DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Sarah S	DOIID	977173	NAIC NPN	15113465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/20/2017	12/31/2024
Active	Non Resident	Agent	Casualty	11/20/2017	12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/16/2021	12/31/2024
* 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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	8/6/2019	10/25/2023
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	8/6/2019	10/25/2023
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	8/6/2019	10/25/2023
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	8/6/2019	10/25/2023
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	8/6/2019	10/25/2023
Inactive	American Automobile Insurance Company	300953	Agent - Property	8/6/2019	10/25/2023
Inactive	Chicago Insurance Company	300295	Agent - Casualty	8/6/2019	10/25/2023
Inactive	Chicago Insurance Company	300295	Agent - Property	8/6/2019	10/25/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/5/2018	10/25/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	12/5/2018	10/25/2023
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	5/13/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	5/13/2020
Active	NOVA Casualty Company	622806	Agent - Casualty	12/20/2017
Active	NOVA Casualty Company	622806	Agent - Property	12/20/2017
Inactive	National Surety Corporation	300087	Agent - Casualty	8/6/2019	10/25/2023
Inactive	National Surety Corporation	300087	Agent - Property	8/6/2019	10/25/2023
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/6/2019	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/6/2019	9/2/2022
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	8/6/2019	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	8/6/2019	2/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Bascule Ins Services Llc	979947	Agent - Property	12/21/2017
Active	Bascule Ins Services Llc	979947	Agent - Casualty	12/21/2017
Active	Bascule Ins Services Llc	979947	Surplus Lines Broker - Not Applicable	7/16/2021