DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkham, Veronica Jo	DOIID	679295	NAIC NPN	9002168

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/25/2008	7/31/2015
Inactive	Non Resident	Agent	Property	4/25/2008	7/31/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/11/2008	7/31/2015
* 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	6/27/2008	11/8/2011
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	6/27/2008	11/8/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	10/24/2008	11/8/2011
Inactive	Risk Placement Services Inc	509419	Agent - Property	10/24/2008	11/8/2011
Inactive	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	10/24/2008	4/9/2015