DEPARTMENT OF INSURANCE

Affiliations

Name	Burch, Deborah Gothard	DOIID	670636	NAIC NPN	9112067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/18/2009	4/30/2019
Inactive	Non Resident	Agent	Casualty	12/18/2009	4/30/2019
Inactive	Non Resident	Independent Adjuster	Property & Casualty	12/14/2007	4/30/2013
* 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	Bristol West Insurance Company	301655	Agent - Casualty	3/15/2018	1/23/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/15/2018	1/23/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/18/2018	1/10/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/18/2018	1/10/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/17/2018	1/23/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/17/2018	1/23/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/9/2018	1/18/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/9/2018	1/18/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/9/2018	1/18/2019
Inactive	Grange Insurance Company	300234	Agent - Property	3/9/2018	1/18/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	3/9/2018	1/18/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	3/9/2018	1/18/2019
Inactive	Homesite Insurance Company	301139	Agent - Casualty	9/23/2011	10/10/2017
Inactive	Homesite Insurance Company	301139	Agent - Property	9/23/2011	10/10/2017
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017	10/10/2017
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017	10/10/2017
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	12/23/2009	8/21/2017
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	12/23/2009	8/21/2017
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	4/12/2018	1/15/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	4/12/2018	1/15/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/16/2018	1/16/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/16/2018	1/16/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/16/2018	1/16/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/16/2018	1/16/2019
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/9/2018	1/18/2019
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/9/2018	1/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	3/9/2018	12/29/2018
Inactive	Insurance Answer Center LLC	694353	Agent - Property	3/9/2018	12/29/2018
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	12/28/2009	10/10/2017
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	12/28/2009	10/10/2017