DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Urrutia, Angela Cribbs	DOIID	692057	NAIC NPN	2641455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/23/2008	10/31/2015
Inactive	Non Resident	Agent	Property	10/23/2008	10/31/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/28/2008	10/31/2015
* 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	Praetorian Insurance Company	301021	Agent - Casualty	3/19/2009	10/31/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/19/2009	10/31/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/19/2009	10/31/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/19/2009	10/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	EQ One Insurance Services, LLC	705707	Agent - Casualty	5/13/2009	10/31/2015
Inactive	EQ One Insurance Services, LLC	705707	Agent - Property	5/13/2009	10/31/2015
Inactive	EQ One Insurance Services, LLC	705707	Surplus Lines Broker - Not Applicable	6/11/2009	10/31/2015