DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fredrick, Kellie Jo	DOIID	339155	NAIC NPN	7186685

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	10/28/2004
Inactive	Resident	Agent	Property	8/15/2000	10/28/2004
Inactive	Resident	Agent	General Lines	9/24/1998	8/15/2000
* 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	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/15/2000	9/17/2004
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	4/11/2000	8/15/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/15/2000	9/17/2004
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/15/2000	9/17/2004
Inactive	Grange Insurance Company	300234	Agent - General Lines	9/24/1998	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - Property	8/15/2000	9/17/2004
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/15/2000	9/17/2004
Inactive	Trustgard Insurance Company	300104	Agent - General Lines	4/11/2000	8/15/2000
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/15/2000	9/17/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cole & Durham Ins Inc	398448	Agent - General Lines	12/21/1998	8/15/2000
Inactive	Cole & Durham Ins Inc	398448	Agent - Property	8/15/2000	9/17/2004
Inactive	Cole & Durham Ins Inc	398448	Agent - Casualty	8/15/2000	9/17/2004