DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Abram, Carly Marie	DOIID	566055	NAIC NPN	7570295

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/10/2003	2/18/2005
Inactive	Non Resident	Agent	Casualty	3/10/2003	2/18/2005
* 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	Coregis Insurance Company	300697	Agent - Casualty	8/14/2003	2/9/2005
Inactive	Coregis Insurance Company	300697	Agent - Property	8/14/2003	2/9/2005
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	8/14/2003	2/18/2005
Inactive	Westport Insurance Corporation	300448	Agent - Property	8/14/2003	2/18/2005

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	1/27/2005
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Property	1/16/2004	1/27/2005