DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	DeBarge, Kimberly Jan	DOIID	597365	NAIC NPN	8280369

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/27/2010	9/30/2013
Inactive	Non Resident	Agent	Casualty	7/27/2010	9/30/2013
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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	Amica Mutual Insurance Company	301405	Agent - Casualty	9/16/2010	6/16/2011
Inactive	Amica Mutual Insurance Company	301405	Agent - Property	9/16/2010	6/16/2011
Inactive	National General Insurance Company	300152	Agent - Casualty	3/11/2005	9/30/2007
Inactive	National General Insurance Company	300152	Agent - Property	3/11/2005	9/30/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	3/11/2005	5/21/2007
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	3/11/2005	5/21/2007