DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cooper Gay Risk Services Inc	DOIID	622322	NAIC NPN	3658627

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/26/2009	12/10/2012
Inactive	Non Resident	Agent	Property	6/26/2009	12/10/2012
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/2/2009	12/10/2012
* 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	Arch Insurance Company	300688	Agent - Casualty	1/27/2010	12/10/2012
Inactive	Arch Insurance Company	300688	Agent - Property	1/27/2010	12/10/2012
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/12/2009	12/10/2012
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	11/12/2009	12/10/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Garner, Emma	622110	Agent - Casualty	6/26/2009	12/10/2012
Inactive	Garner, Emma	622110	Agent - Property	6/26/2009	12/10/2012
Inactive	Garner, Emma	622110	Surplus Lines Broker - Not Applicable	7/2/2009	6/9/2014