DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Amy Willis	DOIID	334379	NAIC NPN	7183432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2004
Inactive	Resident	Agent	Property	8/15/2000	7/1/2004
Inactive	Resident	Agent	General Lines	8/9/2000	8/15/2000
Inactive	Resident	Solicitor	General Lines	12/20/1986	7/14/2000
* 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	American Select Insurance Company	301229	Agent - Casualty	9/14/2000	7/1/2004
Inactive	American Select Insurance Company	301229	Agent - Property	9/14/2000	7/1/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	9/14/2000	7/1/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	9/14/2000	7/1/2004
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Westfield Insurance Company	301950	Agent - General Lines	8/9/2000	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	7/1/2004
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	9/14/2000	7/1/2004
Inactive	Westfield National Insurance Company	301036	Agent - Property	9/14/2000	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	9/27/2002	7/1/2004
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	9/27/2002	7/1/2004

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chas. M. Moore Insurance Agency Inc.	400317	Solicitor - General Lines	12/20/1986	12/20/1986