DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Waiz, Randy	DOIID	651579	NAIC NPN	3310413

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Limited Line Credit	3/15/2007	12/31/2014
* 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 National Insurance Company	301861	Agent - Limited Line Credit	2/23/2010	11/6/2014
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/15/2007	12/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Byerly Ford-Nissan Inc	399412	Agent - Limited Line Credit	9/3/2013	12/31/2014