DEPARTMENT OF INSURANCE

Affiliations

Name	Provateare, Max	DOIID	920856	NAIC NPN	17994449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	7/12/2016	8/3/2022
Inactive	Non Resident	Agent	Casualty	7/12/2016	8/3/2022
* 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 Modern Select Insurance Company	581481	Agent - Casualty	5/28/2018	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/28/2018	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/28/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/28/2017	11/14/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/7/2017	8/4/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/7/2017	8/4/2022
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/10/2017	8/3/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	4/10/2017	8/3/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/13/2017	8/3/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/13/2017	8/3/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	8/5/2022
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	8/5/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/5/2022
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/5/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	7/14/2016	7/11/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	7/14/2016	7/11/2022
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	4/4/2017	7/29/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	4/4/2017	7/29/2022
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/19/2020	8/3/2022
Inactive	RLI Insurance Company	301217	Agent - Property	5/19/2020	8/3/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/15/2016	8/3/2022
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/15/2016	8/3/2022