DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Angela Dawn	DOIID	1160267	NAIC NPN	20073578

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/5/2021		11/30/2025
Active	Resident	Agent	Casualty	10/5/2021		11/30/2025
Active	Resident	Surplus Lines Broker	Not Applicable	1/9/2023		11/30/2025
* 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
Active	Berkley Casualty Company	300731	Agent - Casualty	11/14/2022
Active	Berkley Casualty Company	300731	Agent - Property	11/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Risk Placement Services Inc	509419	Agent - Casualty	1/13/2023
Active	Risk Placement Services Inc	509419	Agent - Property	1/13/2023
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	1/13/2023