DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bourgeois, Samuel Butler	DOIID	544256	NAIC NPN	1303441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/23/2002	7/31/2020
Inactive	Non Resident	Agent	Casualty	1/23/2002	7/31/2020
* 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 Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/19/2002	10/31/2006
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/19/2002	10/31/2006
Inactive	Continental Casualty Company	301019	Agent - Casualty	1/23/2002	7/31/2020
Inactive	Continental Casualty Company	301019	Agent - Property	1/23/2002	7/31/2020
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	10/31/2006
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	10/31/2006
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/19/2002	10/31/2006
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/19/2002	10/31/2006
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/19/2002	10/31/2006
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/19/2002	10/31/2006
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/19/2002	10/31/2006
Inactive	Transportation Insurance Company	301575	Agent - Property	8/19/2002	10/31/2006
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/19/2002	10/31/2006
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/19/2002	10/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	10/6/2005	7/31/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	10/6/2005	7/31/2020
Inactive	Arthur J. Gallagher of LA, Inc.	542325	Agent - Casualty	3/6/2003	11/4/2005
Inactive	Arthur J. Gallagher of LA, Inc.	542325	Agent - Property	3/6/2003	11/4/2005