DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Nancy Keith	DOIID	341795	NAIC NPN	1778877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	11/9/1992	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Surplus Lines Broker	Not Applicable	12/15/1995	7/1/2002
* 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	8/15/2000	7/1/2002
Inactive	ACE American Insurance Company	300625	Agent - General Lines	9/10/1998	8/15/2000
Inactive	ACE American Insurance Company	300625	Agent - Property	8/15/2000	7/1/2002
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/15/2000	7/1/2002
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	9/10/1998	8/15/2000
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/15/2000	7/1/2002
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000	7/1/2002
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	9/10/1998	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000	7/1/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/22/1996	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	7/1/2002
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	9/10/1998	8/15/2000
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/15/2000	7/1/2002
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/22/1996	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	10/22/2001
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	4/2/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	10/22/2001
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/22/1996	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	7/1/2002
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/22/1996	3/31/1998
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/15/2000	6/27/2001
Inactive	Executive Risk Indemnity Inc.	301510	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	8/15/2000	6/27/2001
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	6/27/2001
Inactive	Federal Insurance Company	301144	Agent - General Lines	4/7/1994	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	6/27/2001
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/22/1996	3/31/1998
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/15/2000	6/27/2001
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/15/2000	6/27/2001
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	7/1/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	7/1/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	9/10/1998	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	7/1/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	10/22/2001
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/2/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	10/22/2001
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Insurance Company of North America	300226	Agent - General Lines	9/10/1998	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	7/1/2002
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - General Lines	1/24/2000	8/15/2000
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	8/15/2000	7/1/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	7/1/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/22/1996	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	7/1/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	10/22/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	4/2/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	10/22/2001
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	9/10/1998	8/15/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/15/2000	7/1/2002
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/15/2000	6/27/2001
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/15/2000	6/27/2001
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	10/22/2001
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/2/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	10/22/2001
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	4/29/1998	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	4/29/1998	8/15/2000
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	4/21/1998	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/22/1996	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	7/1/2002
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/22/1996	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	7/1/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	10/28/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	7/1/2002
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	4/29/1998	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/22/1996	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	7/1/2002
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/15/2000	6/27/2001
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/15/2000	6/27/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AON Risk Services Inc. of Kentucky	400060	Agent - General Lines	11/9/1992	8/15/2000
Inactive	AON Risk Services Inc. of Kentucky	400060	Agent - Property	8/15/2000	7/1/2002
Inactive	AON Risk Services Inc. of Kentucky	400060	Agent - Casualty	8/15/2000	7/1/2002