DEPARTMENT OF INSURANCE

Affiliations

Name	Uribe, Blanca	DOIID	722988	NAIC NPN	10833555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/18/2015	9/19/2017
Inactive	Non Resident	Agent	Property	8/18/2015	9/19/2017
* 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 Family Home Insurance Company	301817	Agent - Casualty	2/25/2016	6/10/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/25/2016	6/10/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/22/2015	6/13/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/22/2015	6/13/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/22/2015	6/13/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/22/2015	6/13/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/22/2015	6/13/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/22/2015	6/13/2016
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	9/22/2015	8/5/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/22/2015	8/5/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	9/22/2015	8/5/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	9/22/2015	8/5/2017
Inactive	Esurance Insurance Company	301072	Agent - Casualty	9/23/2015	6/28/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	9/23/2015	6/28/2016
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	3/14/2011	11/1/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	3/14/2011	11/1/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/9/2011	10/31/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/9/2011	10/31/2013
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/11/2011	10/25/2013
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/11/2011	10/25/2013
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/22/2011	10/25/2013
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/22/2011	10/25/2013
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/2/2010	11/8/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/2/2010	11/8/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/18/2015	9/19/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/18/2015	9/19/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/18/2015	9/19/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/18/2015	9/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	9/18/2015	6/1/2016
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	9/18/2015	6/1/2016