DEPARTMENT OF INSURANCE

Affiliations

Name	Tjalsma, David B	DOIID	659975	NAIC NPN	7279480

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/19/2007	9/30/2011
Inactive	Non Resident	Agent	Property	7/19/2007	9/30/2011
* 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	AIG Assurance Company	300897	Agent - Casualty	10/11/2007	10/8/2009
Inactive	AIG Assurance Company	300897	Agent - Property	10/11/2007	10/8/2009
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	8/23/2007	10/7/2009
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	8/23/2007	10/7/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/3/2007	10/7/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/3/2007	10/7/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/18/2007	9/30/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/18/2007	9/30/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	10/11/2007	10/8/2009
Inactive	Illinois National Insurance Company	301367	Agent - Property	10/11/2007	10/8/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/3/2007	8/20/2008
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/3/2007	8/20/2008
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/18/2007	9/30/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/18/2007	9/30/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	10/11/2007	10/8/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	10/11/2007	10/8/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/10/2007	3/2/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/10/2007	3/2/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/17/2007	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/17/2007	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	Farmers General Insurance Agency, Inc.	516608	Agent - Casualty	8/3/2007	10/6/2009
Inactive	Farmers General Insurance Agency, Inc.	516608	Agent - Property	8/3/2007	10/6/2009