DEPARTMENT OF INSURANCE

Name	Payak-Dubbs Insurance Agency Inc	DOIID	669925	NAIC NPN	957731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	4/3/2008	2/20/2013
Inactive	Non Resident	Agent	Casualty	4/3/2008	2/20/2013

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	1755 Indian Wood Circle Suite 200Maumee, OH 43537

Internet Information

Type	Address
Business Email	sbombrys@payakdubbs.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(419) 472-0867