Individual Information

DIANA LUCIA MCINTOSH

LAS VEGAS, NV 89120-3761

Active

dshort@amfam.com

09/12/2000

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Res. Producer/Producer Firm	70284	10/01/2001	Active	10/01/2001	09/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Casualty	09/12/2000	Inactive	10/01/2001
Health	09/12/2000	Inactive	10/01/2001
Life	09/12/2000	Inactive	10/01/2001
Property	09/12/2000	Inactive	10/01/2001
Surety	09/12/2000	Inactive	01/01/2020
Surety	10/01/2001	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
126590
AMERICAN FAMILY INSURANCE COMPANY	Casualty	Active	09/09/2015
	Property	Active	09/09/2015
1742
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY LIFE INSURANCE COMPANY	Life	Active	09/09/2015
1743
Company Name	Appointment Type	Status	Active Date
AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	09/09/2015
	Property	Active	09/09/2015
1795
Company Name	Appointment Type	Status	Active Date
AMERICAN MODERN PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	05/23/2018
	Property	Active	05/23/2018
1744
Company Name	Appointment Type	Status	Active Date
AMERICAN STANDARD INSURANCE COMPANY OF WISCONSIN	Casualty	Active	09/09/2015
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	10/22/2012
	Property	Active	10/22/2012
1409
Company Name	Appointment Type	Status	Active Date
MIDVALE INDEMNITY COMPANY	Casualty	Active	04/26/2017
	Property	Active	04/26/2017
14146
Company Name	Appointment Type	Status	Active Date
NGM INSURANCE COMPANY	Casualty	Active	10/02/2020
	Property	Active	10/02/2020
1016
Company Name	Appointment Type	Status	Active Date
PERMANENT GENERAL ASSURANCE CORPORATION	Casualty	Active	02/12/2020
	Property	Active	02/12/2020
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	10/03/2017

row(s) 1 - 17 of 17

Organization	Association Type	Type	Beg dte	End dte
DIANA L MCINTOSH AGENCY, INC	Designated Resp Lic Prdcr	Agency	04/12/2021	-

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