DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pachey, Todd Jeffrey	DOIID	596777	NAIC NPN	5782313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/8/2004	10/31/2008
Inactive	Non Resident	Agent	Casualty	10/8/2004	10/31/2008
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/8/2004	2/10/2006
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	11/16/2004	10/31/2008
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	11/16/2004	10/31/2008
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	11/16/2004	10/31/2008
Inactive	American Zurich Insurance Company	300592	Agent - Property	11/16/2004	10/31/2008
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	11/16/2004	10/31/2008
Inactive	Zurich American Insurance Company	301121	Agent - Property	11/16/2004	10/31/2008
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	11/16/2004	10/31/2008
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	11/16/2004	10/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goldleaf Ins LLC	563435	Agent - Casualty	1/6/2005	10/31/2008
Inactive	Goldleaf Ins LLC	563435	Agent - Property	1/6/2005	10/31/2008