DEPARTMENT OF INSURANCE

Affiliations

Name	Chambless III, Kenneth Roger	DOIID	749132	NAIC NPN	15066222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/2/2011	6/5/2014
Inactive	Non Resident	Agent	Property	3/2/2011	6/5/2014
* 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	American Fire and Casualty Company	300567	Agent - Casualty	4/19/2011	2/5/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/19/2011	2/5/2014
Inactive	Association Casualty Insurance Company	650779	Agent - Casualty	9/19/2011	2/11/2014
Inactive	Association Casualty Insurance Company	650779	Agent - Property	9/19/2011	2/11/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/4/2011	2/3/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/4/2011	2/3/2014
Inactive	Builders Alliance Insurance Company	301780	Agent - Casualty	9/19/2011	2/11/2014
Inactive	Builders Alliance Insurance Company	301780	Agent - Property	9/19/2011	2/11/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/19/2011	2/5/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/18/2013	2/3/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	9/18/2013	2/3/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/11/2012	2/3/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/11/2012	2/3/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/19/2011	2/3/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/19/2011	2/3/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	4/19/2011	2/5/2014
Inactive	NGM Insurance Company	583837	Agent - Casualty	3/18/2011	1/28/2014
Inactive	NGM Insurance Company	583837	Agent - Property	3/18/2011	1/28/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/19/2011	2/5/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/19/2011	2/5/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/19/2011	2/5/2014
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/4/2011	2/3/2014
Inactive	Owners Insurance Company	300796	Agent - Property	4/4/2011	2/3/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/19/2011	2/5/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/19/2011	2/5/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	4/19/2011	2/5/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/25/2011	2/3/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/25/2011	2/3/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	4/19/2011	2/5/2014
Inactive	West American Insurance Company	301112	Agent - Property	4/19/2011	2/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	3/18/2011	1/27/2014
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	3/18/2011	1/27/2014