Individual Information

CARL BRADY NELSON

HANFORD, CA 93230

Active

carln@carlnelsonins.com

03/21/2011

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	57664	10/01/2001	Active	03/21/2011	03/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	03/21/2011
Health	10/01/2001	Active	03/21/2011
Life	10/01/2001	Active	03/21/2011
Property	10/01/2001	Active	03/21/2011
Casualty	12/15/1998	Inactive	10/01/2001
Casualty	08/10/2000	Inactive	10/01/2001
Health	08/10/2000	Inactive	10/01/2001
Life	08/10/2000	Inactive	10/01/2001
Property	12/15/1998	Inactive	10/01/2001
Property	08/10/2000	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
579
Company Name	Appointment Type	Status	Active Date
SAFECO INSURANCE COMPANY OF AMERICA	Casualty	Active	07/14/2023
	Property	Active	07/14/2023
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
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
CARL NELSON INSURANCE AGENCY INC	Designated Resp Lic Prdcr	Agency	09/16/2020	-

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