DEPARTMENT OF INSURANCE

Affiliations

Name	Ingram-Davis, Derris	DOIID	633349	NAIC NPN	3291779

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/1/2006	4/30/2026
Active	Non Resident	Agent	Property	6/1/2006	4/30/2026
* 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	4/21/2009	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/21/2009	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/21/2009	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/21/2009	12/13/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/21/2009	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/21/2009	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/21/2009	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/21/2009	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/4/2019
Active	Bristol West Insurance Company	301655	Agent - Property	1/4/2019
Inactive	Esurance Insurance Company	301072	Agent - Casualty	11/4/2014	6/8/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	11/4/2014	6/8/2016
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/23/2011
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/23/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/4/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/4/2019
Active	RLI Insurance Company	301217	Agent - Casualty	3/9/2011
Active	RLI Insurance Company	301217	Agent - Property	3/9/2011
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	3/1/2022
Active	SAFECO Insurance Company of America	300159	Agent - Property	3/1/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/16/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/16/2022
Active	Spinnaker Insurance Company	300099	Agent - Casualty	2/11/2022
Active	Spinnaker Insurance Company	300099	Agent - Property	2/11/2022
Active	United States Fire Insurance Company	582240	Agent - Casualty	4/29/2020
Active	United States Fire Insurance Company	582240	Agent - Property	4/29/2020
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/22/2011	9/28/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/22/2011	9/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PoliSeek AIS Insurance Solutions, Inc.	649167	Agent - Property	4/21/2009
Active	PoliSeek AIS Insurance Solutions, Inc.	649167	Agent - Casualty	4/21/2009