DEPARTMENT OF INSURANCE

Affiliations

Name	Vandermosten, Cheryl Denise	DOIID	611317	NAIC NPN	719687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	7/11/2005	7/8/2015
Inactive	Non Resident	Agent	Casualty	7/11/2005	7/8/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/26/2006	6/18/2015
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/7/2005	8/10/2007
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/7/2005	8/10/2007
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	12/7/2005	8/10/2007
Inactive	American Zurich Insurance Company	300592	Agent - Property	12/7/2005	8/10/2007
Inactive	Assurance Company of America	300432	Agent - Casualty	12/7/2005	8/10/2007
Inactive	Assurance Company of America	300432	Agent - Property	12/7/2005	8/10/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/15/2005	5/24/2007
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/25/2006	1/7/2015
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	8/25/2006	1/7/2015
Inactive	Farmington Casualty Company	301137	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Farmington Casualty Company	301137	Agent - Property	12/15/2005	5/24/2007
Inactive	Maryland Casualty Company	301719	Agent - Casualty	12/7/2005	8/10/2007
Inactive	Maryland Casualty Company	301719	Agent - Property	12/7/2005	8/10/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/25/2006	1/7/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/25/2006	1/7/2015
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	12/7/2005	8/10/2007
Inactive	Northern Insurance Company of New York	301317	Agent - Property	12/7/2005	8/10/2007
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/15/2005	5/24/2007
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/15/2005	5/24/2007
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/15/2005	5/24/2007
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/15/2005	5/24/2007
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/15/2005	5/24/2007
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/15/2005	5/24/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/15/2005	5/24/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/15/2005	5/24/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	9/14/2007
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	9/14/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/15/2005	5/24/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/15/2005	5/24/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/15/2005	5/24/2007
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	12/7/2005	8/10/2007
Inactive	Zurich American Insurance Company	301121	Agent - Property	12/7/2005	8/10/2007
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/7/2005	8/10/2007
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/7/2005	8/10/2007

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 - Property	1/4/2006	6/4/2007
Inactive	Marsh USA LLC.	514638	Agent - Casualty	1/4/2006	6/4/2007
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	5/5/2014	1/6/2015
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/5/2014	1/6/2015
Inactive	USI Insurance Services National, Inc	509421	Surplus Lines Broker - Not Applicable	5/5/2014	1/6/2015
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Surplus Lines Broker - Not Applicable	4/3/2012	5/5/2014
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Property	11/5/2007	3/2/2010
Inactive	Wells Fargo Insurance Services of Tennessee, Inc.	519364	Agent - Casualty	11/5/2007	3/2/2010