DEPARTMENT OF INSURANCE

Affiliations

Name	Gibbons, Kelley V	DOIID	980049	NAIC NPN	18653512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/22/2017	9/30/2025
Active	Non Resident	Agent	Casualty	12/22/2017	9/30/2025
* 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
Active	AmGUARD Insurance Company	500010	Agent - Casualty	10/10/2019
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/28/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/28/2017
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/28/2017
Active	American Zurich Insurance Company	300592	Agent - Property	12/28/2017
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/3/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/3/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/3/2018
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/3/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/27/2021	7/25/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/27/2021	7/25/2023
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	11/9/2022
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	11/9/2022
Active	LM Insurance Corporation	301061	Agent - Casualty	1/3/2018
Active	LM Insurance Corporation	301061	Agent - Property	1/3/2018
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/3/2018
Active	Liberty Insurance Corporation	300444	Agent - Property	1/3/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/3/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/3/2018
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	11/22/2021	7/25/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Property	11/22/2021	7/25/2023
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/14/2019	7/25/2023
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/14/2019	7/25/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/28/2017
Active	Zurich American Insurance Company	301121	Agent - Property	12/28/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/28/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Property	1/8/2018
Active	Paychex Insurance Agency Inc	509469	Agent - Casualty	1/8/2018