DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Melissa L	DOIID	369923	NAIC NPN	7200139

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	12/9/1998	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	2/18/2005
Inactive	Resident	Agent	Casualty	1/24/2001	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	AmTrust Insurance Company	300179	Agent - Casualty	1/24/2001	2/18/2005
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	6/5/2000	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	2/18/2005
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/17/2004	2/18/2005
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/17/2004	2/18/2005
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	9/25/2000	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	9/25/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	9/25/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Property	9/25/2000	5/31/2003
Inactive	American Select Insurance Company	301229	Agent - Casualty	12/26/2001	2/18/2005
Inactive	American Select Insurance Company	301229	Agent - Property	12/26/2001	2/18/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Assurance Company of America	300432	Agent - General Lines	7/10/2000	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	2/18/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	7/10/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	2/18/2005
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	9/25/2000	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	9/25/2000	5/31/2003
Inactive	Maryland Casualty Company	301719	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Maryland Casualty Company	301719	Agent - General Lines	7/10/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	2/18/2005
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	7/1/2003	2/18/2005
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	7/1/2003	2/18/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	7/10/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	2/18/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	12/9/1998	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	2/18/2005
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/9/2001	2/18/2005
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/9/2001	2/18/2005
Inactive	Security National Insurance Company	301151	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Security National Insurance Company	301151	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	2/18/2005
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	1/24/2001	2/18/2005
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	2/18/2005
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/28/2003	2/18/2005
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/28/2003	2/18/2005
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/28/2003	2/18/2005
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/28/2003	2/18/2005
Inactive	West American Insurance Company	301112	Agent - Casualty	5/17/2004	2/18/2005
Inactive	West American Insurance Company	301112	Agent - Property	5/17/2004	2/18/2005
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/9/2001	2/18/2005
Inactive	Westfield Insurance Company	301950	Agent - Property	10/9/2001	2/18/2005
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/9/2001	2/18/2005
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/9/2001	2/18/2005
Inactive		301729	Agent - Casualty	9/25/2000	5/31/2003
Inactive		301729	Agent - Property	9/25/2000	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	E M Ford & Co.	400313	Agent - General Lines	9/20/1999	8/15/2000
Inactive	E M Ford & Co.	400313	Agent - Casualty	8/15/2000	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Property	8/15/2000	2/25/2003
Inactive	Ford-Hazelwood LLC	399302	Agent - General Lines	8/31/1999	8/15/2000
Inactive	Ford-Hazelwood LLC	399302	Agent - Casualty	1/24/2001	1/24/2005
Inactive	Ford-Hazelwood LLC	399302	Agent - Property	8/15/2000	1/24/2005