DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brokaw, Bradley D	DOIID	677641	NAIC NPN	1088708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	4/3/2008	12/7/2009
Inactive	Non Resident	Agent	Life	4/3/2008	12/7/2009
* 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	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	4/23/2008	4/6/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Nationwide Sales Solutions Inc	631821	Agent - Life
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	4/23/2008	3/26/2009