DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chitwood, Dawn	DOIID	972919	NAIC NPN	1159377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/13/2017	2/28/2021
Inactive	Non Resident	Agent	Property	10/13/2017	2/28/2021
* 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	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	12/19/2017	2/28/2021
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	12/19/2017	2/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/19/2017	1/13/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/19/2017	1/13/2020