualty	Active	04/29/2015
	Property	Active	04/29/2015

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