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.

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