DEPARTMENT OF INSURANCE

Affiliations

Name	Street, Crystal	DOIID	534622	NAIC NPN	7218660

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	1/4/2002	10/9/2002
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	8/14/2001	5/7/2002
* 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	Zurich American Insurance Company	301121	Adjuster - Independent	2/2/2002	10/9/2002