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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2026	08/31/2026
Surplus Lines Broker	06/15/2026	08/31/2026

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