DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conklin, Randle Mort	DOIID	671197	NAIC NPN	7040468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/2/2008	10/31/2009
Inactive	Non Resident	Agent	Property	1/2/2008	10/31/2009
* 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	Federal Insurance Company	301144	Agent - Casualty	2/12/2008	10/22/2009
Inactive	Federal Insurance Company	301144	Agent - Property	2/12/2008	10/22/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ironwood Insurance Services LLC	673920	Agent - Casualty	2/12/2008	10/22/2009
Inactive	Ironwood Insurance Services LLC	673920	Agent - Property	2/12/2008	10/22/2009