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	Property	3/26/2019	12/31/2024
Active	Resident	Agent	Casualty	3/26/2019	12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

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
Active	Encompass Indemnity Company	546376	Agent - Casualty	6/5/2019
Active	Encompass Indemnity Company	546376	Agent - Property	6/5/2019
Active	Encompass Insurance Company of America	556578	Agent - Casualty	6/5/2019
Active	Encompass Insurance Company of America	556578	Agent - Property	6/5/2019
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