Individual Information

JAMES BUCKLEY

MORAGA, CA 94556-2811

Active

jim_buckley@ajg.com

04/17/2014

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	947655	04/17/2014	Active	07/27/2020	07/31/2026
Non-Res. Surplus Lines Broker	3090449	07/27/2015	Active	07/27/2015	07/31/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/17/2014	Active	07/27/2020
Health	04/17/2014	Active	07/27/2020
Life	04/17/2014	Active	07/27/2020
Property	04/17/2014	Active	07/27/2020
Surplus Lines	07/27/2015	Active	07/27/2015

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
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 - 12 of 12

Organization	Association Type	Type	Beg dte	End dte
ARTEX RISK SOLUTIONS INC	Designated Resp Lic Prdcr	Agency	08/17/2022	-
CHARITY FIRST INS SERVICES INC	Designated Resp Lic Prdcr	Agency	06/08/2023	-

1 - 2