DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirk, Nicole Lee	DOIID	561488	NAIC NPN	7381218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/6/2002	10/19/2005
Inactive	Non Resident	Agent	Property	12/6/2002	10/19/2005
* 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	Westport Insurance Corporation	300448	Agent - Casualty	12/6/2002	10/19/2005
Inactive	Westport Insurance Corporation	300448	Agent - Property	12/6/2002	10/19/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Casualty	1/16/2004	10/19/2005
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Property	1/16/2004	10/19/2005