DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Haley S	DOIID	639112	NAIC NPN	8901712

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	9/19/2006	8/1/2009
Inactive	Resident	Agent	Casualty	9/19/2006	8/1/2009
* 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	Catawba Insurance Company	581090	Agent - Casualty	5/10/2007	8/1/2009
Inactive	Catawba Insurance Company	581090	Agent - Property	5/10/2007	8/1/2009
Inactive	Continental Casualty Company	301019	Agent - Casualty	10/4/2006	8/29/2007
Inactive	Continental Casualty Company	301019	Agent - Property	10/4/2006	8/29/2007
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/10/2006	8/19/2008
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/10/2006	8/19/2008
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/27/2008	8/1/2009
Inactive	Universal Insurance Company	686754	Agent - Property	10/27/2008	8/1/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gorman Clark Insurance LLC	636381	Agent - Casualty	10/11/2006	8/1/2009
Inactive	Gorman Clark Insurance LLC	636381	Agent - Property	10/11/2006	8/1/2009