DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Brenda Allen	DOIID	509557	NAIC NPN	7213634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	4/13/2004	6/1/2018
Inactive	Resident	Agent	Property	4/13/2004	6/1/2018
* 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	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/30/2011	8/1/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/6/2015	8/31/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/6/2015	8/31/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/6/2015	8/31/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/6/2015	8/31/2016
Inactive	American Select Insurance Company	301229	Agent - Casualty	5/3/2004	11/13/2009
Inactive	American Select Insurance Company	301229	Agent - Property	5/3/2004	11/13/2009
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/6/2015	8/31/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/6/2015	8/31/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/21/2009	7/15/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/21/2009	7/15/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/18/2013	6/1/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/18/2013	6/1/2018
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/30/2011	8/1/2016
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/30/2011	8/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/23/2004	6/1/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/23/2004	6/1/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/23/2005	6/25/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/23/2005	6/25/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/23/2005	6/25/2015
Inactive	Grange Insurance Company	300234	Agent - Property	3/23/2005	6/25/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/11/2008	6/25/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/11/2008	6/25/2015
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	5/3/2004	11/13/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	5/3/2004	11/13/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/5/2014	9/14/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/5/2014	9/14/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/6/2011	9/14/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/6/2011	9/14/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/6/2011	9/14/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/6/2011	9/14/2016
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/23/2005	6/25/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/23/2005	6/25/2015
Inactive	West Bend Insurance Company	672974	Agent - Casualty	11/17/2011	6/1/2018
Inactive	West Bend Insurance Company	672974	Agent - Property	11/17/2011	6/1/2018
Inactive	Westfield Insurance Company	301950	Agent - Casualty	5/3/2004	6/1/2018
Inactive	Westfield Insurance Company	301950	Agent - Property	5/3/2004	6/1/2018
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	5/3/2004	11/13/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	5/3/2004	11/13/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Houk Insurance Agency Inc.	400613	Agent - Casualty	5/3/2004	6/1/2018
Inactive	Houk Insurance Agency Inc.	400613	Agent - Property	5/3/2004	6/1/2018