Individual Information

SHAWN TRACY

VERADALE, WA 99037

Active

shawn@americusinsurance.net

10/09/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3280844	10/09/2017	Active	10/09/2017	10/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/09/2017	Active	10/09/2017
Property	10/09/2017	Active	10/09/2017

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	11/28/2017
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	11/28/2017
	Property	Active	11/28/2017
919
Company Name	Appointment Type	Status	Active Date
NATIONAL SPECIALTY INSURANCE COMPANY	Casualty	Active	07/05/2023
	Property	Active	07/05/2023
149264
Company Name	Appointment Type	Status	Active Date
NEXT INSURANCE US COMPANY	Casualty	Active	07/13/2023
	Property	Active	07/13/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	04/11/2022
	Property	Active	04/11/2022
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	05/29/2020
	Property	Active	05/29/2020
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	07/05/2023
	Property	Active	07/05/2023
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	10/14/2021
	Property	Active	10/14/2021
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	04/11/2022
	Property	Active	04/11/2022
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	12/06/2019
	Property	Active	12/06/2019
1242
Company Name	Appointment Type	Status	Active Date
VIKING INSURANCE COMPANY OF WISCONSIN	Casualty	Active	01/15/2018
	Property	Active	01/15/2018

row(s) 1 - 21 of 21

Organization	Association Type	Type	Beg dte	End dte
AMERICUS INS LLC	Designated Resp Lic Prdcr	Agency	07/06/2021	-
FREEDOM INSURANCE LLC	Designated Resp Lic Prdcr	Agency	01/31/2022	-

1 - 2