DEPARTMENT OF INSURANCE

Affiliations

Name	Kaercher Campbell & Assoc Ins Brokerage LLC	DOIID	638422	NAIC NPN	8792469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/26/2016	3/31/2018
Inactive	Non Resident	Agent	Casualty	9/26/2016	3/31/2018
Inactive	Non Resident	Agent	Life	2/15/2011	3/11/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/30/2006	2/1/2014
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	10/26/2006	9/17/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	10/26/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	10/26/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	10/26/2006	9/17/2011
Inactive	American Home Assurance Company	300246	Agent - Casualty	10/26/2006	2/1/2014
Inactive	American Home Assurance Company	300246	Agent - Property	10/26/2006	2/1/2014
Inactive	Arch Insurance Company	300688	Agent - Casualty	1/30/2009	2/1/2014
Inactive	Arch Insurance Company	300688	Agent - Property	1/30/2009	2/1/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/10/2010	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/10/2010	12/9/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/11/2012	2/1/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/11/2012	2/1/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/11/2012	2/1/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/11/2012	2/1/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/10/2010	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/10/2010	12/9/2013
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	12/1/2009	2/1/2014
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	12/1/2009	2/1/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/10/2010	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/10/2010	12/9/2013
Inactive	TravCo Insurance Company	301828	Agent - Casualty	6/10/2010	12/9/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	6/10/2010	12/9/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	6/10/2010	12/9/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	6/10/2010	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/10/2010	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/10/2010	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/10/2010	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/10/2010	12/9/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	6/10/2010	12/9/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	6/10/2010	12/9/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Campbell, Penni Jean	549318	Agent - Casualty	9/26/2016	3/31/2018
Inactive	Campbell, Penni Jean	549318	Agent - Property	9/26/2016	3/31/2018
Inactive	Campbell, Penni Jean	549318	Surplus Lines Broker - Not Applicable	10/30/2006	11/30/2013
Inactive	Sheinberg, Karin Susan	590654	Agent - Life	2/15/2011	3/11/2013