DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keys, Nathan L	DOIID	870031	NAIC NPN	8443699

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/24/2015	1/18/2018
Inactive	Non Resident	Agent	Property	2/24/2015	1/18/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/24/2015	1/18/2018
* 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
Inactive	Berkley Regional Insurance Company	300920	Agent - Casualty	9/3/2015	1/16/2018
Inactive	Berkley Regional Insurance Company	300920	Agent - Property	9/3/2015	1/16/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berkley Connect Insurance Solutions, LLC	842228	Agent - Property	9/3/2015	1/16/2018
Inactive	Berkley Connect Insurance Solutions, LLC	842228	Agent - Casualty	9/3/2015	1/16/2018
Inactive	Berkley Connect Insurance Solutions, LLC	842228	Surplus Lines Broker - Not Applicable	3/20/2015	1/18/2018