DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bravo, Sandra R	DOIID	573249	NAIC NPN	323282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Travel	5/5/2009	2/8/2013
Inactive	Non Resident	Agent	Casualty	5/5/2009	2/8/2013
Inactive	Non Resident	Agent	Personal Lines	5/5/2009	2/8/2013
Inactive	Non Resident	Agent	Property	5/5/2009	2/8/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/7/2009	2/8/2013
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/7/2010	2/8/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	5/7/2010	2/8/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/7/2010	2/8/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/7/2010	2/8/2013
Inactive	Federal Insurance Company	301144	Agent - Casualty	6/21/2004	1/12/2005
Inactive	Federal Insurance Company	301144	Agent - Property	6/21/2004	1/12/2005
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/7/2010	2/8/2013
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/7/2010	2/8/2013
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	5/7/2010	2/8/2013
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	5/7/2010	2/8/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hub International Personal Insurance Ltd.	533203	Agent - Casualty	6/28/2004	1/12/2005
Inactive	Hub International Personal Insurance Ltd.	533203	Agent - Property	6/28/2004	1/12/2005
Inactive	Willis Personal Lines LLC	715217	Agent - Casualty	10/8/2009	2/8/2013
Inactive	Willis Personal Lines LLC	715217	Agent - Property	10/8/2009	2/8/2013
Inactive	Willis Personal Lines LLC	715217	Agent - Personal Lines	10/8/2009	2/8/2013