DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Independent Ins Services Inc	DOIID	745917	NAIC NPN	2339496

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/13/2011	3/31/2015
Inactive	Non Resident	Agent	Casualty	1/13/2011	3/31/2015
* 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	2/3/2011	1/20/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	2/3/2011	1/20/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Montgomery, David P	744967	Agent - Casualty	1/13/2011	3/31/2015
Inactive	Montgomery, David P	744967	Agent - Property	1/13/2011	3/31/2015