DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vucina, David Nicholas	DOIID	596171	NAIC NPN	7720125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/27/2004	9/24/2007
Inactive	Non Resident	Agent	Casualty	9/27/2004	9/24/2007
* 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	Dairyland Insurance Company	301370	Agent - Casualty	10/12/2004	2/22/2005
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/12/2004	2/22/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/20/2004	10/25/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/20/2004	10/25/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	12/13/2004	6/11/2007
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	12/13/2004	6/11/2007