DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lombard, Robert J	DOIID	750147	NAIC NPN	2883342

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/16/2011	3/14/2013
Inactive	Non Resident	Agent	Casualty	3/16/2011	3/14/2013
* 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 Zurich Insurance Company	300592	Agent - Casualty	5/18/2011	3/14/2013
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/18/2011	3/14/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Willis Administrative Services Corporation	394874	Agent - Casualty
Denied	Willis Administrative Services Corporation	394874	Agent - Property