DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mantovani, Thomas William	DOIID	573663	NAIC NPN	7657293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/28/2003	2/26/2016
Inactive	Non Resident	Agent	Casualty	7/28/2003	2/26/2016
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/28/2003	2/4/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/28/2003	2/4/2016
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	2/4/2016
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	2/4/2016
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	2/4/2016
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	2/4/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/28/2003	2/4/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/28/2003	2/4/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/28/2003	2/4/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/28/2003	2/4/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	9/18/2008	2/4/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	9/18/2008	2/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Helmsman Ins Agency LLC	572054	Agent - Casualty	7/14/2006	8/25/2008
Inactive	Helmsman Ins Agency LLC	572054	Agent - Property	7/14/2006	8/25/2008