DEPARTMENT OF INSURANCE

Affiliations

Name	Davis Sr, Jack Bradley	DOIID	593910	NAIC NPN	8199605

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	11/30/2004	9/1/2012
Inactive	Resident	Agent	Property	11/9/2004	9/1/2012
* 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	Bristol West Insurance Company	301655	Agent - Casualty	4/12/2007	9/1/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/12/2007	9/1/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/6/2005	4/26/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/26/2010	9/1/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/26/2010	9/1/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	2/26/2010	9/1/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	2/26/2010	9/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/16/2007	9/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/16/2007	9/1/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/29/2010	9/1/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/29/2010	9/1/2012
Inactive	MICO Insurance Company	301664	Agent - Casualty	3/19/2010	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	3/19/2010	12/13/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	3/19/2010	2/29/2012
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	3/19/2010	2/29/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/4/2005	3/24/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/4/2005	3/24/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/4/2005	3/24/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/4/2005	3/24/2010
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	3/24/2010
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	3/24/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMI P&C, Inc.	600128	Agent - Casualty	2/24/2010	1/10/2012
Inactive	CMI P&C, Inc.	600128	Agent - Property	2/24/2010	1/10/2012