DEPARTMENT OF INSURANCE

Affiliations

Name	Polomsky, Daniel Patrick	DOIID	598965	NAIC NPN	7638985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	11/24/2004	8/31/2009
Inactive	Non Resident	Agent	Property	11/24/2004	8/31/2009
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/8/2004	12/29/2006
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/8/2004	12/29/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/11/2004	12/7/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/11/2004	12/7/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	12/11/2004	12/7/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	12/11/2004	12/7/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/11/2004	12/7/2006
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/8/2004	12/29/2006
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/8/2004	12/29/2006
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/8/2004	12/29/2006
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/8/2004	12/29/2006
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	12/11/2004	12/7/2006
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	12/8/2004	12/4/2006
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	12/8/2004	12/4/2006
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	12/11/2004	12/7/2006
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Trumbull Insurance Company	300242	Agent - Property	12/11/2004	12/7/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/11/2004	12/7/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/11/2004	12/7/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	7/14/2005	12/6/2006
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	7/14/2005	12/6/2006
Inactive	CoMa Insurance Agency Inc	526746	Agent - Casualty	12/10/2004	12/29/2006
Inactive	CoMa Insurance Agency Inc	526746	Agent - Property	12/10/2004	12/29/2006