DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Patti Jo	DOIID	829087	NAIC NPN	17131845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	10/3/2017	4/1/2024
Inactive	Resident	Agent	Casualty	10/3/2017	4/1/2024
* 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 Economy Insurance Company	300315	Agent - Casualty	11/9/2019	10/7/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	10/7/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/27/2017	4/3/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/27/2017	4/3/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/8/2020	4/1/2024
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/8/2020	4/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/27/2017	4/3/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/27/2017	4/3/2024
Inactive	Milbank Insurance Company	925185	Agent - Casualty	7/20/2020	3/22/2023
Inactive	Milbank Insurance Company	925185	Agent - Property	7/20/2020	3/22/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/30/2017	10/7/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/30/2017	10/7/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/30/2017	10/7/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/30/2017	10/7/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/19/2017	12/16/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/19/2017	12/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Diversified Insurance Partners Inc.	1070164	Agent - Casualty	1/9/2020	4/1/2024
Inactive	Diversified Insurance Partners Inc.	1070164	Agent - Property	1/9/2020	4/1/2024
Inactive	Diversified Insurance Partners, LLC	940320	Agent - Casualty	10/19/2017	3/31/2020
Inactive	Diversified Insurance Partners, LLC	940320	Agent - Property	10/19/2017	3/31/2020