DEPARTMENT OF INSURANCE

Affiliations

Name	Simon, Richard Paul	DOIID	666106	NAIC NPN	1664002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/12/2007	5/2/2011
Inactive	Non Resident	Agent	Property	10/12/2007	5/2/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/30/2008	5/2/2011
* 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	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/1/2008	5/2/2011
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/1/2008	5/2/2011
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/1/2008	5/2/2011
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/1/2008	5/2/2011
Inactive	American States Insurance Company	301230	Agent - Casualty	8/24/2009	5/2/2011
Inactive	American States Insurance Company	301230	Agent - Property	8/24/2009	5/2/2011
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	10/1/2008	5/2/2011
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	10/1/2008	5/2/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/24/2009	5/2/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	8/24/2009	5/2/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/24/2009	5/2/2011
Inactive	General Insurance Company of America	300261	Agent - Property	8/24/2009	5/2/2011
Inactive	LM Insurance Corporation	301061	Agent - Casualty	5/1/2009	5/2/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/1/2009	5/2/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/1/2009	5/2/2011
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/1/2008	5/2/2011
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/1/2008	5/2/2011
Inactive	RLI Insurance Company	301217	Agent - Casualty	2/22/2010	5/2/2011
Inactive	RLI Insurance Company	301217	Agent - Property	2/22/2010	5/2/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/24/2009	5/2/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/24/2009	5/2/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/21/2007	5/2/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/21/2007	5/2/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/1/2008	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	5/2/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/1/2008	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	5/2/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Regions Insurance, Inc.	502037	Agent - Casualty
Denied	Regions Insurance, Inc.	502037	Agent - Property