DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Charles	DOIID	918215	NAIC NPN	5405957

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/13/2016		3/31/2026
Active	Non Resident	Agent	Casualty	6/13/2016		3/31/2026
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/6/2016	5/20/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/6/2016	5/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Property	12/11/2017	5/20/2019
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Casualty	12/11/2017	5/20/2019
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	7/6/2016	1/29/2018
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	7/6/2016	1/29/2018