DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Catherine J	DOIID	661114	NAIC NPN	4928632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/3/2007	2/28/2014
Inactive	Non Resident	Agent	Casualty	8/3/2007	2/28/2014
Inactive	Non Resident	Independent Adjuster	Property & Casualty	6/10/2010	2/28/2014
* 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	ACE American Insurance Company	300625	Agent - Casualty	9/21/2007	9/12/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	9/21/2007	9/12/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/31/2007	9/12/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	10/31/2007	9/12/2012
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	3/6/2008	10/10/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	H&R Block Ins Agency Inc	663231	Agent - Property	10/25/2010	6/14/2012
Inactive	H&R Block Ins Agency Inc	663231	Agent - Casualty	10/25/2010	6/14/2012
Inactive	H&R Block Ins Agency Inc	663231	Independent Adjuster - Property & Casualty	10/25/2010	6/14/2012