DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, India	DOIID	1258173	NAIC NPN	19724304

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/24/2023		11/30/2026
Active	Non Resident	Agent	Property	2/24/2023		11/30/2026
* 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	Caterpillar Insurance Company	300759	Agent - Casualty	2/27/2023
Active	Caterpillar Insurance Company	300759	Agent - Property	2/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Caterpillar Insurance Services Corporation	557115	Agent - Casualty	3/14/2023
Active	Caterpillar Insurance Services Corporation	557115	Agent - Property	3/14/2023