DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moravcik Jr, David Richard	DOIID	609527	NAIC NPN	7947694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/1/2005	11/30/2015
Inactive	Non Resident	Agent	Casualty	6/1/2005	11/30/2015
* 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	Progressive Direct Insurance Company	301379	Agent - Casualty	6/8/2005	8/11/2014
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	6/8/2005	8/11/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/8/2005	12/11/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/8/2005	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	3/16/2007	8/11/2014
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	3/16/2007	8/11/2014