DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrovic, David Allen	DOIID	352808	NAIC NPN	532086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	7/19/2001	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	11/8/1999	11/8/2000
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CNA Claimplus, Inc	569456	Adjuster - Independent	5/13/2003	7/1/2010

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hernandez, Michael	599383	Apprentice Adjuster - Not Applicable	2/28/2005	2/2/2006
Inactive	Staffeldt, Gene William	599382	Apprentice Adjuster - Not Applicable	2/13/2006	2/13/2007

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heineck, Paul K	357883	Apprentice Adjuster - Not Applicable	11/8/1999	11/8/2000