DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Surendonk, David	DOIID	615590	NAIC NPN	307570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/22/2005	6/11/2018
Inactive	Non Resident	Agent	Casualty	9/22/2005	6/11/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	1/7/2010	7/24/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	1/7/2010	7/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aon Risk Services Inc Of Wisconsin	502108	Agent - Property
Denied	Aon Risk Services Inc Of Wisconsin	502108	Agent - Casualty