DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Staley, Stephanie	DOIID	733296	NAIC NPN	1153679

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	7/28/2010		11/30/2025
Active	Non Resident	Agent	Casualty	7/28/2010		11/30/2025
Active	Non Resident	Agent	Property	7/28/2010		11/30/2025
* 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	ACE American Insurance Company	300625	Agent - Casualty	10/13/2010
Active	ACE American Insurance Company	300625	Agent - Property	10/13/2010
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/11/2018
Active	AIG Property Casualty Company	300621	Agent - Property	10/11/2018
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	10/13/2010
Active	Bankers Standard Insurance Company	301620	Agent - Property	10/13/2010
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/13/2010
Active	Indemnity Insurance Company of North America	301760	Agent - Property	10/13/2010
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	10/13/2010
Active	Pacific Employers Insurance Company	301753	Agent - Property	10/13/2010
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	3/2/2015
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	3/2/2015
Active	Zurich American Insurance Company	301121	Agent - Casualty	5/25/2018
Active	Zurich American Insurance Company	301121	Agent - Property	5/25/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	10/18/2010	1/4/2017
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	10/18/2010	1/4/2017
Inactive	Willis Personal Lines LLC	715217	Agent - Property	12/5/2023	1/23/2024
Inactive	Willis Personal Lines LLC	715217	Agent - Casualty	12/5/2023	1/23/2024