Individual Information

DEREK J PERRY

SOLON, OH 44139

Active

derek.perry@suracy.com

03/25/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3424865	03/25/2019	Active	03/25/2019	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/25/2019	Active	03/25/2019
Property	03/25/2019	Active	03/25/2019

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	02/24/2025
	Property	Active	02/24/2025
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	02/24/2025
	Property	Active	02/24/2025
919
Company Name	Appointment Type	Status	Active Date
NATIONAL SPECIALTY INSURANCE COMPANY	Casualty	Active	12/14/2022
	Property	Active	12/14/2022
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	02/24/2025
	Property	Active	02/24/2025
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	02/24/2025
	Property	Active	02/24/2025
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	12/14/2022
	Property	Active	12/14/2022
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	02/24/2025
	Property	Active	02/24/2025
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	03/02/2023
	Property	Active	03/02/2023
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	02/24/2025
	Property	Active	02/24/2025

row(s) 1 - 18 of 18

Organization	Association Type	Type	Beg dte	End dte
SURACY INSURANCE AGENCY, INC	Designated Resp Lic Prdcr	Agency	03/05/2020	-

1 - 1