DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green-Sanford, Beverly	DOIID	645572	NAIC NPN	512832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/6/2006	2/17/2017
Inactive	Non Resident	Agent	Property	12/6/2006	2/17/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/13/2006	1/20/2017
* 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	Cincinnati Casualty Company (The)	300308	Agent - Casualty	4/25/2007	11/13/2013
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	4/25/2007	11/13/2013
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	4/7/2010	11/13/2013
Inactive	Cincinnati Insurance Company	301298	Agent - Property	4/7/2010	11/13/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hilb Rogal & Hobbs Of Ohio LLC	609305	Agent - Casualty	5/29/2007	3/23/2009
Inactive	Hilb Rogal & Hobbs Of Ohio LLC	609305	Agent - Property	5/29/2007	3/23/2009
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	5/8/2009	11/13/2013
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	5/8/2009	11/13/2013