DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Washington, Kimberly R	DOIID	1117561	NAIC NPN	19647780

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/13/2022		1/31/2025
Active	Non Resident	Agent	Property	1/13/2022		1/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	1/21/2021		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025
Independent Adjuster	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/12/2024
Active	Bristol West Insurance Company	301655	Agent - Property	9/12/2024
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Asurion Insurance Services Inc	509331	Independent Adjuster - Property & Casualty	2/22/2021	5/30/2023
Inactive	Asurion Protection Services, LLC.	545067	Independent Adjuster - Property & Casualty	2/22/2021	5/30/2023
Active	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	2/4/2022