DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapel, Dawn Shannon	DOIID	731110	NAIC NPN	10796868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/25/2010		12/31/2025
Active	Non Resident	Agent	Casualty	6/25/2010		12/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/25/2010		12/31/2025
* 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
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/3/2010
Active	Cincinnati Insurance Company	301298	Agent - Property	9/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CSU Producer Resources Inc	675377	Agent - Property	9/13/2011
Active	CSU Producer Resources Inc	675377	Agent - Casualty	9/13/2011
Active	CSU Producer Resources Inc	675377	Surplus Lines Broker - Not Applicable	9/13/2011