DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern Hospitality Underwriters Inc	DOIID	588251	NAIC NPN	7834472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/21/2004	4/9/2013
Inactive	Non Resident	Agent	Casualty	4/21/2004	4/9/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/6/2011	4/9/2013
* 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	Arch Insurance Company	300688	Agent - Casualty	11/15/2011	4/9/2013
Inactive	Arch Insurance Company	300688	Agent - Property	11/15/2011	4/9/2013
Inactive	NOVA Casualty Company	622806	Agent - Casualty	7/24/2009	4/9/2013
Inactive	NOVA Casualty Company	622806	Agent - Property	7/24/2009	4/9/2013
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/3/2004	2/21/2006
Inactive	RLI Insurance Company	301217	Agent - Property	5/3/2004	2/21/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Bradley Dempsey	500297	Agent - Casualty	4/21/2004	4/9/2013
Inactive	Brown, Bradley Dempsey	500297	Agent - Property	4/21/2004	4/9/2013
Inactive	Cooper, William H	651218	Surplus Lines Broker - Not Applicable	7/6/2011	4/9/2013