DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mondragon, Elmo	DOIID	609815	NAIC NPN	8269860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/7/2005	6/30/2007
Inactive	Non Resident	Agent	Casualty	6/7/2005	6/30/2007
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	9/12/2005	1/24/2007
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	9/12/2005	1/24/2007
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/13/2005	1/25/2007
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/13/2005	1/25/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE First Enterprises LLC	610980	Agent - Property	10/16/2006	1/25/2007
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	10/16/2006	1/25/2007