DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery Sr, Derrick Shovenn	DOIID	678345	NAIC NPN	9031693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	4/14/2008	3/31/2014
Inactive	Non Resident	Agent	Property	4/14/2008	3/31/2014
Inactive	Non Resident	Agent	Life	4/14/2008	3/31/2014
* 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	American General Life Insurance Company	301585	Agent - Life	11/13/2008	3/16/2012
Inactive	American Security Insurance Company	300901	Agent - Casualty	7/15/2008	3/12/2011
Inactive	American Security Insurance Company	300901	Agent - Property	7/15/2008	3/12/2011
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	5/20/2009	10/4/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	5/20/2009	10/4/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/9/2008	9/26/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/9/2008	9/26/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	10/14/2010	9/26/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	10/14/2010	9/26/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/9/2008	7/11/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/9/2008	7/11/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/11/2009	9/5/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/11/2009	9/5/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/3/2008	11/6/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/3/2008	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/3/2008	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/3/2008	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/3/2008	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/3/2008	11/6/2009
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/6/2009	12/9/2010
Inactive	Homesite Insurance Company	301139	Agent - Property	4/6/2009	12/9/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	7/9/2008	7/11/2012
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	7/9/2008	7/11/2012
Inactive	Owners Insurance Company	300796	Agent - Casualty	5/20/2009	10/4/2012
Inactive	Owners Insurance Company	300796	Agent - Property	5/20/2009	10/4/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/3/2008	3/31/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/3/2008	3/31/2014
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	7/15/2008	3/12/2011
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	7/15/2008	3/12/2011
Inactive	Tesla Insurance Company	300337	Agent - Casualty	6/30/2008	3/14/2013
Inactive	Tesla Insurance Company	300337	Agent - Property	6/30/2008	3/14/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/11/2008	12/7/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/11/2008	12/7/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/3/2008	11/6/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/3/2008	11/6/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	10/29/2009	3/31/2014
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	10/29/2009	3/31/2014
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	10/29/2009	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	10/29/2009	12/2/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	3/31/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	3/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Life	12/15/2008	3/16/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	7/10/2008	6/13/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	7/10/2008	6/13/2012