DEPARTMENT OF INSURANCE

Affiliations

Name	Derby Insurance Agency Inc DBA : Girdler Insurance Agency	DOIID	746005	NAIC NPN	16131024

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	1/25/2011	1/28/2014
Inactive	Resident	Agent	Health	1/25/2011	1/28/2014
Inactive	Resident	Agent	Life	1/25/2011	1/28/2014
Inactive	Resident	Agent	Property	1/25/2011	1/28/2014
* 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	Allstate Indemnity Company	300778	Agent - Casualty	2/17/2011	1/28/2014
Inactive	Allstate Indemnity Company	300778	Agent - Property	2/17/2011	1/28/2014
Inactive	Allstate Insurance Company	300773	Agent - Casualty	2/15/2011	1/28/2014
Inactive	Allstate Insurance Company	300773	Agent - Property	2/15/2011	1/28/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	2/17/2011	1/28/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	2/17/2011	1/28/2014
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/13/2011	1/28/2014
Inactive	American Economy Insurance Company	300315	Agent - Property	9/13/2011	1/28/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/13/2011	1/28/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/13/2011	1/28/2014
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	4/23/2013	1/28/2014
Inactive	American Reliable Insurance Company	301889	Agent - Property	4/23/2013	1/28/2014
Inactive	American Select Insurance Company	301229	Agent - Casualty	3/9/2011	5/28/2013
Inactive	American Select Insurance Company	301229	Agent - Property	3/9/2011	5/28/2013
Inactive	American States Insurance Company	301230	Agent - Casualty	9/13/2011	1/28/2014
Inactive	American States Insurance Company	301230	Agent - Property	9/13/2011	1/28/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/17/2012	1/28/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/17/2012	1/28/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/9/2011	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/9/2011	12/9/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/11/2013	1/28/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/11/2013	1/28/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/13/2011	1/28/2014
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	4/29/2013	1/28/2014
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	4/29/2013	1/28/2014
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/6/2012	1/28/2014
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/6/2012	1/28/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	10/6/2012	1/28/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Property	10/6/2012	1/28/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/29/2013	1/28/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/29/2013	1/28/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/13/2011	1/28/2014
Inactive	First National Insurance Company of America	301690	Agent - Property	9/13/2011	1/28/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/11/2013	1/28/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/11/2013	1/28/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/13/2011	1/28/2014
Inactive	General Insurance Company of America	300261	Agent - Property	9/13/2011	1/28/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/10/2011	1/28/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/10/2011	1/28/2014
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/10/2011	1/28/2014
Inactive	Grange Insurance Company	300234	Agent - Property	9/10/2011	1/28/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/10/2011	1/28/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/10/2011	1/28/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	9/13/2011	1/28/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	4/29/2013	1/28/2014
Inactive	LM Insurance Corporation	301061	Agent - Property	4/29/2013	1/28/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	4/29/2013	1/28/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Property	4/29/2013	1/28/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/29/2013	1/28/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/29/2013	1/28/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/29/2013	1/28/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/29/2013	1/28/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	10/10/2012	1/28/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	10/10/2012	1/28/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	2/17/2011	1/28/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/17/2011	1/28/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/13/2011	1/28/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/13/2011	1/28/2014
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	3/9/2011	5/28/2013
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	3/9/2011	5/28/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/13/2011	1/28/2014
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/17/2012	1/28/2014
Inactive	Owners Insurance Company	300796	Agent - Property	4/17/2012	1/28/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/13/2011	1/28/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/13/2011	1/28/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	9/13/2011	1/28/2014
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	8/5/2011	8/10/2011
