DEPARTMENT OF INSURANCE

Affiliations

Name	Clarke, Charles A	DOIID	1057506	NAIC NPN	8429644

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Staff Adjuster	Property & Casualty	9/24/2019	12/31/2024
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Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Staff Adjuster - Property & Casualty	11/13/2019	2/10/2021