DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Favata-Bosh, Donna M	DOIID	851624	NAIC NPN	3939483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/11/2014	4/30/2020
Inactive	Non Resident	Agent	Property	9/11/2014	4/30/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/11/2014	4/30/2020
* 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
Denied	Aon Risk Services Central, Inc	502106	Agent - Property
Denied	Aon Risk Services Central, Inc	502106	Agent - Casualty
Inactive	Aon Risk Services Central, Inc	502106	Surplus Lines Broker - Not Applicable	9/23/2014	4/30/2020