DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Montgomery, David P	DOIID	744967	NAIC NPN	284751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/22/2010	10/31/2017
Inactive	Non Resident	Agent	Property	12/22/2010	10/31/2017
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	11/22/2016	12/22/2017
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	11/22/2016	12/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baer Insurance Services Inc	866513	Agent - Property	1/22/2015	10/6/2017
Inactive	Baer Insurance Services Inc	866513	Agent - Casualty	1/22/2015	10/6/2017
Inactive	Independent Ins Services Inc	745917	Agent - Property	1/13/2011	3/31/2015
Inactive	Independent Ins Services Inc	745917	Agent - Casualty	1/13/2011	3/31/2015