Individual Information

THOMAS ROY SCARLETT

WOODLAND, CA 95695

Active

toms@wsrins.com

04/07/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3536149	04/07/2020	Active	04/07/2020	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/07/2020	Active	04/07/2020
Health	04/07/2020	Active	04/07/2020
Life	04/07/2020	Active	04/07/2020
Property	04/07/2020	Active	04/07/2020

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	02/08/2023
	Property	Active	02/08/2023
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
608
Company Name	Appointment Type	Status	Active Date
STANDARD FIRE INSURANCE COMPANY (THE)	Casualty	Active	09/07/2022
	Property	Active	09/07/2022
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1488
Company Name	Appointment Type	Status	Active Date
TRAVELERS PROPERTY CASUALTY INSURANCE COMPANY	Casualty	Active	09/01/2021
	Property	Active	09/01/2021
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022

row(s) 1 - 18 of 18

Organization	Association Type	Type	Beg dte	End dte
WRAITH SCARLETT & RANDOLPH INSURANCE SERVICES INC	Designated Resp Lic Prdcr	Agency	04/08/2020	-

1 - 1