DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mcgill Ford, Simquita Renee	DOIID	713251	NAIC NPN	12996581

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/11/2009	10/4/2011
Inactive	Non Resident	Agent	Property	9/11/2009	10/4/2011
* 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	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/2/2010	8/8/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/2/2010	8/8/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Asurion Insurance Services Inc	509331	Agent - Casualty	5/24/2010	6/28/2011
Inactive	Asurion Insurance Services Inc	509331	Agent - Property	5/24/2010	6/28/2011