DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Michael J	DOIID	330130	NAIC NPN	512825

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	4/30/2024
Inactive	Non Resident	Agent	General Lines	6/10/1997	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	4/30/2024
* 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	8/28/2010	10/15/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	8/28/2010	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/28/2010	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	6/10/1997	8/15/2000
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/28/2010	10/15/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/28/2010	10/15/2021
Inactive	American States Insurance Company	301230	Agent - Property	8/28/2010	10/15/2021
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	6/4/2001	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - Property	6/4/2001	12/31/2004
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	6/4/2001	6/29/2007
Inactive	Arrowood Indemnity Company	300144	Agent - Property	6/4/2001	6/29/2007
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/15/2000	12/15/2005
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	4/16/1999	8/15/2000
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/15/2000	12/15/2005
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	10/22/2020	4/30/2024
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Casualty	6/4/2001	12/31/2004
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Property	6/4/2001	12/31/2004
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/28/2010	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/28/2010	4/26/2024
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021	11/11/2022
Inactive	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021	11/11/2022
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	5/3/2019	11/11/2022
Inactive	EMCASCO Insurance Company	842790	Agent - Property	5/3/2019	11/11/2022
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	10/30/2012	11/11/2022
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	10/30/2012	11/11/2022
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/29/2008	6/15/2016
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/29/2008	6/15/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	9/30/2010	6/15/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Property	9/30/2010	6/15/2016
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	7/27/2017	10/5/2020
Inactive	Erie Insurance Company of New York	789916	Agent - Property	7/27/2017	10/5/2020
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	7/27/2017	10/5/2020
Inactive	Erie Insurance Exchange	300789	Agent - Property	7/27/2017	10/5/2020
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	6/4/2001	12/31/2004
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	6/4/2001	12/31/2004
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/28/2010	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	8/28/2010	10/15/2021
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	7/27/2017	10/5/2020
Inactive	Flagship City Insurance Company	789965	Agent - Property	7/27/2017	10/5/2020
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/28/2010	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	8/28/2010	10/15/2021
Inactive	Globe Indemnity Company	300507	Agent - Casualty	6/4/2001	12/31/2004
Inactive	Globe Indemnity Company	300507	Agent - Property	6/4/2001	12/31/2004
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/20/2010	12/28/2020
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/20/2010	12/28/2020
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/20/2010	12/28/2020
Inactive	Grange Insurance Company	300234	Agent - Property	8/20/2010	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/20/2010	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/20/2010	12/28/2020
Inactive	Grocers Insurance Company	300891	Agent - Casualty	8/15/2000	12/31/2005
Inactive	Grocers Insurance Company	300891	Agent - General Lines	2/22/2000	8/15/2000
Inactive	Grocers Insurance Company	300891	Agent - Property	8/15/2000	12/31/2005
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/28/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/28/2010	2/3/2023
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	6/2/2011	4/30/2024
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	6/2/2011	4/30/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/28/2010	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/28/2010	4/26/2024
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	10/22/2020	4/30/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/28/2010	4/30/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	6/10/1997	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/28/2010	4/30/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/28/2010	4/30/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/28/2010	4/30/2024
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/1/2007	12/19/2011
Inactive	Owners Insurance Company	300796	Agent - Property	8/1/2007	12/19/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/28/2010	4/30/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/28/2010	4/30/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/28/2010	4/30/2024
Inactive	Peerless Insurance Company	301910	Agent - Property	8/28/2010	4/30/2024
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	4/11/2024	4/30/2024
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Property	4/11/2024	4/30/2024
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	10/22/2020	4/30/2024
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	6/4/2001	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	6/4/2001	12/31/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/28/2010	4/30/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/28/2010	4/30/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/28/2010	10/15/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/28/2010	10/15/2021
Inactive	Safeguard Insurance Company	300800	Agent - Casualty	6/4/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Property	6/4/2001	12/31/2004
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	6/4/2001	6/29/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	6/4/2001	6/29/2007
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/25/2022	11/22/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/25/2022	11/22/2023
Inactive	Star Insurance Company	301553	Agent - Casualty	8/2/2016	10/14/2022
Inactive	Star Insurance Company	301553	Agent - Property	8/2/2016	10/14/2022
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	10/22/2020	4/30/2024
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/20/2010	12/28/2020
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/20/2010	12/28/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	6/20/2019	11/11/2022
Inactive	Union Insurance Company of Providence	842791	Agent - Property	6/20/2019	11/11/2022
Inactive	West American Insurance Company	301112	Agent - Casualty	8/28/2010	4/30/2024
Inactive	West American Insurance Company	301112	Agent - General Lines	6/10/1997	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Property	8/28/2010	4/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andrew Insurance Associates, Inc.	552571	Agent - Property	3/4/2004	6/29/2007
Inactive	Andrew Insurance Associates, Inc.	552571	Agent - Casualty	3/4/2004	6/29/2007
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	11/1/2019	10/3/2022
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	11/1/2019	10/3/2022