DEPARTMENT OF INSURANCE

Affiliations

Name	Dawson, Zack S	DOIID	794672	NAIC NPN	16806264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/24/2012	9/1/2016
Inactive	Resident	Agent	Property	10/31/2012	9/1/2016
Inactive	Resident	Agent	Health	10/24/2012	9/1/2016
Inactive	Resident	Agent	Casualty	10/31/2012	9/1/2016
* 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	All America Insurance Company	300078	Agent - Casualty	9/23/2014	1/6/2015
Inactive	All America Insurance Company	300078	Agent - Property	9/23/2014	1/6/2015
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	8/4/2014	9/1/2016
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	8/4/2014	9/1/2016
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	8/4/2014	9/1/2016
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	8/4/2014	9/1/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/13/2014	1/8/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/13/2014	1/8/2015
Inactive	Central Insurance Company	300965	Agent - Casualty	8/7/2014	1/6/2015
Inactive	Central Insurance Company	300965	Agent - Property	8/7/2014	1/6/2015
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	8/4/2014	9/1/2016
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	8/4/2014	9/1/2016
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	8/4/2014	9/1/2016
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	8/4/2014	9/1/2016
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	8/4/2014	9/1/2016
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	8/4/2014	9/1/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/12/2012	6/10/2014
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	12/12/2012	6/10/2014
Inactive	State Farm Life Insurance Company	301810	Agent - Life	12/12/2012	6/10/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/12/2012	6/10/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/12/2012	6/10/2014
Inactive	Time Insurance Company	300683	Agent - Health	12/12/2012	6/10/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	6/2/2014	6/10/2014
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	6/2/2014	6/10/2014
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	6/2/2014	6/10/2014
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	6/2/2014	6/10/2014