DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bird, Sally Duncan	DOIID	305339	NAIC NPN	7158017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	11/29/1989	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	7/1/2006
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2006
* 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 Family Home Insurance Company	301817	Agent - General Lines	5/31/1996	7/1/1998
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	6/1/2004	7/1/2006
Inactive	American Fire and Casualty Company	300567	Agent - Property	6/1/2004	7/1/2006
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/18/1997	7/1/1998
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	8/15/2000	7/1/2006
Inactive	Cincinnati Insurance Company	301298	Agent - General Lines	4/10/2000	8/15/2000
Inactive	Cincinnati Insurance Company	301298	Agent - Property	8/15/2000	7/1/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2004	7/1/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2004	7/1/2006
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	3/2/1998	7/1/1998
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/1/2004	7/1/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	6/1/2004	7/1/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/1/2004	7/1/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/1/2004	7/1/2006
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	11/29/1989	7/1/1998
Inactive	West American Insurance Company	301112	Agent - Casualty	6/1/2004	7/1/2006
Inactive	West American Insurance Company	301112	Agent - Property	6/1/2004	7/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Henderson Insurance Services, Inc.	400952	Agent - Property	8/15/2000	7/1/2006
Inactive	Henderson Insurance Services, Inc.	400952	Agent - Casualty	8/15/2000	7/1/2006