Individual Information

CHRISTOPHER D BALLARD

Address:

KIRKLAND, WA 98033

Status:

Active

Email:

compliance@ballardagency.com

Date:

03/25/2006

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	217918	03/25/2006	Active	03/25/2006	03/31/2027
Non-Res. Surplus Lines Broker	4090758	03/07/2025	Active	03/07/2025	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/25/2006	Active	03/25/2006
Health	02/08/2022	Active	02/08/2022
Life	02/08/2022	Active	02/08/2022
Property	03/25/2006	Active	03/25/2006
Surplus Lines	03/07/2025	Active	03/07/2025

Company Name	Appointment Type	Status	Active Date
1717
AMERICAN CONTRACTORS INDEMNITY COMPANY	Casualty	Active	06/24/2022
1200
Company Name	Appointment Type	Status	Active Date
FARMINGTON CASUALTY COMPANY	Casualty	Active	09/11/2023
	Property	Active	09/11/2023
492
Company Name	Appointment Type	Status	Active Date
OHIO CASUALTY INSURANCE COMPANY, THE	Casualty	Active	05/26/2023
	Property	Active	05/26/2023
1399
Company Name	Appointment Type	Status	Active Date
U S SPECIALTY INSURANCE COMPANY	Casualty	Active	06/24/2022

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
BALLARD AGENCY INC THE	Designated Resp Lic Prdcr	Agency	02/16/2021	-

1 - 1