DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brentwood Services Brokerage, Inc	DOIID	640893	NAIC NPN	8899874

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/25/2006	11/1/2013
Inactive	Non Resident	Agent	Casualty	9/25/2006	11/1/2013
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/2/2007	9/23/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	6/2/2007	9/23/2008
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/2/2007	9/23/2008
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/2/2007	9/23/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/2/2007	9/23/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/2/2007	9/23/2008
Inactive	Arch Insurance Company	300688	Agent - Casualty	8/22/2008	7/11/2013
Inactive	Arch Insurance Company	300688	Agent - Property	8/22/2008	7/11/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	6/2/2007	9/23/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	6/2/2007	9/23/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/2/2007	9/23/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/2/2007	9/23/2008
Inactive	Midwest Employers Casualty Company	300124	Agent - Casualty	10/25/2006	11/1/2013
Inactive	Midwest Employers Casualty Company	300124	Agent - Property	10/25/2006	11/1/2013
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	6/2/2007	9/23/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	6/2/2007	9/23/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/2/2007	9/23/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/2/2007	9/23/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fawcett, Keith	383998	Agent - Casualty	2/9/2010	11/1/2013
Inactive	Fawcett, Keith	383998	Agent - Property	2/9/2010	11/1/2013
Inactive	Fish, Paul Douglas	566841	Agent - Casualty	9/25/2006	7/2/2012
Denied	Fish, Paul Douglas	566841	Agent - Property
Inactive	Hammer, Richard Douglas	364830	Agent - Casualty	9/25/2006	11/1/2013
Inactive	Hammer, Richard Douglas	364830	Agent - Property	9/25/2006	11/1/2013
Inactive	Holloway, Thomas Henry	392552	Agent - Casualty	8/8/2008	11/1/2013
Inactive	Holloway, Thomas Henry	392552	Agent - Property	8/8/2008	11/1/2013
Inactive	Layton, Barry Gene	599677	Agent - Casualty	1/30/2007	10/26/2009
Inactive	Raley, Lisa Renee	551701	Agent - Casualty	1/30/2007	11/1/2013
Inactive	Raley, Lisa Renee	551701	Agent - Property	1/30/2007	11/1/2013
Inactive	Smitherman, John Denny	362818	Agent - Casualty	1/30/2007	11/1/2013
Inactive	Wilson, Dawn	507147	Agent - Casualty	2/9/2010	11/1/2013
Inactive	Wilson, Dawn	507147	Agent - Property	2/9/2010	11/1/2013