DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Debra L	DOIID	670325	NAIC NPN	7559157

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/13/2007	3/31/2012
Inactive	Non Resident	Agent	Property	12/13/2007	3/31/2012
* 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	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	12/9/2009	12/11/2009
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	12/9/2009	12/11/2009
Inactive	Continental Casualty Company	301019	Agent - Casualty	9/22/2008	3/24/2011
Inactive	Continental Casualty Company	301019	Agent - Property	9/22/2008	3/24/2011
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	12/9/2009	12/11/2009
Inactive	Continental Insurance Company (The)	301242	Agent - Property	12/9/2009	12/11/2009
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	12/9/2009	12/11/2009
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	12/9/2009	12/11/2009
Inactive	Transportation Insurance Company	301575	Agent - Casualty	12/9/2009	12/11/2009
Inactive	Transportation Insurance Company	301575	Agent - Property	12/9/2009	12/11/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	12/9/2009	12/11/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Property	12/9/2009	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Victor Insurance Managers LLC	518018	Agent - Property	7/22/2009	3/22/2011
Inactive	Victor Insurance Managers LLC	518018	Agent - Casualty	7/22/2009	3/22/2011