Individual Information

DARYLE EDWIN STAFFORD

Address:

PLEASANT GROVE, UT 84062-4704

Status:

Active

Email:

licensing@veracityins.com

Date:

10/31/2011

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	788262	10/31/2011	Active	10/31/2011	10/31/2026
Non-Res. Surplus Lines Broker	788292	10/31/2011	Active	10/31/2011	10/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/31/2011	Active	10/31/2011
Health	10/04/2012	Active	10/04/2012
Life	10/04/2012	Active	10/04/2012
Personal Lines	10/31/2011	Active	10/31/2011
Property	10/31/2011	Active	10/31/2011
Surplus Lines	10/31/2011	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1256
AIG ASSURANCE COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
113
Company Name	Appointment Type	Status	Active Date
AIG PROPERTY CASUALTY COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
759
Company Name	Appointment Type	Status	Active Date
AIU INSURANCE COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
49
Company Name	Appointment Type	Status	Active Date
AMERICAN HOME ASSURANCE COMPANY	Casualty	Active	09/20/2023
	Health	Active	10/01/2023
	Property	Active	09/20/2023
105464
Company Name	Appointment Type	Status	Active Date
AMERICAN PET INSURANCE COMPANY	Property	Active	05/24/2022
167
Company Name	Appointment Type	Status	Active Date
COMBINED INSURANCE COMPANY OF AMERICA	Health	Active	10/24/2022
	Life	Active	10/24/2022
168
Company Name	Appointment Type	Status	Active Date
COMMERCE AND INDUSTRY INSURANCE COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
287
Company Name	Appointment Type	Status	Active Date
GRANITE STATE INSURANCE COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	05/05/2014
	Property	Active	05/05/2014
1125
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ASSURANCE COMPANY	Casualty	Active	02/08/2018
	Property	Active	02/08/2018
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	01/06/2012
	Property	Active	01/06/2012
65
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK	Casualty	Active	02/09/2012
	Property	Active	02/09/2012
1521
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN SPIRIT INSURANCE COMPANY	Casualty	Active	12/12/2022
	Property	Active	12/12/2022
1507
Company Name	Appointment Type	Status	Active Date
ILLINOIS NATIONAL INSURANCE COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
336
Company Name	Appointment Type	Status	Active Date
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA (THE)	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
83979
Company Name	Appointment Type	Status	Active Date
LYNDON SOUTHERN INSURANCE COMPANY	Casualty	Active	09/28/2023
	Property	Active	09/28/2023
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Casualty	Active	09/20/2023
	Health	Active	10/01/2023
	Property	Active	09/20/2023
466
Company Name	Appointment Type	Status	Active Date
NEW HAMPSHIRE INSURANCE COMPANY	Casualty	Active	09/20/2023
	Property	Active	09/20/2023
124175
Company Name	Appointment Type	Status	Active Date
U S UNDERWRITERS INSURANCE COMPANY	Casualty	Active	02/04/2019
	Property	Active	02/04/2019
693
Company Name	Appointment Type	Status	Active Date
UNITED STATES LIABILITY INSURANCE COMPANY	Casualty	Active	10/07/2016
	Property	Active	10/07/2016
705
Company Name	Appointment Type	Status	Active Date
VALLEY FORGE INSURANCE COMPANY	Casualty	Active	03/03/2023
	Property	Active	03/03/2023

row(s) 1 - 43 of 43

Organization	Association Type	Type	Beg dte	End dte
VERACITY INSURANCE SOLUTIONS	Designated Resp Lic Prdcr	Agency	04/21/2020	-
INFORMATION SECURITY RISK PURCHASING GROUP	Risk Purchasing Grp-Agnt/Brkr	Company	01/16/2012	-
Professional Auditors, Consultants & Engineers RPG	Risk Purchasing Grp-Agnt/Brkr	Company	08/28/2015	-
OUTDOOR & RECREATIONAL INSURANCE PROGRAM	Risk Purchasing Grp-Agnt/Brkr	Company	01/16/2012	-
Artisan Contractors RPG	Risk Purchasing Grp-Agnt/Brkr	Company	11/03/2017	-
Hospitality & Entertainment Trade Alliance RPG	Risk Purchasing Grp-Agnt/Brkr	Company	12/02/2019	-

1 - 6

DARYLE EDWIN STAFFORD

Address:

Status:

Email:

Date:

ButtomHolder

License Information

Qual Information

21 Appointments

6 Organization Associations