DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sams, Bertha Diane	DOIID	375192	NAIC NPN	7202462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/30/2009
Inactive	Resident	Agent	Property	8/15/2000	7/30/2009
Inactive	Resident	Agent	General Lines	7/31/1989	8/15/2000
* 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	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	7/30/2009
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	7/31/1989	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	7/30/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	7/30/2009
Inactive	Allstate Insurance Company	300773	Agent - General Lines	7/31/1989	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	7/30/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	7/30/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	7/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mike Ison Insurance Agency Inc	510710	Agent - Property	2/14/2003	7/30/2009
Inactive	Mike Ison Insurance Agency Inc	510710	Agent - Casualty	2/14/2003	7/30/2009