DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southard, Jamie Ann	DOIID	860070	NAIC NPN	10825401

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/7/2014	8/31/2019
Inactive	Non Resident	Agent	Property	11/7/2014	8/31/2019
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	Occidental Fire and Casualty Company of North Carolina	300464	Agent - Casualty	5/18/2015	11/29/2017
Inactive	Occidental Fire and Casualty Company of North Carolina	300464	Agent - Property	5/18/2015	11/29/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agrilogic Ins Services LLC	706150	Agent - Property	2/10/2016	9/18/2018
Inactive	Agrilogic Ins Services LLC	706150	Agent - Casualty	2/10/2016	9/18/2018
Denied	Agrilogic Ins Services LLC	706150	Managing General Agent - Not Applicable