DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Kelly Dawn	DOIID	699742	NAIC NPN	8924336

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	2/17/2009	8/31/2010
Inactive	Non Resident	Agent	Property	2/17/2009	8/31/2010
* 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	American Economy Insurance Company	300315	Agent - Casualty	4/22/2009	12/4/2009
Inactive	American Economy Insurance Company	300315	Agent - Property	4/22/2009	12/4/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/22/2009	12/4/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/22/2009	12/4/2009
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/20/2009	8/31/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/20/2009	8/31/2010
Inactive	American States Insurance Company	301230	Agent - Casualty	4/22/2009	12/4/2009
Inactive	American States Insurance Company	301230	Agent - Property	4/22/2009	12/4/2009
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	4/20/2009	8/31/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	4/20/2009	8/31/2010
Inactive	Assurance Company of America	300432	Agent - Casualty	4/20/2009	8/31/2010
Inactive	Assurance Company of America	300432	Agent - Property	4/20/2009	8/31/2010
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/29/2009	6/1/2010
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/29/2009	6/1/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/22/2009	12/4/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/22/2009	12/4/2009
Inactive	First National Insurance Company of America	301690	Agent - Property	4/22/2009	12/4/2009
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/22/2009	12/4/2009
Inactive	General Insurance Company of America	300261	Agent - Property	4/22/2009	12/4/2009
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	12/28/2009	8/31/2010
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	12/28/2009	8/31/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	4/22/2009	12/4/2009
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/20/2009	8/31/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	4/20/2009	8/31/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/22/2009	12/4/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/20/2009	8/31/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/20/2009	8/31/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/22/2009	12/4/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/22/2009	12/4/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/22/2009	12/4/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/22/2009	12/4/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	4/22/2009	12/4/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/22/2009	12/4/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/22/2009	12/4/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/22/2009	12/4/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/22/2009	12/4/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/19/2009	8/31/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/19/2009	8/31/2010
Inactive	West American Insurance Company	301112	Agent - Casualty	4/22/2009	12/4/2009
Inactive	West American Insurance Company	301112	Agent - Property	4/22/2009	12/4/2009
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	4/20/2009	8/31/2010
Inactive	Zurich American Insurance Company	301121	Agent - Property	4/20/2009	8/31/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/20/2009	8/31/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/20/2009	8/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	3/19/2009	8/31/2010
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	3/19/2009	8/31/2010