DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Farrell, Thomas Martin	DOIID	602749	NAIC NPN	8350667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/8/2005	9/30/2007
Inactive	Non Resident	Agent	Property	2/8/2005	9/30/2007
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/16/2005	4/28/2005
Inactive	ACE American Insurance Company	300625	Agent - Property	3/16/2005	4/28/2005
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	3/16/2005	4/28/2005
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	3/16/2005	4/28/2005
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/16/2005	4/28/2005
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/16/2005	4/28/2005
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	3/16/2005	4/28/2005
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	3/16/2005	4/28/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/9/2005	2/14/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/9/2005	2/14/2007
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/16/2005	4/28/2005
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/16/2005	4/28/2005
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	3/16/2005	4/28/2005
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	3/16/2005	4/28/2005
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/11/2005	8/23/2006
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	4/11/2005	8/23/2006
Inactive	Tesla Insurance Company	300337	Agent - Casualty	3/14/2005	5/9/2006
Inactive	Tesla Insurance Company	300337	Agent - Property	3/14/2005	5/9/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Inslogic Corporation	513852	Agent - Property	3/18/2005	9/14/2006
Inactive	Inslogic Corporation	513852	Agent - Casualty	3/18/2005	9/14/2006