DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maynard, Roosevelt Dick	DOIID	586570	NAIC NPN	231685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/22/2004	1/31/2009
Inactive	Non Resident	Agent	Property	3/22/2004	1/31/2009
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/23/2005	1/31/2009
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/12/2005	1/31/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	4/12/2005	1/31/2009
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/7/2007	1/31/2009
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/7/2007	1/31/2009
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/4/2005	1/31/2009
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/4/2005	1/31/2009
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	2/7/2007	1/31/2009
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	2/7/2007	1/31/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/12/2005	1/31/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/12/2005	1/31/2009
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	6/4/2005	1/31/2009
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	6/4/2005	1/31/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	5/30/2007	1/31/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	5/30/2007	1/31/2009
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	5/30/2007	1/31/2009
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	5/30/2007	1/31/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	4/12/2005	1/31/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	4/12/2005	1/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Nashville Inc	675114	Agent - Property	2/29/2008	1/31/2009
Inactive	Brown & Brown of Nashville Inc	675114	Agent - Casualty	2/29/2008	1/31/2009
Inactive	Security Insurance, Inc. II	571204	Agent - Property	1/22/2007	1/29/2009
Inactive	Security Insurance, Inc. II	571204	Agent - Casualty	1/22/2007	1/29/2009