DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cervenka, Loretta Slowik	DOIID	544598	NAIC NPN	2130413

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/29/2002	6/30/2007
Inactive	Non Resident	Agent	Casualty	3/29/2002	6/30/2007
* 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	TIG Insurance Company	301750	Agent - Casualty	3/29/2002	12/2/2003
Inactive	TIG Insurance Company	301750	Agent - Property	3/29/2002	12/2/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Affinity Insurance Services, Inc.	396178	Agent - Casualty
Denied	Affinity Insurance Services, Inc.	396178	Agent - Property