DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bolton, Richard David	DOIID	345582	NAIC NPN	943327

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	7/24/1995	3/31/2002
Inactive	Non Resident	Agent	General Lines	7/25/1996	2/23/1998
* 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	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	9/3/1996	2/23/1998
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	7/25/1996	2/23/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custard Insurance Adjusters Inc.	401182	Adjuster - Independent	3/31/1998	3/31/1998
Inactive	Mark Vii Risk Management	400802	Adjuster - Independent	9/30/1996	2/28/2002