DEPARTMENT OF FINANCIAL SERVICES

Division ofAgency & Agency Services - Bureau of Licensing

200 East Gaines Street, Larson Building, Room 419
Tallahassee, FL 32399-0319

CERTIFICATE of COMPLETION

(Please Type)

Name: Kevin Perrine License or Soc. Sec. #: 235942438

Residence Address: 4775 Glenburne Dr.
City: --------------
Spring Hill State: ---
Florida Zip Code: 34609
THIS CERTIFIES THAT THE PERSON NAMED IN THIS CERTIFICATE HAS SUCCESSFULLY
COMPLETED AN INSURANCE COURSE TAUGHT IN COMPLIANCE WITH THE RULES OF THE
FLORIDA DEPARTMENT OF FINANCIAL SERVICES.

Course Identification#:93818 1096834

--------- Course Offering#:
10/01/2019
Beginning Date: ----------- CompIetion Date: 10/15/2019

PRE-LICENSING USE ONLY CONTINUING EDUCATION USE ONLY

Qualification / Training Courses

Florida Pre-Licensing Education -
Life and Health Insurance 2-15
Name of Course Name of Course
Numerical Score/Grade: 80.00 # of Credit Hours Earned:

Signature of Instructor Signature of Instructor

Print/Type Instructor Name & Instructor License Print/Type Instructor Name & Instructor
or ID# License or ID

Signature of School Official Signature of School Official

XCEL Solutions LLC
Provider Name Provider Name

10/15/2019
Date Date

DFS-H2-1668
Pub. 2/2006