DEPARTMENT OF INSURANCE

Affiliations

Name	Forand, Richard L	DOIID	688185	NAIC NPN	2111665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/12/2008	4/28/2023
Inactive	Non Resident	Agent	Property	9/12/2008	4/28/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/7/2009	4/28/2023
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/26/2009	4/28/2023
Inactive	ACE American Insurance Company	300625	Agent - Property	5/26/2009	4/28/2023
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	5/26/2009	4/28/2023
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	5/26/2009	4/28/2023
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/26/2009	4/28/2023
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/26/2009	4/28/2023
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	4/2/2009	9/9/2009
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	4/2/2009	9/9/2009
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/26/2009	4/28/2023
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/26/2009	4/28/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/23/2020	5/15/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/23/2020	5/15/2023
Inactive	Continental Casualty Company	301019	Agent - Casualty	4/2/2009	9/9/2009
Inactive	Continental Casualty Company	301019	Agent - Property	4/2/2009	9/9/2009
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	4/2/2009	9/9/2009
Inactive	Continental Insurance Company (The)	301242	Agent - Property	4/2/2009	9/9/2009
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	5/22/2013	4/28/2023
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	5/22/2013	4/28/2023
Inactive	Farmington Casualty Company	301137	Agent - Casualty	1/23/2020	5/15/2023
Inactive	Farmington Casualty Company	301137	Agent - Property	1/23/2020	5/15/2023
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/26/2009	4/28/2023
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/26/2009	4/28/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/22/2013	4/28/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/22/2013	4/28/2023
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	4/2/2009	9/9/2009
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	4/2/2009	9/9/2009
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	5/26/2009	4/28/2023
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	5/26/2009	4/28/2023
Inactive	Transportation Insurance Company	301575	Agent - Casualty	4/2/2009	9/9/2009
Inactive	Transportation Insurance Company	301575	Agent - Property	4/2/2009	9/9/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/23/2020	5/15/2023
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	1/23/2020	5/15/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/30/2009	5/15/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/30/2009	5/15/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/23/2020	5/15/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/23/2020	5/15/2023
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/23/2020	5/15/2023
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/23/2020	5/15/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	1/9/2014	7/31/2019
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	1/9/2014	7/31/2019
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	4/2/2009	9/9/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Property	4/2/2009	9/9/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	5/26/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	4/28/2023
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	5/26/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	4/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	3/11/2016	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	3/11/2016	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Surplus Lines Broker - Not Applicable	11/22/2010	7/23/2020
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	2/1/2020	4/28/2023
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	2/1/2020	4/28/2023
Inactive	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	2/1/2020	4/28/2023