DEPARTMENT OF INSURANCE

Affiliations

Name	Samchalk, Martin Joseph	DOIID	323084	NAIC NPN	333937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2005
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2005
Inactive	Non Resident	Agent	General Lines	2/7/1992	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	ACE American Insurance Company	300625	Agent - Casualty	4/20/2004	7/31/2005
Inactive	ACE American Insurance Company	300625	Agent - Property	4/20/2004	7/31/2005
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	4/20/2004	7/31/2005
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	4/20/2004	7/31/2005
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/20/2004	7/31/2005
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/20/2004	7/31/2005
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/15/2000	7/31/2005
Inactive	American Home Assurance Company	300246	Agent - General Lines	1/27/1995	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	7/31/2005
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	8/27/2001	7/31/2005
Inactive	Arrowood Indemnity Company	300144	Agent - Property	8/27/2001	7/31/2005
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Commerce and Industry Insurance Company	300881	Agent - General Lines	1/27/1995	8/15/2000
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	8/15/2000	7/31/2005
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Federal Insurance Company	301144	Agent - General Lines	12/27/1994	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	7/31/2005
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/20/2004	7/31/2005
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/20/2004	7/31/2005
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	7/31/2005
Inactive	Insurance Company of North America	300226	Agent - General Lines	2/7/1992	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	7/31/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	7/31/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	1/27/1995	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	7/31/2005
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	8/27/2001	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	8/27/2001	12/31/2004
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	4/20/2004	7/31/2005
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	4/20/2004	7/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA, Inc	570698	Agent - Property	2/27/2004	11/8/2004
Inactive	Marsh USA, Inc	570698	Agent - Casualty	2/27/2004	11/8/2004