DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Coburn Insurance Agency, Inc.	DOIID	537209	NAIC NPN	1986477

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/11/2001	3/31/2009
Inactive	Non Resident	Agent	Casualty	12/11/2001	3/31/2009
* 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	Contractors Bonding and Insurance Company	300184	Agent - Casualty	4/18/2003	10/18/2007
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Property	4/18/2003	10/18/2007
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	12/11/2001	3/31/2009
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	12/11/2001	3/31/2009
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/24/2005	3/31/2009
Inactive	Federal Insurance Company	301144	Agent - Property	2/24/2005	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Light, John S	537245	Agent - Casualty	12/11/2001	3/31/2009
Inactive	Light, John S	537245	Agent - Property	12/11/2001	3/31/2009