Individual Information

SHARAYA AGOFF

ALBANY, OR 97321-1793

Active

smoretti@farmersagent.com

01/07/2020

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3511263	01/07/2020	Active	01/07/2020	01/31/2026
Non-Res. Surplus Lines Broker	3812601	07/15/2022	Active	07/15/2022	07/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/07/2020	Active	01/07/2020
Health	01/07/2020	Active	01/07/2020
Life	01/07/2020	Active	01/07/2020
Property	01/07/2020	Active	01/07/2020
Surplus Lines	07/15/2022	Active	07/15/2022

Company Name	Appointment Type	Status	Active Date
1639
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	07/10/2020
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	07/10/2020
	Property	Active	07/10/2020
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	07/10/2020
	Life	Active	07/10/2020
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	07/10/2020
	Property	Active	07/10/2020
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	07/10/2020
	Property	Active	07/10/2020
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	07/10/2020
	Property	Active	07/10/2020
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	07/10/2020
	Property	Active	07/10/2020

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
AGOFF INSURANCE AGENCY, LLC	Designated Resp Lic Prdcr	Agency	07/20/2022	-

1 - 1