DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, David Mark	DOIID	571078	NAIC NPN	7720048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	7/11/2003	4/30/2007
Inactive	Resident	Agent	Casualty	7/11/2003	4/30/2007
* 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 Select Insurance Company	301229	Agent - Casualty	10/1/2004	4/10/2007
Inactive	American Select Insurance Company	301229	Agent - Property	10/1/2004	4/10/2007
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/28/2003	9/11/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	7/28/2003	9/11/2006
Inactive	Grange Insurance Company	300234	Agent - Casualty	7/28/2003	9/11/2006
Inactive	Grange Insurance Company	300234	Agent - Property	7/28/2003	9/11/2006
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/1/2004	4/10/2007
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/1/2004	4/10/2007
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	7/28/2003	9/11/2006
Inactive	Trustgard Insurance Company	300104	Agent - Property	7/28/2003	9/11/2006
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/1/2004	4/10/2007
Inactive	Westfield Insurance Company	301950	Agent - Property	10/1/2004	4/10/2007
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/1/2004	4/10/2007
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/1/2004	4/10/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Casualty	11/16/2005	7/5/2006
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Property	11/16/2005	7/5/2006