DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Randi Adele	DOIID	546444	NAIC NPN	7224651

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	3/26/2019	12/31/2026
Active	Resident	Agent	Property	3/26/2019	12/31/2026
* 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
Active	American Economy Insurance Company	300315	Agent - Casualty	7/13/2022
Active	American Economy Insurance Company	300315	Agent - Property	7/13/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/9/2004	1/1/2019
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/9/2004	1/1/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	4/4/2019	5/23/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	4/4/2019	5/23/2023
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	2/8/2006	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	2/8/2006	1/5/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	12/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	1/1/2019
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	1/1/2019
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	6/5/2019	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	6/5/2019	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	6/5/2019	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Property	6/5/2019	10/3/2024
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/8/2005	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/8/2005	8/20/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	1/1/2019
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	1/1/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/21/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/21/2019
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	1/1/2019
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	1/1/2019
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	1/1/2019
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	1/1/2019
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	2/8/2006	12/6/2008
Inactive	Lamorak Insurance Company	301231	Agent - Property	2/8/2006	12/6/2008
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	1/1/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	1/1/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/26/2002	1/1/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/26/2002	1/1/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/9/2004	1/1/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/9/2004	1/1/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	1/1/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	1/1/2019
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	1/1/2019
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	1/1/2019
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	4/15/2004	12/6/2010
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	4/15/2004	12/6/2010
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	3/26/2021
Active	SAFECO Insurance Company of America	300159	Agent - Property	3/26/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/15/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/15/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/3/2002	5/12/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	12/4/2002	5/12/2003
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/20/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	4/9/2004	1/1/2019
Inactive	West American Insurance Company	301112	Agent - Property	4/9/2004	1/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Duckworth Insurance Agency Inc.	398231	Agent - Casualty	9/6/2022
Active	Duckworth Insurance Agency Inc.	398231	Agent - Property	9/6/2022