black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DEREK GUILLEN PALOMINO

PRODUCER NON-RESIDENT

License Number:
PRN258608
Status:
First Licensure:
10/15/2015
Cancel Date:
None

Mailing:
MESA, AZ 85210
Phone:
+1 (480) 742-3611
Fax:
+1 (480) 742-3611
Email:
dguillenpalomino@thegeneral.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/15/2015

Agency

Name Issue Date License Number Expiration Date Cancel Date
THE GENERAL AUTOMOBILE INS SERVICES INC
10/15/2015 AGN167123 03/02/2021
THE GENERAL AUTOMOBILE INS SERVICES OF OHIO INC
08/02/2023 AGN257255
WESTWOOD INSURANCE AGENCY LLC
11/29/2017 AGN52579 02/21/2019

Employer

Name Issue Date License Number Expiration Date Cancel Date
DAIRYLAND INSURANCE COMPANY
01/19/2026 PCF721
PERMANENT GENERAL ASSURANCE CORPORATION
10/16/2015 PCF232047 10/23/2017
PERMANENT GENERAL ASSURANCE CORPORATION
07/24/2023 PCF232047
PRAETORIAN INSURANCE COMPANY
11/29/2017 PCF68207 02/21/2019
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
10/14/2024 PCF27738
QBE INSURANCE CORPORATION
11/29/2017 PCF82307 02/21/2019
SENTRY SELECT INSURANCE COMPANY
01/23/2026 PCF34738

Authority

Description Issue Date Termination Date Status
CASUALTY 10/15/2015 Active
PROPERTY 10/15/2015 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17747318

Other Addresses

Address Type
MESA, AZ 85210
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 03/16/2026 06:12:36 AM