DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Gwendolyn Lavette	DOIID	521458	NAIC NPN	3122494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/8/2001	9/2/2003
Inactive	Non Resident	Agent	Property	2/8/2001	9/2/2003
Active	Non Resident	Staff Adjuster	Property & Casualty	9/28/2009		2/28/2026
* 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	American Security Insurance Company	300901	Agent - Casualty	4/26/2002	8/14/2002
Inactive	American Security Insurance Company	300901	Agent - Property	4/26/2002	8/14/2002
Inactive	Centre Insurance Company	301599	Agent - Casualty	4/27/2001	4/14/2003
Inactive	Centre Insurance Company	301599	Agent - Property	4/27/2001	4/14/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	3/28/2001	9/2/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	3/28/2001	9/2/2003
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/9/2001	7/29/2002
Inactive	First National Insurance Company of America	301690	Agent - Property	8/9/2001	7/29/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/9/2001	7/29/2002
Inactive	General Insurance Company of America	300261	Agent - Property	8/9/2001	7/29/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/8/2001	7/29/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/8/2001	7/29/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/9/2001	7/29/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/9/2001	7/29/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Securian Financial Network, Inc	400561	Agent - Property	2/8/2001	7/29/2002
Inactive	Securian Financial Network, Inc	400561	Agent - Casualty	2/8/2001	7/29/2002