DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, William W	DOIID	503102	NAIC NPN	3338503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2012
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2012
Inactive	Non Resident	Agent	General Lines	3/3/2000	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	21st Century North America Insurance Company	300884	Agent - Casualty	11/9/2010	11/30/2012
Inactive	21st Century North America Insurance Company	300884	Agent - Property	11/9/2010	11/30/2012
Inactive	Esurance Insurance Company	301072	Agent - Casualty	1/14/2008	9/13/2010
Inactive	Esurance Insurance Company	301072	Agent - Property	1/14/2008	9/13/2010
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/20/2007	9/23/2010
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/20/2007	9/23/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/16/2002	5/1/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/16/2002	5/1/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/16/2002	5/1/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/16/2002	5/1/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/16/2002	5/1/2003
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	9/23/2010
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	9/23/2010
Inactive	LM Insurance Corporation	301061	Agent - Casualty	11/20/2007	9/23/2010
Inactive	LM Insurance Corporation	301061	Agent - Property	11/20/2007	9/23/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	11/20/2007	9/23/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Property	11/20/2007	9/23/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/20/2007	9/23/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/20/2007	9/23/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/20/2007	9/23/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	11/20/2007	9/23/2010
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	8/15/2000	7/29/2002
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	3/3/2000	8/15/2000
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	8/15/2000	7/29/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	7/29/2002
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	3/3/2000	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	7/29/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	7/29/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/3/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	7/29/2002
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	8/15/2000	7/29/2002
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	3/3/2000	8/15/2000
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	8/15/2000	7/29/2002
Inactive	Response Insurance Company	300240	Agent - Casualty	4/23/2010	8/3/2010
Inactive	Response Insurance Company	300240	Agent - Property	4/23/2010	8/3/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	11/10/2004	8/2/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	11/10/2004	8/2/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/15/2010	11/30/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/15/2010	11/30/2012
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	10/17/2002	7/11/2003
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	10/17/2002	7/11/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	10/17/2002	7/11/2003
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	10/17/2002	7/11/2003
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/16/2002	5/1/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/16/2002	5/1/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/16/2002	5/1/2003
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	6/6/2007	8/3/2010
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	6/6/2007	8/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	7/14/2005	7/31/2009
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	7/14/2005	7/31/2009
Inactive	CoMa Insurance Agency Inc	526746	Agent - Property	11/8/2004	7/29/2010
Inactive	CoMa Insurance Agency Inc	526746	Agent - Casualty	11/8/2004	7/29/2010