DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hart, Derek	DOIID	725474	NAIC NPN	15718081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	7/6/2010	6/1/2012
Inactive	Resident	Agent	Casualty	7/6/2010	6/1/2012
* 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	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/30/2011	5/1/2012
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/30/2011	5/1/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/14/2011	7/20/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/14/2011	7/20/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/14/2011	7/20/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/14/2011	7/20/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Judd Insurance Agency Inc	701951	Agent - Casualty	6/20/2011	6/1/2012
Inactive	Judd Insurance Agency Inc	701951	Agent - Property	6/20/2011	6/1/2012