DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelly, Donata Renee	DOIID	641400	NAIC NPN	8928058

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/4/2006	2/29/2012
Inactive	Non Resident	Agent	Casualty	10/4/2006	2/29/2012
* 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	3/11/2010	5/21/2010
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	3/11/2010	5/21/2010
Inactive	Employers Assurance Company	300120	Agent - Casualty	11/18/2008	2/29/2012
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	11/18/2008	2/29/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/23/2009	2/29/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/23/2009	2/29/2012
Inactive	Universal Underwriters Insurance Company	301558	Agent - Casualty	10/10/2006	4/20/2010
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	10/10/2006	4/20/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zurich Agency Services Inc	400817	Agent - Casualty	10/1/2007	4/27/2010
Inactive	Zurich Agency Services Inc	400817	Agent - Property	10/1/2007	4/27/2010