DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance & Risk Management LLC	DOIID	511618	NAIC NPN	2012670

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	10/23/2003
Inactive	Non Resident	Agent	General Lines	7/26/2000	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/23/2003
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	11/5/2001	10/23/2003
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	11/5/2001	10/23/2003
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	11/14/2001	10/23/2003
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	11/14/2001	10/23/2003
Inactive	Federal Insurance Company	301144	Agent - Casualty	11/14/2001	10/23/2003
Inactive	Federal Insurance Company	301144	Agent - Property	11/14/2001	10/23/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/28/2002	10/23/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/28/2002	10/23/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/28/2002	10/23/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/28/2002	10/23/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/28/2002	10/23/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/28/2002	10/23/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/28/2002	10/23/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/28/2002	10/23/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/28/2002	10/23/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/28/2002	10/23/2003
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	11/15/2002	10/23/2003
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	11/15/2002	10/23/2003
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/5/2000	10/23/2003
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/5/2000	10/23/2003
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	7/13/2001	10/23/2003
Inactive	Pie Insurance Company (The)	300514	Agent - Property	7/13/2001	10/23/2003
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/26/2001	5/13/2002
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	12/26/2001	5/13/2002
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/15/2000	10/23/2003
Inactive	Selective Insurance Company of the Southeast	300381	Agent - General Lines	7/26/2000	8/15/2000
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	8/15/2000	10/23/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/28/2002	10/23/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/28/2002	10/23/2003
Inactive	Western Surety Company	300283	Agent - Casualty	9/28/2000	10/23/2003
Inactive	Westfield Insurance Company	301950	Agent - Casualty	9/1/2000	10/23/2003
Inactive	Westfield Insurance Company	301950	Agent - Property	9/1/2000	10/23/2003
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	3/31/2003	10/23/2003
Inactive	Westfield National Insurance Company	301036	Agent - Property	3/31/2003	10/23/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Everett, Harold Edward	375553	Agent - Casualty	8/15/2000	10/23/2003
Inactive	Everett, Harold Edward	375553	Agent - General Lines	7/26/2000	8/15/2000
Inactive	Everett, Harold Edward	375553	Agent - Property	8/15/2000	10/23/2003