DEPARTMENT OF INSURANCE

Affiliations

Name	Conifer Insurance Agency, Inc	DOIID	592542	NAIC NPN	5438700

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/4/2004	8/3/2009
Inactive	Non Resident	Agent	Property	10/4/2004	8/3/2009
Denied	Non Resident	Surplus Lines Broker	Not Applicable
* 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	8/25/2005	8/3/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	8/25/2005	8/3/2009
Inactive	American Home Assurance Company	300246	Agent - Casualty	3/24/2005	8/3/2009
Inactive	American Home Assurance Company	300246	Agent - Property	3/24/2005	8/3/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/24/2005	8/3/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/24/2005	8/3/2009
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	8/3/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	8/3/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/25/2005	8/3/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/25/2005	8/3/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	3/24/2005	8/3/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	3/24/2005	8/3/2009
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	7/1/2005	8/3/2009
Inactive	North River Insurance Company (The)	301739	Agent - Property	7/1/2005	8/3/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	8/3/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	8/3/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/24/2005	8/3/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/24/2005	8/3/2009
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	6/5/2006	8/3/2009
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	6/5/2006	8/3/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	8/3/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	8/3/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/24/2005	8/3/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	1/24/2005	8/3/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/3/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/3/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/24/2005	8/3/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/24/2005	8/3/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/24/2005	8/3/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/24/2005	8/3/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/24/2005	8/3/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/24/2005	8/3/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/24/2005	8/3/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/24/2005	8/3/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	8/25/2005	8/3/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	8/25/2005	8/3/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mccarthy, John F	390422	Agent - Casualty	10/4/2004	8/3/2009
Inactive	Mccarthy, John F	390422	Agent - Property	10/4/2004	8/3/2009