DEPARTMENT OF INSURANCE

Affiliations

Name	Gardner, Richard Matthew	DOIID	856753	NAIC NPN	8308218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/15/2014	12/31/2025
Active	Non Resident	Agent	Property	10/15/2014	12/31/2025
Active	Non Resident	Agent	Life	10/15/2014	12/31/2025
Active	Non Resident	Agent	Casualty	10/15/2014	12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	12/1/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	12/1/2016	3/31/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/31/2017	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/31/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/23/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/23/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/5/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/5/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/24/2015
Active	Bristol West Insurance Company	301655	Agent - Property	11/24/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/25/2016	9/6/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/25/2016	9/6/2017
Active	Erie Family Life Insurance Company	301400	Agent - Life	5/7/2015
Active	Erie Insurance Company	300230	Agent - Casualty	5/7/2015
Active	Erie Insurance Company	300230	Agent - Property	5/7/2015
Active	Erie Insurance Company of New York	789916	Agent - Casualty	9/23/2015
Active	Erie Insurance Company of New York	789916	Agent - Property	9/23/2015
Active	Erie Insurance Exchange	300789	Agent - Casualty	5/7/2015
Active	Erie Insurance Exchange	300789	Agent - Property	5/7/2015
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/23/2015
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/23/2015
Active	Flagship City Insurance Company	789965	Agent - Casualty	9/23/2015
Active	Flagship City Insurance Company	789965	Agent - Property	9/23/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/24/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/24/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/9/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Property	4/9/2015
Active	Grange Insurance Company	300234	Agent - Casualty	4/9/2015
Active	Grange Insurance Company	300234	Agent - Property	4/9/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	11/12/2015	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	11/12/2015	12/30/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/9/2015
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/9/2015
Active	Ohio Security Insurance Company	300622	Agent - Casualty	12/22/2017
Active	Ohio Security Insurance Company	300622	Agent - Property	12/22/2017
Active	Trustgard Insurance Company	300104	Agent - Casualty	4/9/2015
Active	Trustgard Insurance Company	300104	Agent - Property	4/9/2015
Inactive	Utica Mutual Insurance Company	301933	Agent - Casualty	6/6/2016	11/28/2023
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	6/6/2016	11/28/2023
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/19/2015	9/14/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/19/2015	9/14/2017
Active	West Bend Insurance Company	672974	Agent - Casualty	9/22/2017
Active	West Bend Insurance Company	672974	Agent - Property	9/22/2017
Inactive	Western Surety Company	300283	Agent - Casualty	4/2/2015	4/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Mitchell Ins Agcy Inc	852048	Agent - Health
Active	Mitchell Ins Agcy Inc	852048	Agent - Casualty	4/2/2015
Active	Mitchell Ins Agcy Inc	852048	Agent - Life	5/7/2015
Active	Mitchell Ins Agcy Inc	852048	Agent - Property	4/9/2015