DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Petty, Candacy Nichola	DOIID	956632	NAIC NPN	18367565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/8/2017		10/31/2024
Active	Non Resident	Agent	Property	6/8/2017		10/31/2024
Active	Non Resident	Independent Adjuster	Property & Casualty	3/7/2022		10/31/2024
* 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	08/15/2024	10/31/2024
Independent Adjuster	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	1/3/2024
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	1/3/2024
Active	Continental Casualty Company	301019	Agent - Casualty	6/30/2017
Active	Continental Casualty Company	301019	Agent - Property	6/30/2017
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	6/15/2017
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	6/15/2017
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/15/2017
Active	Liberty Mutual Insurance Company	301159	Agent - Property	6/15/2017
Inactive	Old Republic Insurance Company	301225	Agent - Property	9/6/2017	11/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Asurion Insurance Services Inc	509331	Agent - Property	6/15/2017
Active	Asurion Insurance Services Inc	509331	Agent - Casualty	6/15/2017
Active	Asurion Insurance Services Inc	509331	Independent Adjuster - Property & Casualty	5/26/2022
Active	Asurion Protection Services, LLC.	545067	Agent - Property	6/15/2017
Active	Asurion Protection Services, LLC.	545067	Agent - Casualty	6/15/2017
Active	Asurion Protection Services, LLC.	545067	Independent Adjuster - Property & Casualty	5/26/2022