DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Elizabeth Nevarez	DOIID	548740	NAIC NPN	2678558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/30/2002	12/28/2009
Inactive	Non Resident	Agent	Casualty	4/30/2002	12/28/2009
* 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	American Automobile Insurance Company	300953	Agent - Casualty	4/30/2002	9/11/2009
Inactive	American Automobile Insurance Company	300953	Agent - Property	4/30/2002	9/11/2009
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	1/30/2007	12/28/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Program Ins Services Inc	526338	Agent - Property	1/23/2004	9/11/2009