DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gonzalez, Kerry Colleen	DOIID	681612	NAIC NPN	2153346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/2/2018		6/30/2026
Active	Non Resident	Agent	Casualty	5/2/2018		6/30/2026
Inactive	Non Resident	Agent	Life	4/20/2009	6/30/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/30/2024	05/30/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/3/2008	1/30/2009
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/3/2008	1/30/2009
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	10/1/2009	6/7/2010
Inactive	Rural Community Insurance Company	301891	Agent - Property	10/1/2009	6/7/2010
Inactive	TravCo Insurance Company	301828	Agent - Casualty	7/27/2009	6/23/2010
Inactive	TravCo Insurance Company	301828	Agent - Property	7/27/2009	6/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amg Insurance International LLC	996123	Agent - Casualty	6/1/2018
Active	Amg Insurance International LLC	996123	Agent - Property	6/1/2018
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Casualty	7/27/2009	1/13/2010
Denied	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Life
Inactive	Wells Fargo Insurance Services of Indiana, LLC	524976	Agent - Property	7/27/2009	1/13/2010