DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lockett, David Mark	DOIID	567652	NAIC NPN	6906102

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/9/2003	4/30/2017
Inactive	Non Resident	Agent	Casualty	4/9/2003	4/30/2017
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/6/2003	10/24/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/6/2003	10/24/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	8/25/2003	1/24/2007
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	8/25/2003	1/24/2007