DEPARTMENT OF INSURANCE

Affiliations

Name	Staples, Tracie M..	DOIID	526770	NAIC NPN	3056595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	5/30/2001	12/31/2014
Inactive	Non Resident	Agent	Property	5/30/2001	12/31/2014
* 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 Family Home Insurance Company	301817	Agent - Casualty	9/20/2012	11/27/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/20/2012	11/27/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/20/2012	11/27/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/20/2012	11/27/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/20/2012	11/27/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/20/2012	11/27/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/20/2012	11/27/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/20/2012	11/27/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/30/2001	10/12/2005
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/30/2001	10/12/2005
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/11/2007	1/13/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/11/2007	1/13/2011
Inactive	GEICO Marine Insurance Company	590512	Agent - Casualty	1/24/2011	8/22/2013
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	12/2/2005	8/16/2013
Inactive	Government Employees Insurance Company	300376	Agent - Property	12/2/2005	8/16/2013
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	8/19/2013
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	8/19/2013
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/11/2007	8/19/2013
Inactive	LM Insurance Corporation	301061	Agent - Property	10/11/2007	8/19/2013
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/11/2007	8/19/2013
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/11/2007	8/19/2013
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/11/2007	8/19/2013
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/11/2007	8/19/2013
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/11/2007	8/19/2013
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/11/2007	8/19/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/30/2001	10/12/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/30/2001	10/12/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/30/2001	10/12/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/30/2001	10/12/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	3/20/2006	8/16/2013
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	3/20/2006	8/16/2013