DEPARTMENT OF INSURANCE

Affiliations

Name	Forwood, Sherry Lee	DOIID	304432	NAIC NPN	7157602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	9/3/2002
Inactive	Resident	Agent	Casualty	8/15/2000	9/3/2002
Inactive	Resident	Agent	General Lines	3/18/1980	8/15/2000
* 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	AXA XL Insurance Company Americas	300979	Agent - General Lines	9/15/1987	6/13/1997
Inactive	Assurance Company of America	300432	Agent - General Lines	5/19/1993	3/31/1996
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	9/3/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	9/3/2002
Inactive	Maryland Casualty Company	301719	Agent - General Lines	5/19/1993	3/31/1996
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	8/11/1998	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	8/15/2000	8/15/2002
Inactive	North River Insurance Company (The)	301739	Agent - General Lines	7/21/1987	8/15/2000
Inactive	North River Insurance Company (The)	301739	Agent - Property	8/15/2000	8/15/2002
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	5/19/1993	3/31/1996
Inactive	Root Property & Casualty Insurance Company	301016	Agent - General Lines	3/18/1980	3/31/1996
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	10/22/1992	3/31/1996
Inactive	Starr Indemnity and Liability Company	301685	Agent - General Lines	6/30/1980	3/31/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	4/5/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	4/5/2002
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	9/15/1987	6/13/1997
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	9/15/1987	6/13/1997
Inactive	United States Fire Insurance Company	301682	Agent - Casualty	8/15/2000	8/15/2002
Inactive	United States Fire Insurance Company	301682	Agent - General Lines	7/21/1987	8/15/2000
Inactive	United States Fire Insurance Company	301682	Agent - Property	8/15/2000	8/15/2002
Inactive	XL Insurance America, Inc.	300182	Agent - General Lines	3/18/1980	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Luke Kidney Insurance Inc.	399146	Agent - General Lines	5/2/1996	8/15/2000
Inactive	Luke Kidney Insurance Inc.	399146	Agent - Property	8/15/2000	9/3/2002
Inactive	Luke Kidney Insurance Inc.	399146	Agent - Casualty	8/15/2000	9/3/2002