DEPARTMENT OF INSURANCE

Affiliations

Name	Diaz, Shannon L	DOIID	740354	NAIC NPN	8559693

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Limited Line Credit	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Health	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Property	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Casualty	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Life	10/19/2010	9/30/2013
Inactive	Non Resident	Agent	Travel	10/19/2010	9/30/2013
* 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	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/12/2012	9/30/2013
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/12/2012	9/30/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/23/2011	6/11/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/23/2011	6/11/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/2/2010	11/21/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/2/2010	11/21/2013
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/29/2010	9/30/2013
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/29/2010	9/30/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/29/2010	9/30/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/29/2010	9/30/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/1/2011	9/30/2013
Inactive	First National Insurance Company of America	301690	Agent - Property	4/1/2011	9/30/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/1/2011	9/30/2013
Inactive	General Insurance Company of America	300261	Agent - Property	4/1/2011	9/30/2013
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	10/9/2012	8/21/2013
Inactive	Lamorak Insurance Company	301231	Agent - Property	10/9/2012	8/21/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/1/2011	9/30/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/1/2011	9/30/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/1/2011	9/30/2013
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/1/2011	9/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc Ins Agency Inc	691585	Agent - Casualty	11/29/2010	2/7/2013
Inactive	Banc Ins Agency Inc	691585	Agent - Property	11/29/2010	2/7/2013
Inactive	Community Financial Services Insurance, LLC	702941	Agent - Casualty	11/29/2010	2/7/2013
Inactive	Community Financial Services Insurance, LLC	702941	Agent - Property	11/29/2010	2/7/2013