DEPARTMENT OF INSURANCE

Affiliations

Name	Dalton, Jeremiah L	DOIID	624875	NAIC NPN	8213312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/22/2006	6/18/2012
Inactive	Non Resident	Agent	Casualty	2/22/2006	6/18/2012
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/20/2015	11/30/2016
* 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 Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	3/11/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	3/11/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	3/11/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	12/28/2009	6/4/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	12/28/2009	6/4/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	12/28/2009	6/4/2012
Inactive	General Insurance Company of America	300261	Agent - Property	12/28/2009	6/4/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	3/11/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	3/11/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	3/11/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	3/11/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	3/11/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	3/11/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	3/11/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/28/2009	6/4/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/28/2009	6/4/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/15/2011	6/4/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/15/2011	6/4/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	3/11/2009
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	3/11/2009

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 - Casualty	5/11/2006	3/11/2009
Inactive	Emerald City Insurance Agency, Inc.	536551	Agent - Property	5/11/2006	3/11/2009