DEPARTMENT OF INSURANCE

Affiliations

Name	Custis, Harry Frederick	DOIID	348260	NAIC NPN	234144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/23/2014
Inactive	Non Resident	Agent	Health	5/17/1993	9/23/2014
Inactive	Non Resident	Agent	Property	8/15/2000	9/23/2014
Inactive	Non Resident	Agent	Life	5/17/1993	9/23/2014
Inactive	Non Resident	Agent	General Lines	12/11/1991	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 Property and Casualty Insurance Company	300520	Agent - Casualty	2/4/2004	9/23/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/4/2004	9/23/2014
Inactive	AXA Insurance Company	301046	Agent - Casualty	8/15/2000	12/9/2008
Inactive	AXA Insurance Company	301046	Agent - General Lines	3/31/1994	8/15/2000
Inactive	AXA Insurance Company	301046	Agent - Property	8/15/2000	12/9/2008
Inactive	Berkley Insurance Company	301355	Agent - Casualty	11/15/2010	9/23/2014
Inactive	Berkley Insurance Company	301355	Agent - Property	11/15/2010	9/23/2014
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	9/19/2005	12/30/2013
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	9/19/2005	12/30/2013
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	9/30/2009	8/24/2011
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	9/30/2009	8/24/2011
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	1/14/2013	9/23/2014
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	1/14/2013	9/23/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	9/30/2009	8/24/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	9/30/2009	8/24/2011
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/11/1991	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/11/1991	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/11/1991	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/4/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/11/1991	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/11/1991	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/5/2008
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	1/15/2005
Inactive	Insurance Company of North America	300226	Agent - General Lines	7/14/1992	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	1/15/2005
Inactive	LM Insurance Corporation	301061	Agent - Casualty	9/30/2009	8/24/2011
Inactive	LM Insurance Corporation	301061	Agent - Property	9/30/2009	8/24/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	9/30/2009	8/24/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Property	9/30/2009	8/24/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	9/30/2009	8/24/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	9/30/2009	8/24/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	9/30/2009	8/24/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	9/30/2009	8/24/2011
Inactive	Life Insurance Company of North America	300711	Agent - Health	5/17/1993	9/23/2014
Inactive	Life Insurance Company of North America	300711	Agent - Life	5/17/1993	9/23/2014
Inactive	QBE Insurance Corporation	300515	Agent - Health	12/30/2009	9/23/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/17/2005	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/17/2005	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	9/23/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/11/1991	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	9/23/2014
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	9/30/2009	8/24/2011
Inactive	Wausau Business Insurance Company	301476	Agent - Property	9/30/2009	8/24/2011
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	9/30/2009	8/24/2011
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	9/30/2009	8/24/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIMA Companies, Inc (The)	569016	Agent - Health	5/22/2003	4/11/2014
Inactive	CIMA Companies, Inc (The)	569016	Agent - Property	5/22/2003	4/11/2014
Inactive	CIMA Companies, Inc (The)	569016	Agent - Casualty	5/22/2003	4/11/2014