DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burden-Herhuth, Samantha Jo	DOIID	670975	NAIC NPN	9680901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/26/2007	5/31/2011
Inactive	Non Resident	Agent	Property	3/31/2010	5/31/2011
* 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	Hanover American Insurance Company (The)	300447	Agent - Casualty	6/10/2010	5/19/2011
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	6/10/2010	5/19/2011
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	6/10/2010	5/19/2011
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	6/10/2010	5/19/2011
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	6/10/2010	5/19/2011
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	6/10/2010	5/19/2011
Inactive	Watford Insurance Company	556753	Agent - Casualty	1/31/2008	5/19/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professionals Direct Insurance Services, Inc.	548827	Agent - Casualty	1/31/2008	5/19/2011