DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	De Vries, Anne Patricia	DOIID	728745	NAIC NPN	7597648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/20/2010	8/31/2021
Inactive	Non Resident	Agent	Property	5/20/2010	8/31/2021
* 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	NOVA Casualty Company	622806	Agent - Casualty	12/14/2012	8/31/2021
Inactive	NOVA Casualty Company	622806	Agent - Property	12/14/2012	8/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Safehold Special Risk, Inc	658217	Agent - Property
Denied	Safehold Special Risk, Inc	658217	Agent - Casualty