DEPARTMENT OF INSURANCE

Affiliations

Name	Bruck, Teresa L	DOIID	322888	NAIC NPN	7169122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2004
Inactive	Resident	Agent	General Lines	2/24/1999	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	7/1/2004
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/22/2001	8/28/2003
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/22/2001	8/28/2003
Inactive	American Select Insurance Company	301229	Agent - Casualty	8/15/2000	7/1/2004
Inactive	American Select Insurance Company	301229	Agent - General Lines	7/19/2000	8/15/2000
Inactive	American Select Insurance Company	301229	Agent - Property	8/15/2000	7/1/2004
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	2/10/2000	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	7/1/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	11/5/1999	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	10/11/2001
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	8/5/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/24/1999	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	8/5/2002
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	3/22/2004
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/24/1999	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	3/22/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	7/19/2000	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	7/1/2004
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	3/22/2004
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	11/3/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	3/22/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	2/10/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	7/1/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	7/1/2004
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	2/10/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	7/1/2004
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	7/1/2004
Inactive	TravCo Insurance Company	301828	Agent - General Lines	2/10/2000	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	7/1/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	7/1/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	7/1/2004
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	2/10/2000	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	7/1/2004
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	2/10/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	7/1/2004
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	2/10/2000	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	7/1/2004
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	2/10/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	7/1/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	7/1/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	7/1/2004
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Westfield Insurance Company	301950	Agent - General Lines	7/19/2000	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	7/1/2004
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	7/19/2000	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	C K Ash & Associates Inc.	399142	Agent - Property	6/17/2002	1/5/2004
Inactive	C K Ash & Associates Inc.	399142	Agent - Casualty	6/17/2002	1/5/2004