DEPARTMENT OF INSURANCE

Affiliations

Name	Polk, Marshall T	DOIID	702167	NAIC NPN	2786591

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	3/23/2009	6/27/2023
Inactive	Non Resident	Agent	Property	3/23/2009	6/27/2023
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/21/2009	6/27/2023
* 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	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	8/2/2011	6/27/2023
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	8/2/2011	6/27/2023
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/2/2011	6/27/2023
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/2/2011	6/27/2023
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/17/2013	7/23/2019
Inactive	Great American Insurance Company	301586	Agent - Property	5/17/2013	7/23/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/11/2015	6/27/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/11/2015	6/27/2023
Inactive	LM Insurance Corporation	301061	Agent - Casualty	8/2/2011	6/27/2023
Inactive	LM Insurance Corporation	301061	Agent - Property	8/2/2011	6/27/2023
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/2/2011	6/27/2023
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/2/2011	6/27/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/2/2011	6/27/2023
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/2/2011	6/27/2023
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/2/2011	6/27/2023
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/2/2011	6/27/2023
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	3/8/2015	6/27/2023
Inactive	Trumbull Insurance Company	300242	Agent - Property	3/8/2015	6/27/2023
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/1/2015	6/27/2023
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	9/1/2015	6/27/2023
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	8/2/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	8/2/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	8/2/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	8/2/2011	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Tennessee Inc	534534	Surplus Lines Broker - Not Applicable	5/26/2009	6/27/2023