DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conrad Associates Inc.	DOIID	399556	NAIC NPN	7221756

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/28/1992	3/31/1997
Inactive	Resident	Agent	Casualty	8/15/2000	2/23/2004
Inactive	Resident	Agent	Property	8/15/2000	2/23/2004
Inactive	Resident	Agent	Health	8/28/1992	3/31/1997
Inactive	Resident	Agent	General Lines	10/30/1992	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	Great American Alliance Insurance Company	301247	Agent - Casualty	8/15/2000	6/24/2002
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/28/1995	8/15/2000
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/15/2000	6/24/2002
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	6/24/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	10/30/1992	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	6/24/2002
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	6/24/2002
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	10/30/1992	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	6/24/2002
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	10/30/1992	8/15/1996
Inactive	Great American Spirit Insurance Company	300233	Agent - General Lines	8/31/1993	8/15/1996
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/5/1994	3/31/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/5/1994	3/31/1997
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	2/14/1994	3/31/1998
Inactive	Symetra Life Insurance Company	301691	Agent - Health	8/28/1992	3/31/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/28/1992	3/31/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Conrad, Kathy Ann	340225	Agent - General Lines	8/28/1992	8/15/2000
Inactive	Conrad, Timothy	314499	Agent - General Lines	8/28/1992	8/15/2000
Inactive	Conrad, Timothy	314499	Agent - Health	8/28/1992	12/1/2000
Inactive	Conrad, Timothy	314499	Agent - Life	8/28/1992	12/1/2000