Individual Information

TARA L CONKLIN

BLOOMINGTON, IL 61701-4133

Active

taraconklin@rivian.com

03/14/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3778565	03/14/2022	Active	03/14/2022	03/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	03/14/2022	Active	03/14/2022
Property	03/14/2022	Active	03/14/2022

Company Name	Appointment Type	Status	Active Date
119969
ALLIED INSURANCE COMPANY OF AMERICA	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
1645
Company Name	Appointment Type	Status	Active Date
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
1646
Company Name	Appointment Type	Status	Active Date
AMCO INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
1647
Company Name	Appointment Type	Status	Active Date
DEPOSITORS INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
156092
Company Name	Appointment Type	Status	Active Date
MOBILITAS GENERAL INSURANCE COMPANY	Casualty	Active	06/30/2022
	Property	Active	06/30/2022
1236
Company Name	Appointment Type	Status	Active Date
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
162
Company Name	Appointment Type	Status	Active Date
NATIONWIDE ASSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
458
Company Name	Appointment Type	Status	Active Date
NATIONWIDE GENERAL INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
194
Company Name	Appointment Type	Status	Active Date
NATIONWIDE INSURANCE COMPANY OF AMERICA	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022
1129
Company Name	Appointment Type	Status	Active Date
NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	03/14/2022
	Property	Active	03/14/2022

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