Individual Information

BRENT JOSEPH ORCHARD

LAS VEGAS, NV 89120-2558

Active

borchard@farmersagent.com

02/18/2009

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	638434	02/18/2009	Active	02/18/2009	02/28/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/18/2009	Active	02/18/2009
Health	02/18/2009	Active	02/18/2009
Life	02/18/2009	Active	02/18/2009
Property	02/18/2009	Active	02/18/2009
Var. Annuities/Var. Life	03/16/2010	Active	03/16/2010
Surety	02/18/2009	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	02/25/2009
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	09/11/2017
	Property	Active	09/11/2017
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	02/23/2009
	Life	Active	02/23/2009
	Var. Annuities/Var. Life	Active	04/14/2010
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	09/11/2017
	Property	Active	09/11/2017
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	03/12/2009
	Property	Active	03/12/2009
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	09/11/2017
	Property	Active	09/11/2017
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	09/11/2017
	Property	Active	09/11/2017

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
BRENT ORCHARD INSURANCE AGENCY LLC	Designated Resp Lic Prdcr	Agency	11/13/2020	-

1 - 1