DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kudlacik, Jeffrey Daniel	DOIID	1098032	NAIC NPN	18965370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/14/2020	3/31/2024
Inactive	Non Resident	Agent	Property	9/14/2020	3/31/2024
* 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	Berkshire Hathaway Direct Insurance Company	300925	Agent - Casualty	5/20/2021	9/30/2022
Inactive	Berkshire Hathaway Direct Insurance Company	300925	Agent - Property	5/20/2021	9/30/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/29/2020	7/25/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/29/2020	7/25/2022
Inactive	National Liability & Fire Insurance Company	300213	Agent - Casualty	5/20/2021	9/30/2022
Inactive	National Liability & Fire Insurance Company	300213	Agent - Property	5/20/2021	9/30/2022
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	5/20/2021	10/7/2022
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	5/20/2021	10/7/2022
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	5/20/2021	10/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	12/29/2020	10/7/2022
Inactive	Mylo LLC	973654	Agent - Property	12/29/2020	10/7/2022