DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fareri-Ortiz, Lisa	DOIID	1000877	NAIC NPN	18701040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/13/2018	8/31/2019
Inactive	Non Resident	Agent	Casualty	7/13/2018	8/31/2019
* 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	Starr Indemnity and Liability Company	301685	Agent - Casualty	10/31/2018	1/28/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	10/31/2018	1/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coverwallet Inc	906767	Agent - Property	10/31/2018	1/28/2019
Inactive	Coverwallet Inc	906767	Agent - Casualty	10/31/2018	1/28/2019