DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Metcalf, Kirk V	DOIID	731366	NAIC NPN	2201230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/29/2010	1/12/2017
Inactive	Non Resident	Agent	Property	6/29/2010	1/12/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/30/2010	1/12/2017
* 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	7/3/2013	1/12/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	7/3/2013	1/12/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/10/2013	1/12/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/10/2013	1/12/2017
Inactive	Arch Insurance Company	300688	Agent - Casualty	1/14/2011	1/12/2017
Inactive	Arch Insurance Company	300688	Agent - Property	1/14/2011	1/12/2017
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/19/2010	1/12/2017
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/19/2010	1/12/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	10/12/2015	1/12/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	10/12/2015	1/12/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/3/2015	1/12/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/12/2015	1/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Massachusetts Inc	560929	Agent - Property	8/20/2010	10/27/2016
Inactive	Willis Of Massachusetts Inc	560929	Agent - Casualty	8/20/2010	10/27/2016
Inactive	Willis Of Massachusetts Inc	560929	Surplus Lines Broker - Not Applicable	12/6/2012	1/12/2017