DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sienkiewicz, Natalie A	DOIID	842046	NAIC NPN	8982732

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/2/2014		1/31/2026
Active	Non Resident	Agent	Property	6/2/2014		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/2/2014		1/31/2026
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/18/2018
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/18/2018
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/18/2018
Active	American Zurich Insurance Company	300592	Agent - Property	10/18/2018
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/18/2018
Active	Zurich American Insurance Company	301121	Agent - Property	10/18/2018
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/18/2018
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/18/2018

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 - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022