DEPARTMENT OF INSURANCE

Affiliations

Name	Bergstrom, Lauren M	DOIID	710565	NAIC NPN	9417591

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/4/2009	3/31/2014
Inactive	Non Resident	Agent	Property	8/4/2009	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	ACE American Insurance Company	300625	Agent - Casualty	9/24/2009	3/31/2014
Inactive	ACE American Insurance Company	300625	Agent - Property	9/24/2009	3/31/2014
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	9/24/2009	3/31/2014
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	9/24/2009	3/31/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	9/24/2009	3/31/2014
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	9/24/2009	3/31/2014
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/3/2009	3/31/2014
Inactive	American Economy Insurance Company	300315	Agent - Property	9/3/2009	3/31/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/3/2009	3/31/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/3/2009	3/31/2014
Inactive	American States Insurance Company	301230	Agent - Casualty	9/3/2009	3/31/2014
Inactive	American States Insurance Company	301230	Agent - Property	9/3/2009	3/31/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	10/1/2009	10/18/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	10/1/2009	10/18/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	9/24/2009	3/31/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	9/24/2009	3/31/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/3/2009	3/31/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/3/2009	3/31/2014
Inactive	First National Insurance Company of America	301690	Agent - Property	9/3/2009	3/31/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/3/2009	3/31/2014
Inactive	General Insurance Company of America	300261	Agent - Property	9/3/2009	3/31/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/24/2009	3/31/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	9/24/2009	3/31/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	9/3/2009	3/31/2014
Inactive	Markel Insurance Company	301475	Agent - Casualty	10/5/2010	4/15/2014
Inactive	Markel Insurance Company	301475	Agent - Property	10/5/2010	4/15/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/3/2009	3/31/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/3/2009	3/31/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/3/2009	3/31/2014
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/1/2009	10/18/2012
Inactive	Owners Insurance Company	300796	Agent - Property	10/1/2009	10/18/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	9/24/2009	3/31/2014
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	9/24/2009	3/31/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/3/2009	3/31/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/3/2009	3/31/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	9/3/2009	3/31/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	9/3/2009	3/31/2014
Inactive	West American Insurance Company	301112	Agent - Property	9/3/2009	3/31/2014
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	9/24/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	3/31/2014
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	9/24/2009	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	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 - Property	10/13/2009	7/11/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	10/13/2009	7/11/2012