DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mortell III, George William	DOIID	541904	NAIC NPN	3340731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	11/29/2001	6/17/2004
Inactive	Non Resident	Agent	Personal Lines	8/25/2003	9/30/2004
* 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	California Casualty Indemnity Exchange	301153	Agent - Personal Lines	8/25/2003	9/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	California Casualty Management Company	558490	Agent - Personal Lines	1/12/2004	9/30/2004
Denied	Farmers Insurance Exchange	300336	Adjuster - Independent