DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burr, Melisa M	DOIID	623595	NAIC NPN	8549098

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/10/2006	7/31/2008
Inactive	Non Resident	Agent	Property	1/10/2006	7/31/2008
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/10/2007	7/4/2009
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	5/24/2006	7/31/2008
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	5/24/2006	7/31/2008
Inactive	Chicago Insurance Company	300295	Agent - Casualty	5/24/2006	7/31/2008
Inactive	Chicago Insurance Company	300295	Agent - Property	5/24/2006	7/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	6/19/2008	7/31/2008
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	6/19/2008	7/31/2008