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Property	8/5/2011	8/10/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/16/2012	1/28/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/16/2012	1/28/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/16/2012	1/28/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/16/2012	1/28/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/13/2011	1/28/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/13/2011	1/28/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/13/2011	1/28/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/13/2011	1/28/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	6/13/2011	12/9/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	6/13/2011	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	6/13/2011	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	6/13/2011	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	6/13/2011	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	6/13/2011	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/9/2011	1/28/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/9/2011	1/28/2014
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	2/17/2011	1/28/2014
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	2/17/2011	1/28/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/17/2011	1/28/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	2/17/2011	1/28/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/9/2011	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/9/2011	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	2/9/2011	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	2/9/2011	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/9/2011	1/28/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/9/2011	1/28/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/9/2011	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	2/9/2011	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/9/2011	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/9/2011	12/9/2013
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/10/2011	1/28/2014
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/10/2011	1/28/2014
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/16/2012	1/28/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	4/16/2012	1/28/2014
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	4/29/2013	1/28/2014
Inactive	Wausau Business Insurance Company	301476	Agent - Property	4/29/2013	1/28/2014
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	4/29/2013	1/28/2014
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	4/29/2013	1/28/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	9/13/2011	1/28/2014
Inactive	West American Insurance Company	301112	Agent - Property	9/13/2011	1/28/2014
Inactive	Western Surety Company	300283	Agent - Casualty	6/14/2011	1/28/2014
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/9/2011	5/28/2013
Inactive	Westfield Insurance Company	301950	Agent - Property	3/9/2011	5/28/2013
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	3/9/2011	5/28/2013
Inactive	Westfield National Insurance Company	301036	Agent - Property	3/9/2011	5/28/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alonzo, Deborah Ann	350743	Agent - Casualty	2/21/2011	4/23/2013
Inactive	Alonzo, Deborah Ann	350743	Agent - Property	2/21/2011	4/23/2013
Inactive	Bailey, Billie Ann	637256	Agent - Casualty	9/19/2011	5/14/2012
Inactive	Bailey, Billie Ann	637256	Agent - Property	9/19/2011	5/14/2012
Inactive	Benge, Rayna A	582669	Agent - Casualty	5/4/2012	1/28/2014
Inactive	Benge, Rayna A	582669	Agent - Property	5/4/2012	1/28/2014
Inactive	Girdler, Brandon Richard	669615	Agent - Casualty	1/25/2011	1/28/2014
Inactive	Girdler, Brandon Richard	669615	Agent - Health	3/26/2012	1/28/2014
Inactive	Girdler, Brandon Richard	669615	Agent - Life	3/26/2012	1/28/2014
Inactive	Girdler, Brandon Richard	669615	Agent - Property	1/25/2011	1/28/2014
Inactive	Lemanski, Tammy Rae	663949	Agent - Casualty	1/17/2013	10/21/2013
Inactive	Lemanski, Tammy Rae	663949	Agent - Property	1/17/2013	10/21/2013
Inactive	Lingenfelter, Andrea Rae	329807	Agent - Casualty	2/27/2012	11/1/2012
Inactive	Lingenfelter, Andrea Rae	329807	Agent - Health	4/9/2012	11/1/2012
Inactive	Lingenfelter, Andrea Rae	329807	Agent - Life	4/9/2012	11/1/2012
Inactive	Lingenfelter, Andrea Rae	329807	Agent - Property	2/27/2012	11/1/2012
Inactive	Morgan, Mary Anne	333056	Agent - Casualty	1/31/2011	2/21/2011
Inactive	Morgan, Mary Anne	333056	Agent - Health	1/31/2011	2/21/2011
Inactive	Morgan, Mary Anne	333056	Agent - Life	1/31/2011	2/21/2011
Inactive	Morgan, Mary Anne	333056	Agent - Property	1/31/2011	2/21/2011
Inactive	Morris, James L	388324	Agent - Casualty	4/11/2011	6/8/2011
Inactive	Morris, James L	388324	Agent - Property	4/11/2011	6/8/2011
Inactive	Patterson, Barbara Ann	333470	Agent - Casualty	2/21/2011	1/28/2014
Inactive	Patterson, Barbara Ann	333470	Agent - Health	2/21/2011	1/28/2014
Inactive	Patterson, Barbara Ann	333470	Agent - Life	2/21/2011	1/28/2014
Inactive	Patterson, Barbara Ann	333470	Agent - Property	2/21/2011	1/28/2014
Inactive	Patterson, Danny A	356025	Agent - Casualty	1/25/2011	1/28/2014
Inactive	Patterson, Danny A	356025	Agent - Health	1/25/2011	1/28/2014
Inactive	Patterson, Danny A	356025	Agent - Life	1/25/2011	1/28/2014
Inactive	Patterson, Danny A	356025	Agent - Property	1/25/2011	1/28/2014
Inactive	Pearson, Autumn Renee	586733	Agent - Casualty	10/19/2011	1/10/2014
Inactive	Pearson, Autumn Renee	586733	Agent - Property	10/19/2011	1/10/2014
Inactive	Phelps, Debbie Leigh	688144	Agent - Casualty	2/21/2011	5/8/2011
Inactive	Phelps, Debbie Leigh	688144	Agent - Health	2/21/2011	5/8/2011
Inactive	Phelps, Debbie Leigh	688144	Agent - Life	2/21/2011	5/8/2011
Inactive	Phelps, Debbie Leigh	688144	Agent - Property	2/21/2011	5/8/2011
Inactive	Phillips, Kristi M	546180	Agent - Casualty	2/21/2011	2/14/2012
Inactive	Phillips, Kristi M	546180	Agent - Health	2/21/2011	2/14/2012
Inactive	Phillips, Kristi M	546180	Agent - Life	2/21/2011	2/14/2012
Inactive	Phillips, Kristi M	546180	Agent - Property	2/21/2011	2/14/2012
Inactive	Pugh, Sarah Elizabeth	656671	Agent - Casualty	6/8/2011	7/23/2012
Inactive	Pugh, Sarah Elizabeth	656671	Agent - Property	6/8/2011	7/23/2012