DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Richard L	DOIID	383961	NAIC NPN	7206312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	3/27/1985	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	6/30/2008
Inactive	Resident	Agent	Casualty	8/15/2000	6/30/2008
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	8/15/2000	12/22/2006
Inactive	American Commerce Insurance Company	301665	Agent - General Lines	11/13/1985	8/15/2000
Inactive	American Commerce Insurance Company	301665	Agent - Property	8/15/2000	12/22/2006
Inactive	ProAssurance Casualty Company	300928	Agent - Casualty	4/10/2001	10/20/2006
Inactive	ProAssurance Casualty Company	300928	Agent - Property	4/10/2001	6/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Kentucky Insurance Agency, Inc.	398406	Agent - General Lines	3/27/1985	8/15/2000
Inactive	AAA Kentucky Insurance Agency, Inc.	398406	Agent - Property	8/15/2000	11/2/2001
Inactive	AAA Kentucky Insurance Agency, Inc.	398406	Agent - Casualty	8/15/2000	11/2/2001
Inactive	Professionals' Insurance Agency Inc.	398906	Agent - Property	8/15/2000	6/30/2008
Inactive	Professionals' Insurance Agency Inc.	398906	Agent - Casualty	8/15/2000	12/22/2006