DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Gary Todd	DOIID	637964	NAIC NPN	1307465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2006	8/20/2009
Inactive	Non Resident	Agent	Property	8/15/2006	8/20/2009
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/17/2006	8/20/2009
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	7/13/2009	8/20/2009
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	7/13/2009	8/20/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/9/2006	8/20/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	11/9/2006	8/20/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/13/2009	8/20/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/13/2009	8/20/2009
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/13/2009	8/20/2009
Inactive	LM Insurance Corporation	301061	Agent - Property	7/13/2009	8/20/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/13/2009	8/20/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/13/2009	8/20/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/13/2009	8/20/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/13/2009	8/20/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/13/2009	8/20/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/13/2009	8/20/2009
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	7/13/2009	8/20/2009
Inactive	Wausau Business Insurance Company	301476	Agent - Property	7/13/2009	8/20/2009
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	7/13/2009	8/20/2009
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	7/13/2009	8/20/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HRH E & S Services Llc	641351	Agent - Casualty	2/5/2007	6/11/2009
Inactive	HRH E & S Services Llc	641351	Agent - Property	2/5/2007	6/11/2009
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	3/13/2009	8/20/2009
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	3/13/2009	8/20/2009
Inactive	Willis Towers Watson Insurance Services West Inc	538729	Surplus Lines Broker - Not Applicable	3/13/2009	8/20/2009