DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubin, Clark	DOIID	520532	NAIC NPN	467773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	1/12/2001	8/31/2021
Active	Non Resident	Rental Vehicle Agent Managing Employee	Not Applicable	3/16/2018		8/31/2025
* 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
Active	DTG Operations, Inc.	560550	Rental Vehicle Agent Managing Employee - Not Applicable	3/19/2018
Active	The Hertz Corporation	753627	Rental Vehicle Agent Managing Employee - Not Applicable	3/19/2018