DEPARTMENT OF INSURANCE

Affiliations

Name	Lange, Donna	DOIID	728528	NAIC NPN	1135615

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	5/18/2010	8/31/2017
Inactive	Non Resident	Agent	Property	5/18/2010	8/31/2017
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/16/2010	11/8/2016
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/16/2010	11/8/2016
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	6/16/2010	11/8/2016
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/16/2010	11/8/2016
Inactive	Farmington Casualty Company	301137	Agent - Casualty	9/30/2016	8/31/2017
Inactive	Farmington Casualty Company	301137	Agent - Property	9/30/2016	8/31/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/30/2016	8/31/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/30/2016	8/31/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/30/2016	8/31/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/30/2016	8/31/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/30/2016	8/31/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/30/2016	8/31/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/30/2016	8/31/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/30/2016	8/31/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/30/2016	8/31/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/30/2016	8/31/2017
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	6/16/2010	11/8/2016
Inactive	Zurich American Insurance Company	301121	Agent - Property	6/16/2010	11/8/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/16/2010	11/8/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/16/2010	11/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	10/8/2010	8/18/2016
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	10/8/2010	8/18/2016