DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Adrian	DOIID	660426	NAIC NPN	2143867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/26/2007	6/30/2013
Inactive	Non Resident	Agent	Property	7/26/2007	6/30/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/21/2007	11/17/2008
* 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	Arch Insurance Company	300688	Agent - Casualty	10/5/2007	5/29/2013
Inactive	Arch Insurance Company	300688	Agent - Property	10/5/2007	5/29/2013
Inactive	RSUI Indemnity Company	300513	Agent - Casualty	1/14/2008	6/30/2013
Inactive	RSUI Indemnity Company	300513	Agent - Property	1/14/2008	6/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geneva Risk Services Midwest Llc	667993	Agent - Property	11/9/2007	11/17/2008
Inactive	Geneva Risk Services Midwest Llc	667993	Agent - Casualty	11/9/2007	11/17/2008
Inactive	Geneva Risk Services Midwest Llc	667993	Surplus Lines Broker - Not Applicable	3/19/2008	11/17/2008
Inactive	Repath McAuley Woods, LLC	521444	Agent - Property	10/5/2009	9/20/2012
Inactive	Repath McAuley Woods, LLC	521444	Agent - Casualty	10/5/2009	9/20/2012