DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ezzell, Derek U	DOIID	899378	NAIC NPN	6601469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/17/2015	5/31/2017
Inactive	Non Resident	Agent	Property	11/17/2015	5/31/2017
* 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	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/27/2015	6/6/2016
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/27/2015	6/6/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/27/2015	6/6/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/27/2015	6/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Red Ventures Ins LLC	794656	Agent - Property	4/5/2016	6/6/2016
Inactive	Red Ventures Ins LLC	794656	Agent - Casualty	4/5/2016	6/6/2016