DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Person, Keith Allan	DOIID	522801	NAIC NPN	3377989

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	5/23/2001	7/1/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	3/10/2023		6/30/2025
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	3/13/2023
* 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	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	3/21/2023
Inactive	California Casualty Indemnity Exchange	301153	Adjuster - Independent	6/6/2002	7/1/2010
Inactive	California Casualty Indemnity Exchange	301153	Staff Adjuster - Property & Casualty	7/1/2010	3/13/2023