DEPARTMENT OF INSURANCE

Affiliations

Name	Simounet, Patricia Louise	DOIID	589293	NAIC NPN	8070490

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/2/2004	7/31/2015
Inactive	Non Resident	Agent	Property	6/8/2004	7/31/2015
* 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	American Fire and Casualty Company	300567	Agent - Casualty	8/26/2004	5/26/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/26/2004	5/26/2015
Inactive	Assurance Company of America	300432	Agent - Casualty	9/15/2004	10/11/2010
Inactive	Assurance Company of America	300432	Agent - Property	9/15/2004	10/11/2010
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/2/2004	12/28/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/2/2004	12/28/2010
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	9/15/2004	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - Property	9/15/2004	11/30/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	5/26/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	5/26/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/6/2010	7/31/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/6/2010	7/31/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	1/6/2005	5/11/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	1/6/2005	5/11/2015
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	1/6/2005	5/11/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	1/6/2005	5/11/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	1/6/2005	5/11/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	1/6/2005	5/11/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	5/26/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	5/26/2015
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	8/2/2004	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	8/2/2004	1/5/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/15/2004	10/11/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	9/15/2004	10/11/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	5/26/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	5/26/2015
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/15/2004	10/11/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/15/2004	10/11/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/26/2004	5/26/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/26/2004	5/26/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/26/2004	5/26/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/26/2004	5/26/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	5/26/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	5/26/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	5/26/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	5/26/2015
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	8/2/2004	12/6/2010
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	8/2/2004	12/6/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/24/2010	7/31/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/24/2010	7/31/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	4/6/2009	7/31/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	4/6/2009	7/31/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	8/26/2004	5/26/2015
Inactive	West American Insurance Company	301112	Agent - Property	8/26/2004	5/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bohannon Meyer Ins Inc.	400653	Agent - Casualty	8/2/2004	7/31/2015
Inactive	Bohannon Meyer Ins Inc.	400653	Agent - Property	8/2/2004	7/31/2015