DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Purcell, Mark W	DOIID	732314	NAIC NPN	7687410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/15/2010	1/31/2013
Inactive	Non Resident	Agent	Casualty	7/15/2010	1/31/2013
* 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	Harleysville Mutual Insurance Company	301393	Agent - Casualty	12/29/2010	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	12/29/2010	5/1/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	1/31/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	1/31/2013
Inactive	Rural Community Insurance Company	301891	Agent - Property	12/2/2010	10/21/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	12/29/2010	9/11/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	12/8/2010	9/11/2012