Individual Information

WILLIAM T BERTILACCHI

STOCKTON, CA 95207

Active

tami@bertilacchiins.com

12/03/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	2000	10/01/2001	Active	12/03/2004	12/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	12/03/2004
Property	10/01/2001	Active	12/03/2004
Casualty	08/23/1974	Inactive	10/01/2001
Health	08/23/1974	Inactive	10/01/2001
Health	10/01/2001	Inactive	09/01/2004
Property	08/23/1974	Inactive	10/01/2001
Surety	08/23/1974	Inactive	10/01/2001
Surety	10/01/2001	Inactive	09/01/2004

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	04/29/2019
	Property	Active	04/29/2019
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	04/29/2019
	Property	Active	04/29/2019
492
Company Name	Appointment Type	Status	Active Date
OHIO CASUALTY INSURANCE COMPANY, THE	Casualty	Active	04/07/2025
	Property	Active	04/07/2025
109340
Company Name	Appointment Type	Status	Active Date
PARK NATIONAL INSURANCE COMPANY	Casualty	Active	04/29/2019
	Property	Active	04/29/2019
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	04/29/2019
	Property	Active	04/29/2019
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	04/29/2019
	Property	Active	04/29/2019
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	04/29/2019
	Property	Active	04/29/2019
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	04/29/2019
	Property	Active	04/29/2019

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