DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gallagher Captive Services, Inc.	DOIID	583153	NAIC NPN	1052555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/14/2004	3/10/2006
Inactive	Non Resident	Agent	Property	1/14/2004	3/10/2006
* 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	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/24/2004	3/10/2006
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/24/2004	3/10/2006
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/24/2004	3/10/2006
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/24/2004	3/10/2006
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/11/2004	3/10/2006
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/11/2004	3/10/2006
Inactive	National Surety Corporation	300087	Agent - Casualty	5/11/2004	3/10/2006
Inactive	National Surety Corporation	300087	Agent - Property	5/11/2004	3/10/2006
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	5/11/2004	3/10/2006
Inactive	Pie Insurance Company (The)	300514	Agent - Property	5/11/2004	3/10/2006
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	8/24/2004	3/10/2006
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	8/24/2004	3/10/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/24/2004	3/10/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/24/2004	3/10/2006
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	5/11/2004	3/10/2006
Inactive	WCF Select Insurance Company	301898	Agent - Property	5/11/2004	3/10/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Doyle, Kevin J	311745	Agent - Casualty	1/14/2004	3/10/2006
Inactive	Doyle, Kevin J	311745	Agent - Property	1/14/2004	3/10/2006
Inactive	Duffin, Catherine	342154	Agent - Casualty	1/14/2004	3/10/2006
Inactive	Duffin, Catherine	342154	Agent - Property	1/14/2004	3/10/2006
Inactive	Lopeman, Michael Paul	362479	Agent - Casualty	1/14/2004	3/10/2006
Inactive	Lopeman, Michael Paul	362479	Agent - Property	1/14/2004	3/10/2006