DEPARTMENT OF INSURANCE

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.

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
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
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