Individual Information

DAVID A HARNOIS

PHOENIX, AZ 85051-9560

Active

david.harnois@vgm.com

10/19/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	195212	10/19/2004	Active	10/19/2004	10/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/19/2004	Active	10/19/2004
Property	10/19/2004	Active	10/19/2004

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	09/15/2021
	Property	Active	09/15/2021
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	03/07/2012
	Property	Active	03/07/2012
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
AFFINITY AGENCY GROUP LLC	Designated Resp Lic Prdcr	Agency	07/07/2021	-

1 - 1