Individual Information

LISA A KELLY

SHAKER HEIGHTS, OH 44122-6393

Active

licensing@abais.com

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	02/29/2024
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	08/31/2024

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	06/18/2019
	Property	Active	06/18/2019
1345
Company Name	Appointment Type	Status	Active Date
EVEREST NATIONAL INSURANCE COMPANY	Casualty	Active	04/09/2010
	Property	Active	04/09/2010
143384
Company Name	Appointment Type	Status	Active Date
EVEREST PREMIER INSURANCE COMPANY	Casualty	Active	06/18/2019
	Property	Active	06/18/2019
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	10/29/2018
	Property	Active	10/29/2018
1125
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ASSURANCE COMPANY	Casualty	Active	01/31/2019
	Property	Active	01/31/2019
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	02/29/2012
	Property	Active	02/29/2012
65
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK	Casualty	Active	01/31/2019
	Property	Active	01/31/2019
1520
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN SECURITY INSURANCE COMPANY	Casualty	Active	10/29/2018
	Property	Active	10/29/2018
1521
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN SPIRIT INSURANCE COMPANY	Casualty	Active	10/16/2019
	Property	Active	10/16/2019
305
Company Name	Appointment Type	Status	Active Date
GREENWICH INSURANCE COMPANY	Casualty	Active	08/27/2010
	Property	Active	08/27/2010

row(s) 1 - 20 of 20

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

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