DEPARTMENT OF INSURANCE

Affiliations

Name	Caracciolo, Kim	DOIID	547424	NAIC NPN	1303352

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/31/2004	11/30/2004
* 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	Cambridge Integrated Services Group Inc	401160	Adjuster - Independent	3/31/2004	11/30/2004
Inactive	Lumbermen's Underwriting Alliance	300917	Adjuster - Independent	3/29/2002	12/3/2003