DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Verde, Carolyn	DOIID	559426	NAIC NPN	5717091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/24/2009	9/2/2011
Inactive	Non Resident	Agent	Personal Lines	9/23/2009	9/2/2011
Inactive	Non Resident	Agent	Property	9/24/2009	9/2/2011
Inactive	Non Resident	Agent	Casualty	9/24/2009	9/2/2011
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/21/2009	3/25/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/21/2009	3/25/2011
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	3/25/2011
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	3/25/2011
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/21/2009	3/25/2011
Inactive	LM Insurance Corporation	301061	Agent - Property	10/21/2009	3/25/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/21/2009	3/25/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/21/2009	3/25/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/21/2009	3/25/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/21/2009	3/25/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/21/2009	3/25/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/21/2009	3/25/2011
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	2/14/2003	7/31/2006
Inactive	Medical Protective Company (The)	301207	Agent - Property	2/14/2003	7/31/2006
Inactive	New York Life Insurance Company	300431	Agent - Health	3/8/2010	2/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Casualty	1/31/2005	7/31/2006
Denied	Affinity Insurance Services, Inc.	396178	Agent - Health
Inactive	Affinity Insurance Services, Inc.	396178	Agent - Property	1/31/2005	7/31/2006
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	10/26/2010	1/31/2011
Inactive	Seabury & Smith Inc	394854	Agent - Property	10/26/2010	1/31/2011