DEPARTMENT OF INSURANCE

Affiliations

Name	Creative Ins Services Inc	DOIID	595073	NAIC NPN	1630085

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/7/2004	3/31/2012
Inactive	Non Resident	Agent	Casualty	9/7/2004	3/31/2012
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/16/2006	4/3/2012
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	2/16/2006	4/3/2012
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/17/2005	4/3/2012
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/17/2005	4/3/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/16/2008	3/31/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	10/16/2008	3/31/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/16/2008	3/31/2012
Inactive	General Insurance Company of America	300261	Agent - Property	10/16/2008	3/31/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/5/2004	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/5/2004	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/5/2004	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/5/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/5/2004	11/7/2008
Inactive	LM Insurance Corporation	301061	Agent - Casualty	6/17/2005	4/3/2012
Inactive	LM Insurance Corporation	301061	Agent - Property	6/17/2005	4/3/2012
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	6/17/2005	4/3/2012
Inactive	Liberty Insurance Corporation	300444	Agent - Property	6/17/2005	4/3/2012
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/17/2005	4/3/2012
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/17/2005	4/3/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/17/2005	4/3/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	6/17/2005	4/3/2012
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	10/5/2004	11/7/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/16/2008	3/31/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/16/2008	3/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/16/2008	3/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/16/2008	3/31/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/5/2004	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/5/2004	11/7/2008
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	2/16/2006	4/3/2012
Inactive	Wausau Business Insurance Company	301476	Agent - Property	2/16/2006	4/3/2012
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	2/16/2006	4/3/2012
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	2/16/2006	4/3/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Birofka, John J	597021	Agent - Casualty	11/20/2008	3/31/2012
Inactive	Birofka, John J	597021	Agent - Property	11/20/2008	3/31/2012
Inactive	Denley, Jon	590478	Agent - Casualty	9/7/2004	11/5/2008
Inactive	Denley, Jon	590478	Agent - Property	9/7/2004	11/5/2008