Individual Information

AMIE BERRY PADDOCK

Address:

DEARBORN, MI 48120-1109

Status:

Active

Email:

christine.frisby@cfins.com

Date:

01/20/2021

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3627496	01/20/2021	Active	01/20/2021	01/31/2027
Non-Res. Surplus Lines Broker	3641810	03/08/2021	Active	03/08/2021	03/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/20/2021	Active	01/20/2021
Property	01/20/2021	Active	01/20/2021
Surplus Lines	03/08/2021	Active	03/08/2021

Company Name	Appointment Type	Status	Active Date
1497
CRUM & FORSTER INDEMNITY COMPANY	Casualty	Active	05/17/2021
	Property	Active	05/17/2021
632
Company Name	Appointment Type	Status	Active Date
NORTH RIVER INSURANCE COMPANY (THE)	Casualty	Active	05/17/2021
	Property	Active	05/17/2021
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	05/17/2021
	Property	Active	05/17/2021

row(s) 1 - 6 of 6

Organization	Association Type	Type	Beg dte	End dte
CRUM & FORSTER INS BROKERS INC	Designated Resp Lic Prdcr	Agency	04/09/2021	-

1 - 1