DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Domanski, Evelina	DOIID	879239	NAIC NPN	17401198

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/29/2015	10/31/2017
Inactive	Non Resident	Agent	Property	5/29/2015	10/31/2017
* 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	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/26/2015	12/19/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	10/26/2015	12/19/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	10/26/2015	12/19/2017
Inactive	Grange Insurance Company	300234	Agent - Property	10/26/2015	12/19/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/26/2015	12/19/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/26/2015	12/19/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/1/2015	10/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/1/2015	10/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/1/2015	10/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/1/2015	10/31/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	10/26/2015	12/19/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	10/26/2015	12/19/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Ins Agy Of Va Inc	572518	Agent - Casualty	10/26/2015	10/31/2017
Inactive	Brown & Brown Ins Agy Of Va Inc	572518	Agent - Property	10/26/2015	10/31/2017