DEPARTMENT OF INSURANCE

Affiliations

Name	Brink, David W	DOIID	645475	NAIC NPN	675934

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/5/2006	7/31/2027
Active	Non Resident	Agent	Property	12/5/2006	7/31/2027
* 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	AMCO Insurance Company	300204	Agent - Casualty	4/27/2015	1/13/2022
Inactive	AMCO Insurance Company	300204	Agent - Property	4/27/2015	1/13/2022
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	4/27/2015	1/13/2022
Inactive	Allied Insurance Company of America	793586	Agent - Property	4/27/2015	1/13/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	4/27/2015	1/13/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	4/27/2015	1/13/2022
Inactive	Depositors Insurance Company	301634	Agent - Casualty	4/27/2015	1/13/2022
Inactive	Depositors Insurance Company	301634	Agent - Property	4/27/2015	1/13/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/28/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/28/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	2/28/2007	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	2/28/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	2/28/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	2/28/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	2/28/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	2/28/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/28/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/28/2007	11/7/2008
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	5/14/2013
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	5/14/2013
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	2/28/2007	11/5/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	2/28/2007	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/28/2007	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/28/2007	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	2/28/2007	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	2/28/2007	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	2/28/2007	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	2/28/2007	11/7/2008

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	4/30/2007	11/7/2008
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/30/2007	11/7/2008