DEPARTMENT OF INSURANCE

Affiliations

Name	Francis, Chad Edward	DOIID	638475	NAIC NPN	8891403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	12/18/2006	1/1/2016
Inactive	Resident	Agent	Casualty	12/18/2006	1/1/2016
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/17/2008	6/3/2014
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/17/2008	6/3/2014
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/19/2010	4/28/2015
Inactive	American Economy Insurance Company	300315	Agent - Property	8/19/2010	4/28/2015
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/19/2010	4/28/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/19/2010	4/28/2015
Inactive	American States Insurance Company	301230	Agent - Casualty	8/19/2010	4/28/2015
Inactive	American States Insurance Company	301230	Agent - Property	8/19/2010	4/28/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/2/2007	1/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/2/2007	1/1/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/5/2007	4/28/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/5/2007	4/28/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/9/2010	1/1/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/9/2010	1/1/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	4/28/2015
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	4/28/2015
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	4/28/2015
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	4/28/2015
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/15/2015	1/1/2016
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/15/2015	1/1/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/5/2007	4/28/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	1/5/2007	4/28/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/5/2007	4/28/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/5/2007	4/28/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007	4/28/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007	4/28/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/19/2010	4/28/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/19/2010	4/28/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/19/2010	4/28/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/19/2010	4/28/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/5/2007	4/28/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	1/5/2007	4/28/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	4/28/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	4/28/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	4/28/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	4/28/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	8/19/2010	4/28/2015
Inactive	West American Insurance Company	301112	Agent - Property	8/19/2010	4/28/2015
Inactive	West Bend Insurance Company	672974	Agent - Casualty	1/24/2013	4/24/2015
Inactive	West Bend Insurance Company	672974	Agent - Property	1/24/2013	4/24/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Francis & Company, Inc.	570866	Agent - Casualty	1/18/2007	1/1/2016
Inactive	Francis & Company, Inc.	570866	Agent - Property	1/18/2007	1/1/2016