DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conrad, Jacqueline M	DOIID	702700	NAIC NPN	13376823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/28/2009	12/31/2010
Inactive	Non Resident	Agent	Property	3/28/2009	12/31/2010
* 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	Universal Underwriters Insurance Company	301558	Agent - Casualty	4/1/2009	9/21/2009
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	4/1/2009	9/21/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zurich Agency Services Inc	400817	Agent - Property	4/13/2009	9/21/2009
Inactive	Zurich Agency Services Inc	400817	Agent - Casualty	4/13/2009	9/21/2009