DEPARTMENT OF INSURANCE

Affiliations

Name	Holloway, Bernice	DOIID	689724	NAIC NPN	7418107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/22/2008	6/30/2025
Active	Non Resident	Agent	Property	9/22/2008	6/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/16/2009	6/30/2025
* 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	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Fire and Casualty Company	300567	Agent - Casualty	5/28/2014
Active	American Fire and Casualty Company	300567	Agent - Property	5/28/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/28/2014	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/28/2014	4/26/2024
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	9/11/2009
Active	Employers Insurance Company of Wausau	301813	Agent - Property	9/11/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	9/11/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	9/11/2009
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/28/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	5/28/2014	2/3/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	9/11/2009
Active	LM Insurance Corporation	301061	Agent - Property	9/11/2009
Active	Liberty Insurance Corporation	300444	Agent - Casualty	9/11/2009
Active	Liberty Insurance Corporation	300444	Agent - Property	9/11/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	9/11/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	9/11/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	9/11/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Property	9/11/2009
Active	National Casualty Company	301483	Agent - Casualty	7/16/2009
Active	National Casualty Company	301483	Agent - Property	7/16/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/28/2014	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/28/2014	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/28/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/28/2014
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/28/2014
Active	Ohio Security Insurance Company	300622	Agent - Property	5/28/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/28/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	5/28/2014
Active	Peerless Insurance Company	301910	Agent - Casualty	5/28/2014
Active	Peerless Insurance Company	301910	Agent - Property	5/28/2014
Inactive	Scottsdale Indemnity Company	300232	Agent - Casualty	6/29/2009	7/9/2009
Inactive	Scottsdale Indemnity Company	300232	Agent - Property	6/29/2009	7/9/2009
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	9/11/2009	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	9/11/2009	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	9/11/2009	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	9/11/2009	8/31/2015
Active	West American Insurance Company	301112	Agent - Casualty	5/28/2014
Active	West American Insurance Company	301112	Agent - Property	5/28/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022