DEPARTMENT OF INSURANCE

Affiliations

Name	Forney, Garry Milo	DOIID	383209	NAIC NPN	1952536

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/10/2004	7/31/2017
Inactive	Non Resident	Agent	General Lines	10/13/1998	8/15/2000
Inactive	Non Resident	Agent	Property	3/10/2004	7/31/2017
* 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 Economy Insurance Company	300315	Agent - Casualty	10/30/2008	3/11/2013
Inactive	American Economy Insurance Company	300315	Agent - Property	10/30/2008	3/11/2013
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	7/11/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	7/11/2016
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	10/30/2008	5/18/2011
Inactive	American States Preferred Insurance Company	300609	Agent - Property	10/30/2008	5/18/2011
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/15/2004	3/10/2005
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/15/2004	3/10/2005
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	7/11/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/30/2008	3/11/2013
Inactive	First National Insurance Company of America	301690	Agent - Property	10/30/2008	3/11/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/30/2008	3/11/2013
Inactive	General Insurance Company of America	300261	Agent - Property	10/30/2008	3/11/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	7/11/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	7/11/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	7/11/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	7/11/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	7/11/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	7/11/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	7/11/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/18/2005	7/11/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/18/2005	7/11/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/30/2008	7/11/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/30/2008	7/11/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/3/2004	3/10/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	6/19/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/3/2004	3/10/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/15/2004	3/10/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/15/2004	3/10/2005
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	5/3/2004	3/10/2005
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	5/3/2004	3/10/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/3/2004	3/10/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	10/13/1998	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/3/2004	3/10/2005
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	5/3/2004	3/10/2005
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	5/3/2004	3/10/2005
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	7/11/2016
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	7/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Property	4/25/2005	7/11/2016
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Casualty	4/25/2005	7/11/2016