DEPARTMENT OF INSURANCE

Affiliations

Name	Brumback, Sharon Ann	DOIID	517942	NAIC NPN	7215585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	2/5/2001	6/30/2026
Active	Resident	Agent	Casualty	2/5/2001	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/14/2024	05/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	9/25/2002
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	9/25/2002
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	2/1/2022
Active	AGCS Marine Insurance Company	300403	Agent - Property	2/1/2022
Active	American Fire and Casualty Company	300567	Agent - Casualty	4/27/2004
Active	American Fire and Casualty Company	300567	Agent - Property	4/27/2004
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	2/27/2003	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	2/27/2003	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	2/27/2003	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Property	2/27/2003	5/31/2003
Inactive	American Select Insurance Company	301229	Agent - Casualty	3/8/2001	3/16/2010
Inactive	American Select Insurance Company	301229	Agent - Property	3/8/2001	3/16/2010
Active	American Zurich Insurance Company	300592	Agent - Casualty	1/7/2008
Active	American Zurich Insurance Company	300592	Agent - Property	1/7/2008
Inactive	Assurance Company of America	300432	Agent - Casualty	1/7/2008	12/16/2014
Inactive	Assurance Company of America	300432	Agent - Property	1/7/2008	12/16/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	4/26/2024
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	5/16/2023
Active	Employers Insurance Company of Wausau	301813	Agent - Property	5/16/2023
Inactive	FCCI Insurance Company	557454	Agent - Casualty	5/9/2003	12/17/2007
Inactive	FCCI Insurance Company	557454	Agent - Property	5/9/2003	12/17/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/27/2012	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/27/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/27/2012	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/27/2012	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/27/2012	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/27/2012	8/21/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/16/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/16/2023
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	2/27/2003	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	2/27/2003	5/31/2003
Inactive	Maryland Casualty Company	301719	Agent - Casualty	1/7/2008	12/16/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	1/7/2008	12/16/2014
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	2/27/2003	5/31/2003
Inactive	Midvale Indemnity Company	300292	Agent - Property	2/27/2003	5/31/2003
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	6/24/2002	12/17/2007
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	6/24/2002	12/17/2007
Inactive	National Trust Insurance Company	300367	Agent - Casualty	6/24/2002	12/17/2007
Inactive	National Trust Insurance Company	300367	Agent - Property	6/24/2002	12/17/2007
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/26/2024
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/7/2008	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/7/2008	12/16/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/6/2001
Active	Ohio Casualty Insurance Company	301492	Agent - Property	6/6/2001
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	2/5/2001	3/16/2010
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	2/5/2001	3/16/2010
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/27/2004
Active	Ohio Security Insurance Company	300622	Agent - Property	4/27/2004
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Property	9/8/2007
Active	West American Insurance Company	301112	Agent - Casualty	4/27/2004
Active	West American Insurance Company	301112	Agent - Property	4/27/2004
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/8/2001	1/8/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	3/8/2001	1/8/2014
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	3/8/2001	3/16/2010
Inactive	Westfield National Insurance Company	301036	Agent - Property	3/8/2001	3/16/2010
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	5/16/2003	12/3/2009
Inactive	XL Specialty Insurance Company	301605	Agent - Property	5/16/2003	12/3/2009
Inactive		301729	Agent - Casualty	2/27/2003	5/31/2003
Inactive		301729	Agent - Property	2/27/2003	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	1/17/2022
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	1/17/2022
Inactive	W P Dolle LLC	698888	Agent - Property	7/1/2009	3/31/2023
Inactive	W P Dolle LLC	698888	Agent - Casualty	7/1/2009	3/31/2023
Inactive	Walter P Dolle Insurance Agency, Inc.	551966	Agent - Property	3/17/2003	3/31/2006
Inactive	Walter P Dolle Insurance Agency, Inc.	551966	Agent - Casualty	3/17/2003	3/31/2006