DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Bradley S	DOIID	755069	NAIC NPN	1487313

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/25/2011	7/1/2013
Inactive	Non Resident	Agent	Property	5/25/2011	7/1/2013
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	12/20/2012	7/1/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/20/2012	7/1/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/18/2011	5/17/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/18/2011	5/17/2012
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	6/22/2011	4/30/2012
Inactive	QBE Insurance Corporation	300515	Agent - Property	6/22/2011	4/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regions Insurance, Inc.	502037	Agent - Casualty	8/10/2011	5/17/2012
Inactive	Regions Insurance, Inc.	502037	Agent - Property	8/10/2011	5/17/2012