DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Consolidated Ins Services	DOIID	841676	NAIC NPN	9582462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/30/2014	3/31/2018
Inactive	Non Resident	Agent	Casualty	7/30/2014	3/31/2018
Withdrawn	Non Resident	Agent	Personal Lines
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	8/11/2014	3/31/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/11/2014	3/31/2018
Inactive	Country Mutual Insurance Company	301024	Agent - Casualty	1/1/2017	3/20/2018
Inactive	Country Mutual Insurance Company	301024	Agent - Property	1/1/2017	3/20/2018
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	8/3/2015	12/31/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	8/3/2015	12/31/2016
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/27/2014	3/31/2018
Inactive	Owners Insurance Company	300796	Agent - Property	10/27/2014	3/31/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/6/2016	11/7/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/6/2016	11/7/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/6/2016	11/7/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/6/2016	11/7/2017
Inactive	Western Surety Company	300283	Agent - Casualty	8/7/2014	11/1/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Koontz, Dennis Wade	781983	Agent - Casualty	7/30/2014	3/31/2018
Inactive	Koontz, Dennis Wade	781983	Agent - Property	7/30/2014	3/31/2018