DEPARTMENT OF INSURANCE

Affiliations

Name	Chavez, Monica Yvette	DOIID	725856	NAIC NPN	8878336

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/3/2010	11/30/2014
Inactive	Non Resident	Agent	Casualty	4/3/2010	11/30/2014
* 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	4/12/2010	6/13/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/12/2010	6/13/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/12/2010	6/13/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/12/2010	6/13/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/12/2010	6/13/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/12/2010	6/13/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	6/15/2010	7/9/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	6/15/2010	7/9/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/30/2010	6/12/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	4/30/2010	6/12/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/14/2010	7/3/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/14/2010	7/3/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/30/2010	6/12/2012
Inactive	General Insurance Company of America	300261	Agent - Property	4/30/2010	6/12/2012
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	6/9/2010	7/3/2013
Inactive	Praetorian Insurance Company	301021	Agent - Property	6/9/2010	7/3/2013
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/14/2011	7/3/2013
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/14/2011	7/3/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/19/2012	6/11/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/19/2012	6/11/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/19/2012	6/11/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/19/2012	6/11/2013
Inactive	Tesla Insurance Company	300337	Agent - Casualty	4/9/2010	9/19/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	4/9/2010	9/19/2012
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	4/9/2010	11/18/2011
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	4/9/2010	11/18/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	4/15/2010	6/5/2013
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	4/15/2010	6/5/2013