DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Columbia Assurance Agency Inc.	DOIID	398709	NAIC NPN	1876716

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/15/2000	12/29/2003
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/29/2003
Inactive	Non Resident	Agent	General Lines	10/2/1999	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 Bankers Insurance Company of Florida	300360	Agent - Casualty	8/15/2000	12/29/2003
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	10/2/1999	8/15/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	8/15/2000	12/29/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rather, Frederick Leon	339531	Agent - Casualty	8/15/2000	12/29/2003
Inactive	Rather, Frederick Leon	339531	Agent - General Lines	10/2/1999	8/15/2000
Inactive	Rather, Frederick Leon	339531	Agent - Property	8/15/2000	12/29/2003