DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hess, Michael Steven	DOIID	543861	NAIC NPN	923456

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/23/2002	2/9/2009
Inactive	Non Resident	Agent	Property	1/23/2002	2/9/2009
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/12/2003	2/9/2009
* 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	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	8/23/2007	11/11/2008
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	8/23/2007	11/11/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/23/2002	10/8/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/23/2002	10/8/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CJD & Associates, LLC	575879	Agent - Casualty	9/11/2003	11/11/2008
Inactive	CJD & Associates, LLC	575879	Agent - Property	9/11/2003	11/11/2008