DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shriver, Amy L	DOIID	674854	NAIC NPN	6834249

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/25/2008	7/2/2010
Inactive	Non Resident	Agent	Property	2/25/2008	7/2/2010
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	6/13/2008	2/12/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/13/2008	2/12/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Ins Services Inc	515291	Agent - Property	10/24/2008	2/12/2009
Inactive	CBIZ Ins Services Inc	515291	Agent - Casualty	10/24/2008	2/12/2009