Individual Information

FRANK JAMES PETERSON

MANHATTAN BEACH, CA 90266

Active

fpeterson@avspecialty.com

05/17/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	558806	09/12/2007	Active	05/17/2017	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/12/2007	Active	05/17/2017
Property	09/12/2007	Active	05/17/2017
Casualty	12/16/1992	Inactive	01/01/2002
Property	12/16/1992	Inactive	01/01/2002
Surety	12/16/1992	Inactive	01/01/2002

Company Name	Appointment Type	Status	Active Date
757
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY	Casualty	Active	07/06/2017
	Property	Active	07/06/2017
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	06/04/2020
	Property	Active	06/04/2020
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	06/04/2020
	Property	Active	06/04/2020
11671
Company Name	Appointment Type	Status	Active Date
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA	Casualty	Active	06/30/2023
	Property	Active	06/30/2023
1096
Company Name	Appointment Type	Status	Active Date
MITSUI SUMITOMO INSURANCE USA INC	Casualty	Active	06/30/2023
	Property	Active	06/30/2023
983
Company Name	Appointment Type	Status	Active Date
PRAETORIAN INSURANCE COMPANY	Casualty	Active	05/21/2021
	Property	Active	05/21/2021
1199
Company Name	Appointment Type	Status	Active Date
QBE INSURANCE CORPORATION	Casualty	Active	05/20/2021
	Property	Active	05/20/2021

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
AVIATION SPECIALTY INS SERVICES INC	Designated Resp Lic Prdcr	Agency	02/12/2021	-

1 - 1