DEPARTMENT OF INSURANCE

Affiliations

Name	Wells Fargo Insurance Services Mountain West, Inc.	DOIID	533395	NAIC NPN	661511

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/17/2003	2/1/2010
Inactive	Non Resident	Agent	Workers' Compensation	7/2/2001	4/22/2002
Inactive	Non Resident	Agent	Casualty	7/9/2001	4/6/2010
Inactive	Non Resident	Agent	Life	6/17/2003	2/1/2010
Inactive	Non Resident	Agent	Property	7/9/2001	4/6/2010
* 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	8/31/2009	3/10/2010
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/31/2009	3/10/2010
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	3/4/2002	2/17/2010
Inactive	American Automobile Insurance Company	300953	Agent - Property	3/4/2002	2/17/2010
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	3/8/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	3/8/2007
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/24/2004	12/9/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/24/2004	12/9/2009
Inactive	Brighthouse Life Insurance Company	301829	Agent - Casualty	7/11/2001	8/14/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/9/2001	4/6/2010
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/9/2001	4/6/2010
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2009
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/28/2007	3/18/2010
Inactive	Federal Insurance Company	301144	Agent - Property	3/28/2007	3/18/2010
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/17/2008	11/12/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/17/2008	11/12/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/8/2008	11/12/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/8/2008	11/12/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/6/2004	2/1/2010
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/6/2004	2/1/2010
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/23/2006	12/9/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/23/2006	12/9/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/23/2006	12/9/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/23/2006	12/9/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/23/2006	12/9/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/23/2006	12/9/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	12/9/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/9/2001	12/9/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/9/2001	12/9/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/9/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	11/30/2006	4/6/2010
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	11/30/2006	4/6/2010
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/30/2006	4/6/2010
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/30/2006	4/6/2010
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	2/15/2007	4/6/2010
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	2/15/2007	4/6/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/9/2001	12/9/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/9/2001	12/9/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/9/2001	12/9/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/9/2001	12/9/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/9/2001	4/6/2010
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/9/2001	4/6/2010
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/9/2001	4/6/2010
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/9/2001	4/6/2010
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/17/2008	11/12/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/17/2008	11/12/2009
Inactive	WCF National Insurance Company	300727	Agent - Casualty	9/1/2007	1/29/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	9/27/2006	4/6/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	9/27/2006	4/6/2010
Inactive	Western Surety Company	300283	Agent - Casualty	2/24/2006	3/24/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brodsack, Gail Ann	570347	Agent - Casualty	2/23/2004	2/1/2010
Inactive	Brodsack, Gail Ann	570347	Agent - Property	2/23/2004	2/1/2010
Inactive	Brun, Jane Marie	527187	Agent - Casualty	3/6/2003	1/24/2005
Inactive	Brun, Jane Marie	527187	Agent - Property	3/6/2003	1/24/2005
Inactive	Delich, Charles	526250	Agent - Casualty	3/6/2003	9/2/2005
Inactive	Delich, Charles	526250	Agent - Property	3/6/2003	9/2/2005
Inactive	Dickson, James R	357907	Agent - Casualty	9/16/2002	1/24/2005
Inactive	Dickson, James R	357907	Agent - Property	9/16/2002	1/24/2005
Inactive	Fenton, Stephen Craig	361427	Agent - Casualty	9/16/2002	2/9/2004
Inactive	Fenton, Stephen Craig	361427	Agent - Property	9/16/2002	2/9/2004
Inactive	Francis, Kathleen Marie	514137	Agent - Casualty	3/6/2003	9/2/2005
Inactive	Francis, Kathleen Marie	514137	Agent - Property	3/6/2003	9/2/2005
Denied	Gale, Michael H	616073	Agent - Casualty
Denied	Gale, Michael H	616073	Agent - Property
Inactive	Harding, Cheryl Lynn	513155	Agent - Health	6/17/2003	6/16/2006
Inactive	Harding, Cheryl Lynn	513155	Agent - Life	6/17/2003	6/16/2006
Inactive	Luckey, Mary Jean	593059	Agent - Casualty	11/20/2006	4/6/2010
Inactive	Luckey, Mary Jean	593059	Agent - Property	11/20/2006	4/6/2010
Denied	Miceli, Dennis M	314449	Agent - Health
Denied	Miceli, Dennis M	314449	Agent - Life
Inactive	Muller, Christine Betsy	573645	Agent - Health	2/2/2009	2/1/2010
Inactive	Muller, Christine Betsy	573645	Agent - Life	2/2/2009	2/1/2010
Inactive	Nilsson, Carl Brett	327389	Agent - Casualty	9/16/2002	12/15/2005
Inactive	Nilsson, Carl Brett	327389	Agent - Property	9/16/2002	12/15/2005
Inactive	Polinsky, Richard Charles	525839	Agent - Casualty	3/6/2003	2/1/2010
Inactive	Polinsky, Richard Charles	525839	Agent - Property	3/6/2003	2/1/2010
Inactive	Schneider, Steven Richard	551710	Agent - Casualty	3/6/2003	9/30/2006
Inactive	Schneider, Steven Richard	551710	Agent - Property	3/6/2003	9/30/2006
Inactive	Shambaugh, Charles L	338447	Agent - Casualty	7/7/2003	12/7/2005
Inactive	Shambaugh, Charles L	338447	Agent - Property	7/7/2003	12/7/2005
Inactive	Thiel, Michael Jack	574963	Agent - Health	3/3/2004	2/1/2010
Inactive	Thiel, Michael Jack	574963	Agent - Life	3/3/2004	2/1/2010
Inactive	Vermeer, Jolene M	384726	Agent - Casualty	7/9/2001	7/6/2009
Inactive	Vermeer, Jolene M	384726	Agent - Property	7/9/2001	7/6/2009
Inactive	Werner, Daniel Wayne	352634	Agent - Casualty	7/7/2003	4/6/2010
Inactive	Werner, Daniel Wayne	352634	Agent - Property	7/7/2003	4/6/2010