Individual Information

NICHOLAS J DAVIS

RAPID CITY, SD 57702

Active

ndavis@amfam.com

06/30/2023

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3913931	06/30/2023	Active	06/30/2023	06/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/30/2023	Active	06/30/2023
Health	06/30/2023	Active	06/30/2023
Life	06/30/2023	Active	06/30/2023
Personal Lines	06/30/2023	Active	06/30/2023
Property	06/30/2023	Active	06/30/2023

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	07/08/2023
	Property	Active	07/08/2023
1742
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY LIFE INSURANCE COMPANY	Life	Active	07/08/2023
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	07/08/2023
	Property	Active	07/08/2023
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	07/08/2023
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	05/28/2024
	Property	Active	05/28/2024
14146
Company Name	Appointment Type	Status	Active Date
NGM INSURANCE COMPANY	Casualty	Active	10/19/2023
	Property	Active	10/19/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	05/19/2024
	Property	Active	05/19/2024
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	05/19/2024
	Property	Active	05/19/2024

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
DAVIS & ASSOICATES, LLC	Designated Resp Lic Prdcr	Agency	08/01/2023	-

1 - 1