DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Tina	DOIID	613788	NAIC NPN	1025892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/29/2005	9/30/2011
Inactive	Non Resident	Agent	Casualty	8/29/2005	9/30/2011
* 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	American Bankers Insurance Company of Florida	300360	Agent - Casualty	1/19/2007	9/30/2011
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	1/19/2007	9/30/2011

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 - Property	10/19/2010	9/30/2011
Inactive	Marsh USA LLC.	514638	Agent - Casualty	10/19/2010	9/30/2011