DEPARTMENT OF INSURANCE

Affiliations

Name	Poulson, Larry V	DOIID	516502	NAIC NPN	1145948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/16/2000	9/30/2004
Inactive	Non Resident	Agent	Property	10/16/2000	9/30/2004
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	5/13/2002	9/30/2004
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	5/13/2002	9/30/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/13/2002	9/30/2004
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/13/2002	9/30/2004
Inactive	Assurance Company of America	300432	Agent - Casualty	9/23/2002	9/30/2004
Inactive	Assurance Company of America	300432	Agent - Property	9/23/2002	9/30/2004
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/23/2002	9/30/2004
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/23/2002	9/30/2004
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/23/2002	9/30/2004
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/23/2002	9/30/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	9/23/2002	9/30/2004
Inactive	Glatfelter Insurance Company	301640	Agent - Property	9/23/2002	9/30/2004
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/23/2002	9/30/2004
Inactive	Maryland Casualty Company	301719	Agent - Property	9/23/2002	9/30/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/23/2002	9/30/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/23/2002	9/30/2004
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/16/2000	9/30/2004
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/16/2000	9/30/2004
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	5/13/2002	9/30/2004
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	5/13/2002	9/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA (Utah) Inc.	513557	Agent - Property	2/24/2003	9/30/2004
Inactive	Marsh USA (Utah) Inc.	513557	Agent - Casualty	2/24/2003	9/30/2004