DEPARTMENT OF INSURANCE

Affiliations

Name	Pederson-Gardner, David D	DOIID	715232	NAIC NPN	8612551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/8/2009	8/31/2013
Inactive	Non Resident	Agent	Property	10/8/2009	8/31/2013
Inactive	Non Resident	Staff Adjuster	Property & Casualty	3/28/2018	8/31/2021
* 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	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/13/2011	5/8/2012
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/13/2011	5/8/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/22/2010	5/8/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/22/2010	5/8/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/15/2009	6/6/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/15/2009	6/6/2013
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	2/22/2010	12/28/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	2/22/2010	12/28/2010
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	3/19/2010	5/9/2012
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	3/19/2010	5/9/2012
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/19/2010	5/9/2012
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/19/2010	5/9/2012
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	2/22/2010	12/28/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	2/22/2010	12/28/2010
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/19/2010	5/9/2012
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	3/19/2010	5/9/2012
Inactive	NGM Insurance Company	583837	Agent - Casualty	2/19/2010	8/31/2013
Inactive	NGM Insurance Company	583837	Agent - Property	2/19/2010	8/31/2013
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	2/24/2010	5/15/2012
Inactive	Selective Insurance Company of America	500018	Agent - Property	2/24/2010	5/15/2012
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	2/24/2010	5/15/2012
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	2/24/2010	5/15/2012
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/24/2010	5/15/2012
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	2/24/2010	5/15/2012
Inactive	Westfield Insurance Company	301950	Agent - Casualty	2/9/2012	7/3/2012
Inactive	Westfield Insurance Company	301950	Agent - Property	2/9/2012	7/3/2012
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	2/9/2012	7/3/2012
Inactive	Westfield National Insurance Company	301036	Agent - Property	2/9/2012	7/3/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	12/15/2009	5/4/2012
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	12/15/2009	5/4/2012