DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gothard, Richard Dean	DOIID	364781	NAIC NPN	3218605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Independent Adjuster	Property & Casualty	1/4/2018	1/1/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	4/1/2014	1/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Independent Adjuster - Property & Casualty	11/11/1999	12/31/2013
Inactive	Ohio Farmers Insurance Company	301667	Independent Adjuster - Property & Casualty	3/31/1992	11/11/1999