DEPARTMENT OF INSURANCE

Affiliations

Name	Fairbanks, Lisa D	DOIID	667572	NAIC NPN	2506547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	11/5/2007	1/31/2019
Inactive	Non Resident	Agent	Casualty	11/5/2007	1/31/2019
* 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	Allied Eastern Indemnity Company	683842	Agent - Casualty	9/22/2011	1/31/2019
Inactive	Eastern Advantage Assurance Company	692390	Agent - Casualty	9/22/2011	1/31/2019
Inactive	Eastern Alliance Insurance Company	683841	Agent - Casualty	9/22/2011	1/31/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/7/2008	1/31/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/7/2008	1/31/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/7/2008	1/31/2019
Inactive	Grange Insurance Company	300234	Agent - Property	5/7/2008	1/31/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/7/2008	1/31/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/7/2008	1/31/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/21/2008	11/5/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/21/2008	11/5/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/21/2008	11/5/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/21/2008	11/5/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/21/2008	11/5/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/21/2008	11/5/2009
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/7/2008	1/31/2019
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/7/2008	1/31/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/21/2008	11/5/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/21/2008	11/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	1/23/2008	1/31/2019
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	1/23/2008	1/31/2019