DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Michael Patrick	DOIID	570076	NAIC NPN	5963817

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/23/2003	8/31/2026
Active	Non Resident	Agent	Casualty	5/23/2003	8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/4/2003	8/31/2026
* 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
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/27/2005	8/9/2007
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/27/2005	8/9/2007
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	12/27/2005	8/9/2007
Inactive	American Zurich Insurance Company	300592	Agent - Property	12/27/2005	8/9/2007
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	2/2/2006	8/9/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	2/2/2006	8/9/2007
Inactive	Colony Specialty Insurance Company	724901	Agent - Casualty	7/23/2013	4/14/2015
Inactive	Colony Specialty Insurance Company	724901	Agent - Property	7/23/2013	4/14/2015
Inactive	Farmington Casualty Company	301137	Agent - Casualty	2/2/2006	8/9/2007
Inactive	Farmington Casualty Company	301137	Agent - Property	2/2/2006	8/9/2007
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	2/2/2006	8/9/2007
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	2/2/2006	8/9/2007
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	2/2/2006	8/9/2007
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	2/2/2006	8/9/2007
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	2/2/2006	8/9/2007
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	2/2/2006	8/9/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/31/2012	4/4/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/31/2012	4/4/2022
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/31/2012	4/4/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/31/2012	4/4/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	2/2/2006	8/9/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	2/2/2006	8/9/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	2/2/2006	8/9/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	2/2/2006	8/9/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	2/2/2006	8/9/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	2/2/2006	8/9/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/24/2007	8/9/2007
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/24/2007	8/9/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/16/2007	4/4/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/16/2007	4/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/31/2012	4/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/31/2012	4/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/31/2012	4/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/31/2012	4/4/2022
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/31/2012	4/4/2022
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/31/2012	4/4/2022
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	1/16/2015	7/31/2019
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	1/16/2015	7/31/2019
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	12/27/2005	8/9/2007
Inactive	Zurich American Insurance Company	301121	Agent - Property	12/27/2005	8/9/2007
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/27/2005	8/9/2007
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/27/2005	8/9/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Casualty	1/4/2006	6/4/2007
Inactive	Marsh USA LLC.	514638	Agent - Property	1/4/2006	6/4/2007
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Casualty	11/16/2007	3/2/2010
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Property	11/16/2007	3/2/2010