DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Duckworth, Adrian Leon	DOIID	754930	NAIC NPN	8525857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	6/6/2011	2/29/2020
Inactive	Non Resident	Agent	Property	8/11/2011	2/29/2020
Inactive	Non Resident	Agent	Casualty	8/11/2011	2/29/2020
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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 Modern Home Insurance Company	300791	Agent - Casualty	11/6/2012	7/28/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/6/2012	7/28/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/6/2012	7/28/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/6/2012	7/28/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/6/2012	7/28/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/6/2012	7/28/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/22/2013	5/25/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/22/2013	5/25/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	7/18/2011	7/18/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/25/2013	5/25/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/25/2013	5/25/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Personal Lines	6/29/2011	7/16/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	6/29/2011	7/16/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Regions Insurance, Inc.	502037	Agent - Casualty
Denied	Regions Insurance, Inc.	502037	Agent - Property