DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bergman, Gavin Michael	DOIID	559779	NAIC NPN	7113245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/12/2002	12/31/2008
Inactive	Non Resident	Agent	Casualty	11/12/2002	12/31/2008
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/27/2002	4/2/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/27/2002	4/2/2008
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	3/26/2004	11/4/2005
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	3/26/2004	11/4/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/27/2002	4/2/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/27/2002	4/2/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/27/2002	4/2/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/27/2002	4/2/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	12/27/2002	4/2/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	12/27/2002	4/2/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/19/2005	4/2/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/19/2005	4/2/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	4/2/2008
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	4/2/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/27/2002	4/2/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/27/2002	4/2/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	12/27/2002	4/2/2008
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	12/27/2002	4/2/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Inslogic Corporation	513852	Agent - Casualty	8/2/2004	10/31/2005
Inactive	Inslogic Corporation	513852	Agent - Property	8/2/2004	10/31/2005