DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	S.H. Smith Insurance Agency, of Massachusetts Inc.	DOIID	579185	NAIC NPN	3121474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/15/2004	6/30/2009
Inactive	Non Resident	Agent	Property	3/15/2004	6/30/2009
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	9/5/2008	6/30/2009
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	9/5/2008	6/30/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	9/5/2008	6/30/2009
Inactive	21st Century North America Insurance Company	300884	Agent - Property	9/5/2008	6/30/2009
Inactive	ACE American Insurance Company	300625	Agent - Casualty	2/23/2009	6/30/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	2/23/2009	6/30/2009
Inactive	AXIS Insurance Company	301290	Agent - Casualty	12/28/2005	6/30/2009
Inactive	AXIS Insurance Company	301290	Agent - Property	12/28/2005	6/30/2009
Inactive	AXIS Reinsurance Company	300426	Agent - Casualty	6/27/2005	6/30/2009
Inactive	AXIS Reinsurance Company	300426	Agent - Property	6/27/2005	6/30/2009
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	9/15/2004	6/30/2009
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	9/15/2004	10/18/2004
Inactive	Federal Insurance Company	301144	Agent - Casualty	6/11/2004	6/30/2009
Inactive	Federal Insurance Company	301144	Agent - Property	6/11/2004	6/30/2009
Inactive	Greenwood Insurance Company	301069	Agent - Casualty	9/5/2008	6/30/2009
Inactive	Greenwood Insurance Company	301069	Agent - Property	9/5/2008	6/30/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Perkins, David	578712	Agent - Casualty	3/15/2004	6/30/2009
Inactive	Perkins, David	578712	Agent - Property	3/15/2004	6/30/2009