DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burbage, Lisa	DOIID	762820	NAIC NPN	684790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/7/2011		7/31/2025
Active	Non Resident	Agent	Property	9/7/2011		7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/20/2011		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/30/2011
Active	Fireman's Fund Insurance Company	301423	Agent - Property	11/30/2011
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/3/2018
Active	Travelers Casualty and Surety Company	301067	Agent - Property	7/3/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/18/2011	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/18/2011	12/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022	3/11/2025
Inactive	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022	3/11/2025
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022
Inactive	Swett & Crawford	513269	Agent - Property	11/18/2011	11/17/2017
Inactive	Swett & Crawford	513269	Agent - Casualty	11/18/2011	11/17/2017
Inactive	Swett & Crawford	513269	Surplus Lines Broker - Not Applicable	10/11/2011	11/17/2017