DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Provost, Clint	DOIID	833976	NAIC NPN	16569389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/17/2014		9/30/2026
Active	Non Resident	Agent	Casualty	2/17/2014		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024	08/14/2024	08/14/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/23/2018
Active	Zurich American Insurance Company	301121	Agent - Property	1/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mcgriff Insurance Services, LLC	400877	Agent - Property	12/28/2020
Active	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	12/28/2020
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Property	1/23/2018	3/31/2022
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Casualty	1/23/2018	3/31/2022