DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	PUC Midwest Acquisition Corp	DOIID	590963	NAIC NPN	2880074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/9/2004	2/29/2008
Inactive	Non Resident	Agent	Property	6/9/2004	2/29/2008
* 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	10/30/2007	2/29/2008
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	10/30/2007	2/29/2008
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	10/30/2007	2/29/2008
Inactive	21st Century North America Insurance Company	300884	Agent - Property	10/30/2007	2/29/2008
Inactive	ACE American Insurance Company	300625	Agent - Casualty	5/3/2005	2/29/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	5/3/2005	2/29/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/3/2005	2/29/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/3/2005	2/29/2008
Inactive	American Home Assurance Company	300246	Agent - Casualty	10/30/2007	2/29/2008
Inactive	American Home Assurance Company	300246	Agent - Property	10/30/2007	2/29/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/3/2005	2/29/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/3/2005	2/29/2008
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	12/12/2005	2/29/2008
Inactive	Medical Protective Company (The)	301207	Agent - Property	12/12/2005	2/29/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	5/3/2005	2/29/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	5/3/2005	2/29/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Yurek, William Dennis	381766	Agent - Casualty	6/9/2004	2/29/2008
Inactive	Yurek, William Dennis	381766	Agent - Property	6/9/2004	2/29/2008