DEPARTMENT OF INSURANCE

Affiliations

Name	Mouck, Dayle	DOIID	639991	NAIC NPN	4647384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/14/2006	7/31/2013
Inactive	Non Resident	Agent	Casualty	9/14/2006	7/31/2013
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/20/2007	7/31/2013
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/20/2007	7/31/2013
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	4/20/2007	7/31/2013
Inactive	American Zurich Insurance Company	300592	Agent - Property	4/20/2007	7/31/2013
Inactive	Assurance Company of America	300432	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Assurance Company of America	300432	Agent - Property	4/20/2007	7/31/2013
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	4/20/2007	7/31/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	4/20/2007	7/31/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/20/2012	7/31/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/20/2012	7/31/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/20/2012	7/31/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/20/2012	7/31/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/20/2012	7/31/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/20/2012	7/31/2013
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	4/20/2007	7/31/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/20/2007	7/31/2013
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Zurich American Insurance Company	301121	Agent - Property	4/20/2007	7/31/2013
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/20/2007	7/31/2013
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/20/2007	7/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Property	3/5/2010	7/31/2013
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	3/5/2010	7/31/2013