DEPARTMENT OF INSURANCE

Affiliations

Name	Summit Alliance Ins Advisors LLC	DOIID	738307	NAIC NPN	9687380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/29/2010	3/31/2012
Inactive	Non Resident	Agent	Personal Lines	9/29/2010	3/31/2012
Inactive	Non Resident	Agent	Casualty	9/29/2010	3/31/2012
Inactive	Non Resident	Agent	Health	9/29/2010	3/31/2012
Inactive	Non Resident	Agent	Life	9/29/2010	3/31/2012
* 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	AIG Property Casualty Company	300621	Agent - Casualty	11/3/2010	3/31/2012
Inactive	AIG Property Casualty Company	300621	Agent - Property	11/3/2010	3/31/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/25/2011	3/31/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/25/2011	3/31/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/13/2012	3/31/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/6/2010	10/20/2011
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/16/2011	3/31/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/16/2011	3/31/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	3/16/2011	3/31/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	3/16/2011	3/31/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/6/2010	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	10/6/2010	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/6/2010	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	10/6/2010	10/20/2011
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	10/4/2010	3/31/2012
Inactive	Hallmark National Insurance Company	300494	Agent - Property	10/4/2010	3/31/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/6/2010	3/31/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/6/2010	3/31/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	10/4/2010	3/31/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Property	10/4/2010	3/31/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/6/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/6/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/6/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/6/2010	10/20/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/6/2010	3/31/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/6/2010	3/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/6/2010	3/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/6/2010	3/31/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/25/2011	3/31/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/25/2011	3/31/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/4/2010	3/31/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/4/2010	3/31/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/4/2010	3/31/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/4/2010	3/31/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/25/2011	3/31/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/25/2011	3/31/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	1/25/2011	3/31/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	1/25/2011	3/31/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/25/2011	3/31/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/25/2011	3/31/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/25/2011	3/31/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/25/2011	3/31/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/25/2011	3/31/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/25/2011	3/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Michelsen, Robin Mark	733408	Agent - Casualty	9/29/2010	3/31/2012
Inactive	Michelsen, Robin Mark	733408	Agent - Health	9/29/2010	3/31/2012
Inactive	Michelsen, Robin Mark	733408	Agent - Life	9/29/2010	3/31/2012
Inactive	Michelsen, Robin Mark	733408	Agent - Personal Lines	9/29/2010	3/31/2012
Inactive	Michelsen, Robin Mark	733408	Agent - Property	9/29/2010	3/31/2012