DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Nicole	DOIID	1018303	NAIC NPN	18948268

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/7/2018	9/11/2020
Inactive	Non Resident	Agent	Property	11/7/2018	9/11/2020
* 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	North River Insurance Company (The)	301739	Agent - Casualty	11/26/2018	5/1/2020
Inactive	North River Insurance Company (The)	301739	Agent - Property	11/26/2018	5/1/2020
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	11/26/2018	5/1/2020
Inactive	United States Fire Insurance Company	582240	Agent - Property	11/26/2018	5/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	12/11/2018	5/1/2020
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/11/2018	5/1/2020