DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lacy, Angela Lynette	DOIID	761402	NAIC NPN	10212642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/19/2011	8/8/2017
Inactive	Non Resident	Agent	Property	8/19/2011	8/8/2017
* 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	Homesite Insurance Company	301139	Agent - Casualty	6/5/2015	10/26/2015
Inactive	Homesite Insurance Company	301139	Agent - Property	6/5/2015	10/26/2015
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/14/2012	1/20/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/14/2012	1/20/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/14/2012	1/20/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/14/2012	1/20/2015
Inactive	Tesla Insurance Company	300337	Agent - Casualty	9/6/2011	11/27/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	9/6/2011	11/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	6/28/2012	1/20/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	6/28/2012	1/20/2015