DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Lori J	DOIID	768460	NAIC NPN	3823976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/8/2011		5/31/2025
Active	Non Resident	Agent	Casualty	11/8/2011		5/31/2025
* 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	NOVA Casualty Company	622806	Agent - Casualty	11/12/2012
Active	NOVA Casualty Company	622806	Agent - Property	11/12/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Safehold Special Risk, Inc	658217	Agent - Property	11/12/2012
Active	Safehold Special Risk, Inc	658217	Agent - Casualty	11/12/2012