DEPARTMENT OF INSURANCE

Affiliations

Name	Sell, Charles M	DOIID	544217	NAIC NPN	7224043

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	3/12/2002	8/31/2009
Inactive	Resident	Agent	Casualty	3/12/2002	8/31/2009
AFFIDAVIT ON FILE
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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	12/4/2002	6/21/2007
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/4/2002	6/21/2007
Inactive	Assurance Company of America	300432	Agent - Casualty	10/18/2002	8/31/2009
Inactive	Assurance Company of America	300432	Agent - Property	10/18/2002	8/31/2009
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/11/2003	8/31/2009
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/11/2003	8/31/2009
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/11/2003	8/31/2009
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/11/2003	8/31/2009
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/18/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/18/2002	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	3/12/2002	12/21/2004
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	3/12/2002	12/21/2004
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/18/2002	8/31/2009
Inactive	Maryland Casualty Company	301719	Agent - Property	10/18/2002	8/31/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/18/2002	8/31/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/18/2002	8/31/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/11/2003	8/31/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/11/2003	8/31/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/11/2003	8/31/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/11/2003	8/31/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/11/2003	8/31/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/11/2003	8/31/2009
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/11/2003	8/31/2009
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/11/2003	8/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Douglas S Gordon Insurance Services Inc	509454	Agent - Casualty	3/17/2003	2/19/2007
Inactive	Douglas S Gordon Insurance Services Inc	509454	Agent - Property	3/17/2003	2/19/2007