DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stout-Williams-Burke Ins Agency Inc	DOIID	784887	NAIC NPN	3319714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2012		3/31/2026
Active	Non Resident	Agent	Property	6/25/2012		3/31/2026
Active	Non Resident	Agent	Life	6/25/2012		3/31/2026
Active	Non Resident	Agent	Casualty	6/25/2012		3/31/2026
* 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	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/17/2013	12/14/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/17/2013	12/14/2016
Active	Western Surety Company	300283	Agent - Casualty	7/17/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burke, Bert Carlton	391387	Agent - Casualty	6/25/2012
Active	Burke, Bert Carlton	391387	Agent - Health	6/25/2012
Active	Burke, Bert Carlton	391387	Agent - Life	6/25/2012
Active	Burke, Bert Carlton	391387	Agent - Property	6/25/2012