DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clipson, Richard Leroy	DOIID	735447	NAIC NPN	1127514

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/26/2010	7/31/2015
Inactive	Non Resident	Agent	Property	8/26/2010	7/31/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Growers National Cooperative Insurance Agency, Inc.	664956	Agent - Property	9/17/2010	9/25/2014
Inactive	Growers National Cooperative Insurance Agency, Inc.	664956	Agent - Casualty	9/17/2010	9/25/2014