DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery Sr., Keith Hunter	DOIID	540846	NAIC NPN	1110408

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/5/2001	9/30/2013
Inactive	Non Resident	Agent	Property	11/5/2001	9/30/2013
* 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	Utica Mutual Insurance Company	301933	Agent - Casualty	11/5/2001	9/30/2013
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	11/5/2001	9/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Casualty	2/22/2007	10/26/2012
Inactive	PNC Insurance Agency, Inc.	595561	Agent - Property	2/22/2007	10/26/2012