DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Botkin, Mary Susan	DOIID	577675	NAIC NPN	1077001

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/28/2005	9/29/2011
Inactive	Non Resident	Agent	Casualty	6/28/2005	9/29/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/29/2003	9/29/2011
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/5/2007	1/13/2010
Inactive	ACE American Insurance Company	300625	Agent - Property	5/5/2007	1/13/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/5/2007	1/13/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/5/2007	1/13/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	5/5/2007	1/13/2010
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	5/5/2007	1/13/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alliant Insurance Services Houston, LLC	520672	Agent - Property
Denied	Alliant Insurance Services Houston, LLC	520672	Agent - Casualty
Inactive	Alliant Insurance Services, Inc.	551378	Surplus Lines Broker - Not Applicable	10/21/2006	5/10/2007
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Property	5/5/2007	5/10/2007
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Casualty	5/5/2007	5/10/2007