Individual Information

CARLYLE A HALVORSON

Address:

BROOKINGS, SD 57006

Status:

Active

Email:

nichole@precisionriskmanagement.com

Date:

10/31/2023

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3955929	10/31/2023	Active	10/31/2023	10/31/2026
Non-Res. Managing Gen. Agt/Agy	4049398	09/26/2024	Active	09/26/2024	09/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Limited Crop	10/31/2023	Active	10/31/2023
Managing General Agent	09/26/2024	Active	09/26/2024

Company Name	Appointment Type	Status	Active Date
10868
CLEAR BLUE INSURANCE COMPANY	Managing General Agent	Active	09/26/2024

row(s) 1 - 1 of 1

Organization	Association Type	Type	Beg dte	End dte
PRM INSURANCE AGENCY, LLC	Designated Resp Lic MGA	Agency	10/11/2024	-
PRM INSURANCE AGENCY, LLC	Designated Resp Lic Prdcr	Agency	03/22/2024	-

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