DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Polacek, Thomas	DOIID	1091085	NAIC NPN	19587324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/28/2020		12/31/2025
Active	Non Resident	Agent	Casualty	7/28/2020		12/31/2025
* 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
Active	American Strategic Insurance Corp	883540	Agent - Casualty	2/10/2021
Active	American Strategic Insurance Corp	883540	Agent - Property	2/10/2021
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/26/2021
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/26/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/26/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	1/26/2021
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/26/2021
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/26/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paddio Insurance Agency, LLC	720504	Agent - Casualty	5/6/2021
Active	Paddio Insurance Agency, LLC	720504	Agent - Property	5/6/2021