DEPARTMENT OF INSURANCE

Affiliations

Name	Dombrosky, Tami K	DOIID	345141	NAIC NPN	3385010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	10/30/2003	12/1/2012
Inactive	Resident	Agent	General Lines	9/26/1994	4/22/1999
Inactive	Resident	Agent	Property	10/30/2003	12/1/2012
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/3/2005	10/20/2005
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/3/2005	10/20/2005
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	2/5/2004	12/15/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/16/1996	4/22/1999
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	2/5/2004	12/15/2004
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	8/17/1998	4/22/1999
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	8/17/1998	4/22/1999
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	1/27/1999	4/22/1999
Inactive	California Casualty Indemnity Exchange	301153	Agent - General Lines	9/26/1994	3/31/1998
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/6/1998	3/1/1999
Inactive	Continental Casualty Company	301019	Agent - Casualty	2/5/2004	12/15/2004
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Continental Casualty Company	301019	Agent - Property	2/5/2004	12/15/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	6/8/2006	12/9/2008
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/16/1996	4/22/1999
Inactive	FCCI Insurance Company	557454	Agent - Casualty	5/1/2006	12/19/2007
Inactive	FCCI Insurance Company	557454	Agent - Property	5/1/2006	12/19/2007
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	7/16/1996	3/31/1998
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/1/2004	12/28/2005
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/1/2004	12/28/2005
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/1/2004	12/28/2005
Inactive	Grange Insurance Company	300234	Agent - Property	3/1/2004	12/28/2005
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/30/1998	4/22/1999
Inactive	Great American Assurance Company	300327	Agent - General Lines	3/30/1998	4/22/1999
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	3/30/1998	4/22/1999
Inactive	Indiana Insurance Company	301909	Agent - General Lines	3/6/1998	3/1/1999
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	5/1/2006	12/19/2007
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	5/1/2006	12/19/2007
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	2/5/2004	12/15/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/16/1996	4/22/1999
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	2/5/2004	12/15/2004
Inactive	National Trust Insurance Company	300367	Agent - Casualty	5/1/2006	12/19/2007
Inactive	National Trust Insurance Company	300367	Agent - Property	5/1/2006	12/19/2007
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/6/1998	3/1/1999
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/6/1998	3/1/1999
Inactive	Realm National Insurance Company	301315	Agent - General Lines	10/16/1997	4/22/1999
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	1/27/1999	4/22/1999
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	2/5/2004	12/15/2004
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Transcontinental Insurance Company	301731	Agent - Property	2/5/2004	12/15/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	2/5/2004	12/15/2004
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Transportation Insurance Company	301575	Agent - Property	2/5/2004	12/15/2004
Inactive	TravCo Insurance Company	301828	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/17/2006	3/30/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/17/2006	3/30/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	1/27/1999	4/22/1999
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/1/2004	12/28/2005
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/1/2004	12/28/2005
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	2/5/2004	12/15/2004
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/16/1996	4/22/1999
Inactive	Valley Forge Insurance Company	301052	Agent - Property	2/5/2004	12/15/2004
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	8/17/1998	4/22/1999
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	8/17/1998	4/22/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Neace Lukens, Inc.	398909	Agent - Casualty	10/14/2004	12/28/2005
Inactive	Neace Lukens, Inc.	398909	Agent - Property	10/14/2004	12/28/2005
Inactive	Old Colony Insurance Service, Inc.	401277	Agent - General Lines	6/20/1996	4/22/1999
Denied	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Casualty
Denied	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Property