DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clery, Katherine	DOIID	916082	NAIC NPN	17941625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/25/2018		11/30/2024
Active	Non Resident	Agent	Casualty	7/25/2018		11/30/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/20/2016	11/30/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	8/22/2018	10/26/2023
Inactive	Midvale Indemnity Company	300292	Agent - Property	8/22/2018	10/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	4/23/2020	9/25/2023
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	4/23/2020	9/25/2023
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	2/28/2023	9/25/2023
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	2/28/2023	9/25/2023