DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ferguson, Charlotte Ann	DOIID	520436	NAIC NPN	7216144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Crop	2/26/2008	1/31/2011
* 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	Austin Mutual Insurance Company	639555	Agent - Crop	3/11/2008	1/31/2011
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Crop	11/24/2004	2/1/2008
Inactive	Fireman's Fund Insurance Company	301423	Agent - Crop	11/24/2004	2/1/2008
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Crop	3/22/2002	4/15/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - Crop	2/17/2003	8/10/2005
Inactive	IGF Insurance Company	300578	Agent - Crop	3/15/2001	3/31/2002
Inactive	Ironshore Indemnity Inc.	300088	Agent - Crop	4/30/2001	10/10/2002
Inactive	NAU Country Insurance Company	533460	Agent - Crop	2/17/2005	2/1/2008
Inactive	Rural Community Insurance Company	301891	Agent - Crop	11/24/2004	2/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CGB Diversified Services Inc.	510810	Agent - Crop	3/11/2008	1/31/2011