DEPARTMENT OF INSURANCE

Affiliations

Name	Lively, Jessica Dawn	DOIID	711171	NAIC NPN	8866847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/12/2009	11/30/2013
Inactive	Non Resident	Agent	Property	8/12/2009	11/30/2013
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	3/2/2012	9/4/2012
Inactive	21st Century North America Insurance Company	300884	Agent - Property	3/2/2012	9/4/2012
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Casualty	4/6/2011	11/30/2013
Inactive	American Hallmark Insurance Company of Texas	709267	Agent - Property	4/6/2011	11/30/2013
Inactive	Electric Insurance Company	301758	Agent - Casualty	9/2/2009	12/7/2011
Inactive	Electric Insurance Company	301758	Agent - Property	9/2/2009	12/7/2011
Inactive	Esurance Insurance Company	301072	Agent - Casualty	8/25/2009	8/24/2012
Inactive	Esurance Insurance Company	301072	Agent - Property	8/25/2009	8/24/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/13/2009	3/20/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/13/2009	3/20/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/26/2009	8/28/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	8/26/2009	8/28/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/1/2009	2/5/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/1/2009	2/5/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/26/2009	8/28/2012
Inactive	General Insurance Company of America	300261	Agent - Property	8/26/2009	8/28/2012
Inactive	Hallmark Insurance Company	301637	Agent - Casualty	4/18/2011	11/30/2013
Inactive	Hallmark Insurance Company	301637	Agent - Property	4/18/2011	11/30/2013
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/1/2012	8/27/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/1/2012	8/27/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/26/2009	8/28/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/26/2009	8/28/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/26/2009	8/28/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/26/2009	8/28/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	8/26/2009	8/22/2012
Inactive	Insurance Answer Center LLC	694353	Agent - Property	8/26/2009	8/22/2012