DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Fontaine Michala	DOIID	649485	NAIC NPN	9069635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/1/2014	12/31/2022
Inactive	Non Resident	Agent	Casualty	5/1/2014	12/31/2022
* 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	AMCO Insurance Company	300204	Agent - Casualty	5/21/2014	5/2/2022
Inactive	AMCO Insurance Company	300204	Agent - Property	5/21/2014	5/2/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	5/21/2014	5/2/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	5/21/2014	5/2/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	9/19/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	9/19/2022
Inactive	Depositors Insurance Company	301634	Agent - Casualty	5/21/2014	5/2/2022
Inactive	Depositors Insurance Company	301634	Agent - Property	5/21/2014	5/2/2022
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/26/2008	2/17/2009
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/26/2008	2/17/2009
Inactive	Esurance Insurance Company	301072	Agent - Casualty	5/12/2014	6/21/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	5/12/2014	6/21/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/4/2014	9/19/2022
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/4/2014	9/19/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/4/2016	9/28/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	5/20/2009	11/9/2010
Inactive	General Insurance Company of America	300261	Agent - Property	5/20/2009	11/9/2010
Inactive	LM General Insurance Company	300133	Agent - Casualty	6/4/2014	9/19/2022
Inactive	LM General Insurance Company	300133	Agent - Property	6/4/2014	9/19/2022
Inactive	LM Insurance Corporation	301061	Agent - Casualty	6/4/2014	9/19/2022
Inactive	LM Insurance Corporation	301061	Agent - Property	6/4/2014	9/19/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	6/4/2014	9/19/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	6/4/2014	9/19/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/4/2014	9/19/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/4/2014	9/19/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/4/2014	9/19/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	6/4/2014	9/19/2022
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	10/27/2021	9/19/2022
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	10/27/2021	9/19/2022
Inactive	Response Insurance Company	300240	Agent - Casualty	4/29/2010	11/4/2010
Inactive	Response Insurance Company	300240	Agent - Property	4/29/2010	11/4/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	3/7/2007	10/27/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	3/7/2007	10/27/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/20/2014	9/19/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/20/2014	9/19/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/20/2014	9/19/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/20/2014	9/19/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/21/2007	11/3/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/21/2007	11/3/2010
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	6/6/2007	11/4/2010
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	6/6/2007	11/4/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	9/24/2007	8/4/2009
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	9/24/2007	8/4/2009
Inactive	CoMa Insurance Agency Inc	526746	Agent - Casualty	2/21/2007	10/28/2010
Inactive	CoMa Insurance Agency Inc	526746	Agent - Property	2/21/2007	10/28/2010
Inactive	Heydriver Insurance Agency LLC	1108746	Agent - Casualty	6/12/2022	9/14/2022
Inactive	Heydriver Insurance Agency LLC	1108746	Agent - Property	6/12/2022	9/14/2022
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	5/12/2014	9/14/2022
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	5/12/2014	9/14/2022