DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Perkins, David S	DOIID	578712	NAIC NPN	938666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/23/2010	10/31/2016
Inactive	Non Resident	Agent	Property	10/22/2003	10/31/2016
Inactive	Non Resident	Agent	Casualty	10/22/2003	10/31/2016
Inactive	Non Resident	Agent	Life	6/23/2010	10/31/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/22/2003	10/31/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	2/23/2009	10/31/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	2/23/2009	10/31/2016
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	10/18/2013	10/31/2016
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	10/18/2013	10/31/2016
Inactive	Berkley Insurance Company	301355	Agent - Casualty	4/9/2014	10/31/2016
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	8/30/2010	1/8/2016
Inactive	Capitol Indemnity Corporation	301030	Agent - Health	8/30/2010	10/31/2016
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	8/30/2010	1/8/2016
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/25/2004	10/12/2012
Inactive	Federal Insurance Company	301144	Agent - Property	2/25/2004	10/12/2012
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	10/8/2008	2/24/2014
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	10/8/2008	2/24/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/9/2013	10/31/2016
Inactive	RSUI Indemnity Company	300513	Agent - Casualty	8/31/2006	10/31/2016
Inactive	RSUI Indemnity Company	300513	Agent - Property	8/31/2006	10/31/2016
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	6/7/2012	10/31/2016
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	6/7/2012	10/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	S H Smith & Co Inc	574020	Agent - Casualty	4/14/2009	9/28/2012
Inactive	S H Smith & Co Inc	574020	Agent - Property	4/14/2009	9/28/2012
Denied	S H Smith & Co Inc	574020	Agent - Life
Inactive	S H Smith & Co Inc	574020	Agent - Health	8/30/2010	9/28/2012
Inactive	S.H. Smith Insurance Agency, of Massachusetts Inc.	579185	Agent - Casualty	3/15/2004	6/30/2009
Inactive	S.H. Smith Insurance Agency, of Massachusetts Inc.	579185	Agent - Property	3/15/2004	6/30/2009