Individual Information

LISA A KELLY

Address:

SHAKER HEIGHTS, OH 44122-6393

Status:

Active

Email:

licensing@abais.com

Date:

02/02/2009

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	636203	02/02/2009	Active	02/02/2009	02/28/2027
Non-Res. Managing Gen. Agt/Agy	690119	03/15/2010	Active	03/15/2010	03/31/2025
Non-Res. Surplus Lines Broker	660546	08/04/2009	Active	08/04/2009	08/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/02/2009	Active	02/02/2009
Managing General Agent	03/15/2010	Active	03/15/2010
Property	02/02/2009	Active	02/02/2009
Surplus Lines	08/04/2009	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
143341
EVEREST DENALI INSURANCE COMPANY	Casualty	Active	10/12/2023
	Property	Active	10/12/2023
1345
Company Name	Appointment Type	Status	Active Date
EVEREST NATIONAL INSURANCE COMPANY	Casualty	Active	10/12/2023
	Property	Active	10/12/2023
143384
Company Name	Appointment Type	Status	Active Date
EVEREST PREMIER INSURANCE COMPANY	Casualty	Active	10/12/2023
	Property	Active	10/12/2023
305
Company Name	Appointment Type	Status	Active Date
GREENWICH INSURANCE COMPANY	Casualty	Active	08/27/2010
	Property	Active	08/27/2010

row(s) 1 - 8 of 8

Organization	Association Type	Type	Beg dte	End dte
ABA INS SERVICES INC	Designated Resp Lic MGA	Agency	08/27/2024	-
ABA INS SERVICES INC	Designated Resp Lic Prdcr	Agency	02/15/2021	-

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