DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Suburban Assurance Agency of Northern KY Inc.	DOIID	399340	NAIC NPN	2261192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	9/13/2000
Inactive	Resident	Agent	Property	8/15/2000	9/13/2000
Inactive	Resident	Agent	General Lines	5/18/1994	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	9/13/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	5/18/1994	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	9/13/2000
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	9/13/2000
Inactive	Continental Casualty Company	301019	Agent - General Lines	5/18/1994	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	9/13/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	9/13/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	5/18/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	9/13/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	9/13/2000
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	5/18/1994	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	9/13/2000
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	9/13/2000
Inactive	Transportation Insurance Company	301575	Agent - General Lines	5/18/1994	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	9/13/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	9/13/2000
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	5/18/1994	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	9/13/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carroll, John Francis	316920	Agent - General Lines	9/1/1993	2/27/1997
Inactive	Taylor, Charles Louis	308811	Agent - Casualty	8/15/2000	9/13/2000
Inactive	Taylor, Charles Louis	308811	Agent - General Lines	9/1/1993	8/15/2000
Inactive	Taylor, Charles Louis	308811	Agent - Property	8/15/2000	9/13/2000