DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Geneva Risk Services Midwest Llc	DOIID	667993	NAIC NPN	9416898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/9/2007	11/17/2008
Inactive	Non Resident	Agent	Casualty	11/9/2007	11/17/2008
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/19/2008	11/17/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smith, Adrian	660426	Agent - Casualty	11/9/2007	11/17/2008
Inactive	Smith, Adrian	660426	Agent - Property	11/9/2007	11/17/2008
Inactive	Smith, Adrian	660426	Surplus Lines Broker - Not Applicable	3/19/2008	11/17/2008