DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayward, Scott	DOIID	610526	NAIC NPN	3427190

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/29/2005		1/31/2025
Active	Non Resident	Agent	Casualty	6/29/2005		1/31/2025
Active	Non Resident	Agent	Personal Lines	6/29/2005		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/1/2008		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	1/18/2013
Active	Fireman's Fund Insurance Company	301423	Agent - Property	1/18/2013
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	7/10/2013	12/18/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	7/10/2013	12/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Property	8/17/2016
Active	CRC Ins Services, LLC	502276	Agent - Casualty	8/17/2016
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	8/17/2016
Inactive	Swett & Crawford Of Georgia Inc	670665	Agent - Property	1/18/2013	11/17/2017
Inactive	Swett & Crawford Of Georgia Inc	670665	Agent - Casualty	1/18/2013	11/17/2017
Inactive	Swett & Crawford Of Georgia Inc	670665	Surplus Lines Broker - Not Applicable	7/28/2009	11/17/2017