DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burns, Amy M	DOIID	659540	NAIC NPN	2224917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/13/2007	7/31/2018
Inactive	Non Resident	Agent	Property	7/13/2007	7/31/2018
* 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	Argonaut Insurance Company	301422	Agent - Casualty	3/26/2015	7/31/2018
Inactive	Argonaut Insurance Company	301422	Agent - Property	3/26/2015	7/31/2018
Inactive	Aspen American Insurance Company	301513	Agent - Casualty	8/15/2011	12/31/2013
Inactive	Aspen American Insurance Company	301513	Agent - Property	8/15/2011	12/31/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/2/2013	5/24/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/2/2013	5/24/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/2/2013	5/24/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/2/2013	5/24/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/2/2013	8/21/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/2/2013	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/2/2013	8/21/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/2/2013	8/21/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/19/2010	10/24/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/19/2010	10/24/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	10/26/2010	10/6/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	10/26/2010	10/6/2017
Inactive	Wells Fargo Ins Services Of Minnesota Inc	581622	Agent - Casualty	8/13/2009	3/9/2010
Inactive	Wells Fargo Ins Services Of Minnesota Inc	581622	Agent - Property	8/13/2009	3/9/2010