DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blake, Timothy Carr	DOIID	354490	NAIC NPN	7193423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/18/1998	10/20/2002
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/29/1996	2/15/1997
* 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	Fireman's Fund Insurance Company	301423	Adjuster - Independent	3/18/1998	10/20/2002

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dutille, Philias H	534732	Apprentice Adjuster - Not Applicable	9/7/2001	3/5/2002

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branham, Viola M	348820	Apprentice Adjuster - Not Applicable	2/29/1996	2/15/1997