DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bristlin, Blake	DOIID	728375	NAIC NPN	15763419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/14/2010	5/31/2012
Inactive	Non Resident	Agent	Life	10/21/2011	5/31/2012
Inactive	Non Resident	Agent	Casualty	5/14/2010	5/31/2012
* 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-Owners Insurance Company	301480	Agent - Casualty	9/27/2010	12/19/2011
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/27/2010	12/19/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/10/2010	11/16/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/10/2010	11/16/2011
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/27/2010	12/19/2011
Inactive	Owners Insurance Company	300796	Agent - Property	9/27/2010	12/19/2011
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	5/26/2010	5/31/2012
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	5/26/2010	5/31/2012
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	5/26/2010	5/31/2012
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	5/26/2010	5/31/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	1/9/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	1/9/2012

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 - Casualty	6/22/2010	11/11/2011
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	6/22/2010	11/11/2011