DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fowlkes, Bernard	DOIID	619253	NAIC NPN	8306810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/5/2005	12/6/2006
Inactive	Non Resident	Agent	Property	12/5/2005	12/6/2006
* 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 Family Home Insurance Company	301817	Agent - Casualty	9/7/2006	12/6/2006
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/7/2006	12/6/2006
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/19/2005	8/21/2006
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/19/2005	8/21/2006
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/19/2005	8/21/2006
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/19/2005	8/21/2006
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/19/2005	8/21/2006
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/19/2005	8/21/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	10/13/2006	12/6/2006
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	10/13/2006	12/6/2006
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Casualty	10/13/2006	12/6/2006
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Property	10/13/2006	12/6/2006