DEPARTMENT OF INSURANCE

Affiliations

Name	Collins Insurance Services Inc.	DOIID	398969	NAIC NPN	7221311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/1/1996	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2004
Inactive	Resident	Agent	Property	8/15/2000	5/31/2004
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	5/31/2004
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	5/9/1997	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	5/31/2004
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	5/1/1996	12/1/1997
Inactive	National Insurance Association	301386	Agent - General Lines	6/30/1997	10/4/1997
Inactive	National Summit Insurance Company	300348	Agent - General Lines	11/12/1996	12/23/1997
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	10/23/1996	10/10/1997
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	6/24/1997	3/31/1998
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	3/1/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	5/31/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	5/31/2004
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	3/21/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	5/31/2004
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	5/31/2004
Inactive	TravCo Insurance Company	301828	Agent - General Lines	3/21/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	5/31/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	5/31/2004
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	5/31/2004
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/9/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	5/31/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	5/31/2004
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	5/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collins, Randy Lee	362637	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Collins, Randy Lee	362637	Agent - General Lines	5/1/1996	8/15/2000
Inactive	Collins, Randy Lee	362637	Agent - Property	8/15/2000	5/31/2004