DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coffin, Joshua B	DOIID	644125	NAIC NPN	7444280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/14/2006	3/31/2011
Inactive	Non Resident	Agent	Casualty	11/14/2006	3/31/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/22/2006	6/23/2009
* 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	RLI Insurance Company	301217	Agent - Casualty	1/5/2007	12/7/2009
Inactive	RLI Insurance Company	301217	Agent - Property	1/5/2007	12/7/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HRH E & S Services Llc	641351	Agent - Casualty	2/5/2007	6/23/2009
Inactive	HRH E & S Services Llc	641351	Agent - Property	2/5/2007	6/23/2009