DEPARTMENT OF INSURANCE

Affiliations

Name	Serapin, Jacqui	DOIID	524495	NAIC NPN	3693953

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	7/2/2009	12/31/2011
Inactive	Non Resident	Agent	Casualty	7/2/2009	12/31/2011
* 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
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	4/9/2001	11/5/2001
Inactive	21st Century North America Insurance Company	300884	Agent - Property	4/9/2001	11/5/2001
Inactive	American Home Assurance Company	300246	Agent - Casualty	4/9/2001	11/5/2001
Inactive	American Home Assurance Company	300246	Agent - Property	4/9/2001	11/5/2001
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	9/25/2009	5/20/2010
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	9/25/2009	5/20/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/29/2009	5/25/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/29/2009	5/25/2010
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/10/2009	12/31/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	7/10/2009	12/31/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/13/2009	12/31/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/13/2009	12/31/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/10/2009	12/31/2011
Inactive	General Insurance Company of America	300261	Agent - Property	7/10/2009	12/31/2011
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/6/2009	5/20/2010
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/6/2009	5/20/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/10/2009	12/31/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/10/2009	12/31/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/10/2009	12/31/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/10/2009	12/31/2011
Inactive	Tesla Insurance Company	300337	Agent - Casualty	7/8/2009	5/4/2010
Inactive	Tesla Insurance Company	300337	Agent - Property	7/8/2009	5/4/2010
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	7/8/2009	5/4/2010
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	7/8/2009	5/4/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	9/25/2009	6/3/2010
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	9/25/2009	6/3/2010