DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Beverly Ann	DOIID	566729	NAIC NPN	7631805

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/7/2003	11/6/2014
Inactive	Non Resident	Agent	Property	4/7/2003	11/6/2014
* 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	California Casualty General Insurance Company of Oregon	301081	Agent - Casualty	2/17/2009	11/6/2014
Inactive	California Casualty General Insurance Company of Oregon	301081	Agent - Property	2/17/2009	11/6/2014
Inactive	California Casualty Indemnity Exchange	301153	Agent - Casualty	4/7/2003	4/9/2009
Inactive	California Casualty Indemnity Exchange	301153	Agent - Property	4/7/2003	4/9/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	California Casualty Management Company	558490	Agent - Casualty	11/1/2004	11/6/2014
Inactive	California Casualty Management Company	558490	Agent - Property	11/1/2004	11/6/2014