DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stotz III, Charles David	DOIID	392147	NAIC NPN	7209701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Independent Adjuster	Property & Casualty	11/28/2006	7/31/2012
* 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	McCloud Claims Service Inc.	401260	Independent Adjuster - Property & Casualty	3/31/1996	5/9/2000
Inactive	Ward North America Inc.	401224	Independent Adjuster - Property & Casualty	7/7/1994	3/31/1996