DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grundy, Lisa K	DOIID	505358	NAIC NPN	3140775

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	4/13/2000	8/15/2000
Inactive	Non Resident	Agent	Casualty	10/26/2011	2/28/2021
Inactive	Non Resident	Agent	Property	10/26/2011	2/28/2021
* 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	Bristol West Insurance Company	301655	Agent - Casualty	5/23/2016	1/21/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/23/2016	1/21/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/31/2011	8/23/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/31/2011	8/23/2012
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	10/31/2011	8/23/2012
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	10/31/2011	8/23/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	10/31/2011	8/23/2012
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	10/31/2011	8/23/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	12/31/2018	1/21/2021
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/31/2018	1/21/2021