DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bolden, Cusseta	DOIID	827072	NAIC NPN	17039550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/20/2015	10/31/2017
Inactive	Non Resident	Independent Adjuster	Property & Casualty	11/14/2014	10/31/2017
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/8/2013	11/14/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	3/10/2015	6/28/2016
Inactive	Broadspire Services, Inc.	396187	Administrator - Not Applicable	3/10/2015	6/28/2016
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	11/17/2014	3/10/2015
Inactive	Crawford & Company	401229	Administrator - Not Applicable	1/29/2015	6/28/2016