DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark-Gatto, Jacquelyn M	DOIID	750910	NAIC NPN	6551819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/28/2011	6/30/2014
Inactive	Non Resident	Agent	Property	3/28/2011	6/30/2014
Inactive	Non Resident	Agent	Casualty	3/28/2011	6/30/2014
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	6/13/2011	9/7/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	6/13/2011	9/7/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/15/2011	6/21/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/15/2011	6/21/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/8/2011	9/6/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/8/2011	9/6/2012
Inactive	Owners Insurance Company	300796	Agent - Casualty	6/13/2011	9/7/2012
Inactive	Owners Insurance Company	300796	Agent - Property	6/13/2011	9/7/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	5/5/2011	6/22/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	5/5/2011	6/22/2012