DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Roger	DOIID	842372	NAIC NPN	8721745

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/5/2014	12/31/2016
Inactive	Non Resident	Agent	Property	6/5/2014	12/31/2016
* 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	AMCO Insurance Company	300204	Agent - Casualty	6/15/2015	12/31/2016
Inactive	AMCO Insurance Company	300204	Agent - Property	6/15/2015	12/31/2016
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	6/15/2015	12/31/2016
Inactive	Allied Insurance Company of America	793586	Agent - Property	6/15/2015	12/31/2016
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	6/15/2015	12/31/2016
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	6/15/2015	12/31/2016
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/23/2014	12/31/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/23/2014	12/31/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/1/2014	9/18/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/1/2014	9/18/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/1/2014	9/18/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/1/2014	9/18/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/1/2014	9/18/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/1/2014	9/18/2015
Inactive	Depositors Insurance Company	301634	Agent - Casualty	6/15/2015	8/13/2015
Inactive	Depositors Insurance Company	301634	Agent - Property	6/15/2015	8/13/2015
Inactive	Esurance Insurance Company	301072	Agent - Casualty	6/27/2014	7/31/2015
Inactive	Esurance Insurance Company	301072	Agent - Property	6/27/2014	7/31/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/19/2014	8/10/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/19/2014	8/10/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/20/2014	8/28/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/20/2014	8/28/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/26/2014	7/31/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/26/2014	7/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/26/2014	7/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/26/2014	7/31/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	8/4/2014	8/13/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	8/4/2014	8/13/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	6/20/2014	7/31/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	6/20/2014	7/31/2015