DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Jerome Martin	DOIID	338675	NAIC NPN	290001

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	8/4/1988	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	2/18/2005
Inactive	Non Resident	Agent	Casualty	8/15/2000	2/18/2005
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/23/2003	2/18/2005
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	1/3/2001	2/18/2005
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/3/2001	2/18/2005
Inactive	Clarendon National Insurance Company	300843	Agent - Casualty	9/21/2004	2/18/2005
Inactive	Clarendon National Insurance Company	300843	Agent - Property	9/21/2004	2/18/2005
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/28/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	11/27/1989	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/28/2001
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	8/15/2000	2/18/2005
Inactive	Hanover Insurance Company (The)	300508	Agent - General Lines	6/1/1992	8/15/2000
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	8/15/2000	2/18/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	4/25/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/10/2000	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	4/25/2002
Inactive	Peerless Insurance Company	301910	Agent - General Lines	8/4/1988	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coverx Corporation	525742	Agent - Property	5/25/2001	2/18/2005
Inactive	Coverx Corporation	525742	Agent - Casualty	5/25/2001	2/18/2005