DEPARTMENT OF INSURANCE

Affiliations

Name	Petrey, Adam D	DOIID	622428	NAIC NPN	8567656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	12/20/2005	6/30/2018
Inactive	Non Resident	Agent	Property	12/20/2005	6/30/2018
* 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	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	8/14/2014	6/8/2018
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	8/14/2014	6/8/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	6/30/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	6/30/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	11/29/2007	11/14/2016
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	11/29/2007	11/14/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/3/2008	11/5/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/3/2008	11/5/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/3/2008	11/5/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/3/2008	11/5/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/3/2008	11/5/2009
Inactive	Key Risk Insurance Company	630687	Agent - Casualty	7/21/2008	8/25/2010
Inactive	Key Risk Insurance Company	630687	Agent - Property	7/21/2008	8/25/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/7/2011	6/30/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/7/2011	6/30/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	6/30/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	6/30/2018
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/3/2008	11/5/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/27/2007	7/19/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/27/2007	7/19/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/3/2008	11/5/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/3/2008	11/5/2009
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	6/30/2018
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	6/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	11/27/2007	6/30/2018
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	11/27/2007	6/30/2018