DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sandvick, Tim William	DOIID	750203	NAIC NPN	12348694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/17/2011	12/3/2013
Inactive	Non Resident	Agent	Casualty	3/17/2011	12/3/2013
Inactive	Non Resident	Staff Adjuster	Property & Casualty	8/29/2011	12/3/2013
* 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	Progressive Direct Insurance Company	301379	Agent - Casualty	9/21/2011	9/24/2013
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	9/21/2011	9/24/2013
Inactive	United Financial Casualty Company	301886	Agent - Casualty	2/9/2012	9/24/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	2/9/2012	9/24/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	9/27/2011	9/24/2013
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	9/27/2011	9/24/2013