DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bothwell, Robert J	DOIID	987675	NAIC NPN	5433140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/14/2018		5/31/2025
Active	Non Resident	Agent	Casualty	3/14/2018		5/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/14/2018		5/31/2025
* 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
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/13/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	12/13/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/13/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/13/2018
Active	LM Insurance Corporation	301061	Agent - Casualty	12/13/2018
Active	LM Insurance Corporation	301061	Agent - Property	12/13/2018
Active	Liberty Insurance Corporation	300444	Agent - Casualty	12/13/2018
Active	Liberty Insurance Corporation	300444	Agent - Property	12/13/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/13/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/13/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alliant Insurance Services, Inc.	551378	Agent - Property
Denied	Alliant Insurance Services, Inc.	551378	Agent - Casualty
Active	Alliant Insurance Services, Inc.	551378	Surplus Lines Broker - Not Applicable	3/19/2018