DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lakin, Derek	DOIID	610446	NAIC NPN	2314311

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/20/2005	12/20/2011
Inactive	Non Resident	Agent	Property	6/20/2005	12/20/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/3/2008	12/20/2011
* 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	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/28/2008	12/20/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/28/2008	12/20/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Casualty	7/28/2008	12/9/2011
Inactive	Marsh USA LLC.	514638	Agent - Property	7/28/2008	12/9/2011
Inactive	Marsh USA LLC.	514638	Surplus Lines Broker - Not Applicable	6/19/2008	12/9/2011