Individual Information

ANDREW QUINN SLAKOFF

Address:

SAN FRANCISCO, CA 94126-2839

Status:

Active

Email:

licensing@deanshomer.com

Date:

04/12/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3234912	04/12/2017	Active	04/12/2017	04/30/2026
Non-Res. Surplus Lines Broker	3236070	04/18/2017	Active	04/18/2017	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/12/2017	Active	04/12/2017
Property	04/12/2017	Active	04/12/2017
Surplus Lines	04/18/2017	Active	04/18/2017

Company Name	Appointment Type	Status	Active Date
11671
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA	Casualty	Active	10/30/2017
	Property	Active	10/30/2017

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
PACIFIC UNDERWRITING FACILITY, LLC	Designated Resp Lic Prdcr	Agency	05/20/2024	-
DEANS & HOMER	Designated Resp Lic Prdcr	Agency	03/16/2020	-

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