DEPARTMENT OF INSURANCE

Affiliations

Name	Head, Marcia J	DOIID	548557	NAIC NPN	7233746

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	9/3/2002	6/30/2016
Inactive	Resident	Agent	Property	9/5/2002	6/30/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/25/2005	9/10/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	3/25/2005	9/10/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/20/2006	9/10/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/20/2006	9/10/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/20/2006	9/10/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/20/2006	9/10/2012
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/10/2011	9/11/2012
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/10/2011	9/11/2012
Inactive	Acadia Insurance Company	557871	Agent - Casualty	8/24/2004	6/20/2012
Inactive	Acadia Insurance Company	557871	Agent - Property	8/24/2004	6/20/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	6/20/2006	9/10/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	6/20/2006	9/10/2012
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	3/13/2013	9/14/2015
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	3/13/2013	9/14/2015
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	3/13/2013	9/14/2015
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	3/13/2013	9/14/2015
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	3/13/2013	9/14/2015
Inactive	Cincinnati Insurance Company	301298	Agent - Property	3/13/2013	9/14/2015
Inactive	Continental Casualty Company	301019	Agent - Casualty	9/3/2002	4/30/2004
Inactive	Continental Casualty Company	301019	Agent - Property	9/5/2002	4/30/2004
Inactive	Continental Western Insurance Company	300576	Agent - Casualty	12/10/2003	6/20/2012
Inactive	Continental Western Insurance Company	300576	Agent - Property	12/10/2003	6/20/2012
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	8/13/2008	6/20/2012
Inactive	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	8/13/2008	6/20/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/2/2013	10/28/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/2/2013	10/28/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/2/2013	10/28/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/2/2013	10/28/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/2/2013	10/28/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/2/2013	10/28/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/26/2013	10/26/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/26/2013	10/26/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/26/2013	10/26/2015
Inactive	Grange Insurance Company	300234	Agent - Property	2/26/2013	10/26/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/26/2013	10/26/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/26/2013	10/26/2015
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/20/2006	9/10/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/20/2006	9/10/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/7/2010	9/16/2015
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	7/9/2004	2/15/2011
Inactive	North River Insurance Company (The)	301739	Agent - Property	7/9/2004	2/15/2011
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	6/20/2006	9/10/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	6/20/2006	9/10/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/26/2013	9/16/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/26/2013	9/16/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/26/2013	9/16/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/26/2013	9/16/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/26/2013	10/26/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/26/2013	10/26/2015
Inactive	Union Insurance Company	547433	Agent - Casualty	12/10/2003	6/20/2012
Inactive	Union Insurance Company	547433	Agent - Property	12/10/2003	6/20/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	3/25/2005	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	9/10/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	3/25/2005	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	9/10/2012
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/4/2013	9/14/2015
Inactive	Westfield Insurance Company	301950	Agent - Property	3/4/2013	9/14/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	6/23/2003	9/10/2012
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	6/23/2003	9/10/2012
Inactive	Old Colony Insurance Service, Inc.	401277	Agent - Casualty	9/26/2002	9/29/2003
Inactive	Old Colony Insurance Service, Inc.	401277	Agent - Property	9/26/2002	9/29/2003
Inactive	Plantside Holdings, Inc.	398775	Agent - Casualty	2/15/2013	10/28/2015
Inactive	Plantside Holdings, Inc.	398775	Agent - Property	2/26/2013	10/28/2015