DEPARTMENT OF INSURANCE

Affiliations

Name	Clemons, Clifford M	DOIID	380040	NAIC NPN	519333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	9/27/2005
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/27/2005
Inactive	Non Resident	Agent	General Lines	3/31/1983	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	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	5/6/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	9/22/1986	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	5/6/2004
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	9/27/2005
Inactive	American States Insurance Company	301230	Agent - General Lines	1/9/1991	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	9/27/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	9/27/2005
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/16/1999	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	9/27/2005
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	5/6/2004
Inactive	Continental Casualty Company	301019	Agent - General Lines	9/22/1986	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	5/6/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	9/27/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	9/16/1996	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	9/27/2005
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	9/27/2005
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/16/1999	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	9/27/2005
Inactive	Insurance Company of North America	300226	Agent - General Lines	3/31/1983	3/31/1998
Inactive	Midwestern Indemnity Company (The)	301494	Agent - Casualty	8/15/2000	6/18/2001
Inactive	Midwestern Indemnity Company (The)	301494	Agent - General Lines	2/26/1992	8/15/2000
Inactive	Midwestern Indemnity Company (The)	301494	Agent - Property	8/15/2000	6/18/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	9/27/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/16/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	9/27/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/11/2002	4/15/2003
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	2/11/2002	4/15/2003
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	9/27/2005
Inactive	Peerless Insurance Company	301910	Agent - General Lines	2/16/1999	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	9/27/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	9/27/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/31/1983	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	9/27/2005
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	9/27/2005
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	6/9/1986	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	9/27/2005
Inactive	Star Insurance Company	301553	Agent - Casualty	8/15/2000	8/15/2002
Inactive	Star Insurance Company	301553	Agent - General Lines	3/10/2000	8/15/2000
Inactive	Star Insurance Company	301553	Agent - Property	8/15/2000	8/15/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	9/27/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	3/31/1983	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	9/27/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mariemont Insurance, Inc.	524074	Agent - Property	6/18/2001	9/27/2005
Inactive	Mariemont Insurance, Inc.	524074	Agent - Casualty	6/18/2001	9/27/2005