DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Chase	DOIID	1059853	NAIC NPN	19312289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	10/14/2019	5/31/2021
Inactive	Resident	Agent	Property	10/15/2019	5/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	5/31/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	5/31/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	10/17/2019	5/26/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	10/17/2019	5/26/2021
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	9/23/2020	5/31/2021
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	9/23/2020	5/31/2021
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	9/23/2020	5/31/2021
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	9/23/2020	5/31/2021
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	9/23/2020	5/31/2021
Inactive	Cincinnati Insurance Company	301298	Agent - Property	9/23/2020	5/31/2021
Inactive	Milbank Insurance Company	925185	Agent - Casualty	4/16/2020	5/31/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	4/16/2020	5/31/2021
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/17/2019	5/26/2021
Inactive	Owners Insurance Company	300796	Agent - Property	10/17/2019	5/26/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/8/2019	5/31/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/8/2019	5/31/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/8/2019	5/31/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/8/2019	5/31/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	11/19/2019	5/31/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	11/19/2019	5/31/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	11/19/2020	5/31/2021
Inactive	Westfield Insurance Company	301950	Agent - Property	11/19/2020	5/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Real Good Group, LLC	981194	Agent - Casualty	10/17/2019	6/9/2021
Inactive	Real Good Group, LLC	981194	Agent - Property	10/17/2019	6/9/2021