DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapel, Dawn Shannon	DOIID	731110	NAIC NPN	10796868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/25/2010		12/31/2025
Active	Non Resident	Agent	Casualty	6/25/2010		12/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/25/2010		12/31/2025
* 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	10/15/2025	12/31/2025
Surplus Lines Broker	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cincinnati Insurance Company	301298	Agent - Casualty	9/3/2010
Active	Cincinnati Insurance Company	301298	Agent - Property	9/3/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CSU Producer Resources Inc	675377	Agent - Property	9/13/2011
Active	CSU Producer Resources Inc	675377	Agent - Casualty	9/13/2011
Active	CSU Producer Resources Inc	675377	Surplus Lines Broker - Not Applicable	9/13/2011