DEPARTMENT OF INSURANCE

Affiliations

Name	CLIA Inc	DOIID	569954	NAIC NPN	961088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/11/2006	3/31/2014
Inactive	Non Resident	Agent	Casualty	8/11/2006	3/31/2014
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/11/2009	5/16/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	12/11/2009	5/16/2013
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/30/2006	5/16/2013
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/30/2006	5/16/2013
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	12/17/2012	3/31/2014
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/17/2012	3/31/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/15/2008	3/31/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/15/2008	3/31/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/17/2012	3/31/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/17/2012	3/31/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/17/2012	3/31/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/17/2012	3/31/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/30/2006	11/10/2009
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/30/2006	11/10/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/20/2006	7/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/20/2006	7/30/2013
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/30/2006	12/14/2009
Inactive	Insurance Company of North America	300226	Agent - Property	8/30/2006	12/14/2009
Inactive	Markel American Insurance Company	300377	Agent - Casualty	3/7/2008	3/31/2014
Inactive	Markel American Insurance Company	300377	Agent - Property	3/7/2008	3/31/2014
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	12/15/2009	10/12/2012
Inactive	Northern Assurance Company of America The	301331	Agent - Property	12/15/2009	10/12/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	11/20/2006	3/31/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	11/20/2006	3/31/2014
Inactive	RLI Insurance Company	301217	Agent - Casualty	3/12/2008	10/18/2013
Inactive	RLI Insurance Company	301217	Agent - Property	3/12/2008	10/18/2013
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Casualty	12/5/2011	3/31/2014
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Property	12/5/2011	3/31/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/6/2011	12/21/2012
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/6/2011	12/21/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	7/29/2003	3/28/2005
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	7/29/2003	3/28/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Longman, Daniel Brian	356778	Agent - Casualty	7/22/2003	2/11/2005
Inactive	Longman, Daniel Brian	356778	Agent - Property	7/22/2003	2/11/2005
Inactive	Vanepps, Mark	633715	Agent - Casualty	8/11/2006	3/31/2014
Inactive	Vanepps, Mark	633715	Agent - Property	8/11/2006	3/31/2014