DEPARTMENT OF INSURANCE

Name	Leach, Craig	DOIID	379000	NAIC NPN	354547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2015
Inactive	Non Resident	Agent	General Lines	6/29/1988	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2015
Inactive	Non Resident	Managing General Agent	Not Applicable	4/14/2008	11/30/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/9/2006	11/30/2015

*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. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	2301 Hwy 190 W Deridder, LA 70634

Internet Information

Type	Address
Business Email	cleach@amerisafe.com
Internet	www.amerisafe.com

Phone Information

Type	Phone
Business / Home Office	(800) 256-9052