Agency Information

DOXA E&S SOLUTIONS, LLC

1 E. WACKER DR., STE. 1920

CHICAGO, IL 60601

312-262-3300

http://www.promontadvisors.com

licensing@doxainsurance.com

18366398

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3849240	11/03/2022	Active	11/03/2022	11/30/2025
Non-Res. Producer Firm	3250742	06/22/2017	Active	06/22/2017	06/30/2026
Non-Res. Surplus Lines Broker	3250756	06/22/2017	Active	06/22/2017	06/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	11/03/2022	Active	11/03/2022
Casualty	06/22/2017	Active	06/22/2017
Property	06/22/2017	Active	06/22/2017
Surplus Lines	06/22/2017	Active	06/22/2017

Company Name	Appointment Type	Status	Active Date
171
ARCH INDEMNITY INSURANCE COMPANY	Casualty	Active	07/27/2021
	Property	Active	07/27/2021
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Casualty	Active	06/11/2020
	Property	Active	06/11/2020
1728
Company Name	Appointment Type	Status	Active Date
GREAT MIDWEST INSURANCE COMPANY	Casualty	Active	10/26/2021
	Property	Active	10/26/2021
56
Company Name	Appointment Type	Status	Active Date
HISCOX INSURANCE COMPANY, INC.	Casualty	Active	09/01/2017
	Property	Active	09/01/2017
1741
Company Name	Appointment Type	Status	Active Date
HUDSON INSURANCE COMPANY	Casualty	Active	11/01/2023
	Property	Active	11/01/2023
1666
Company Name	Appointment Type	Status	Active Date
MEDICAL PROTECTIVE COMPANY (THE)	Casualty	Active	04/01/2020
	Property	Active	04/01/2020
111667
Company Name	Appointment Type	Status	Active Date
WESTCHESTER FIRE INSURANCE COMPANY	Casualty	Active	12/02/2020
	Property	Active	12/02/2020

row(s) 1 - 14 of 14

Name	Association Type	Agent	Begin Date	End Date
DAVID JAMES PENEBAKER	Designated Resp Lic Adjuster	No	11/03/2022	-
GREGORY R MORRIS	Designated Resp Lic Prdcr	Yes	04/20/2020	-
JOSEPH MICHAEL GUERRERO	Designated Resp Lic Prdcr	Yes	05/23/2023	-

1 - 3