DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Amy Davidson	DOIID	571175	NAIC NPN	7398564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	2/2/2004	1/1/2014
Inactive	Resident	Agent	Casualty	2/2/2004	1/1/2014
* 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 Fire and Casualty Company	300567	Agent - Casualty	3/18/2004	1/1/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/18/2004	1/1/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	1/1/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	1/1/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	1/1/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	1/1/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	1/1/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	1/1/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/18/2004	1/1/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/18/2004	1/1/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/18/2004	1/1/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/18/2004	1/1/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	1/1/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	1/1/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	1/1/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	1/1/2014
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	2/1/2012	1/1/2014
Inactive	Selective Insurance Company of America	500018	Agent - Property	2/1/2012	1/1/2014
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	2/1/2012	1/1/2014
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	2/1/2012	1/1/2014
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/1/2012	1/1/2014
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	2/1/2012	1/1/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	3/18/2004	1/1/2014
Inactive	West American Insurance Company	301112	Agent - Property	3/18/2004	1/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Public Entity Insurance, Inc.	398396	Agent - Casualty	3/18/2004	9/24/2013
Inactive	Public Entity Insurance, Inc.	398396	Agent - Property	3/18/2004	9/24/2013