DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bollert, Geoff Burnham	DOIID	570351	NAIC NPN	7702929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/13/2003		9/30/2025
Active	Non Resident	Agent	Property	6/13/2003		9/30/2025
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/9/2004
Active	ACE American Insurance Company	300625	Agent - Property	12/9/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/28/2003	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/28/2003	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/28/2003	11/4/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/28/2003	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/28/2003	11/4/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/28/2003	11/4/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/28/2003	11/7/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/28/2003	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/28/2003	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/28/2003	11/7/2007
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/9/2004	10/30/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/9/2004	10/30/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/28/2003	11/4/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/28/2003	11/4/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	12/9/2004	10/30/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	12/9/2004	10/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Of Washington LLC	862933	Agent - Casualty	8/8/2016	9/27/2023
Inactive	Assuredpartners Of Washington LLC	862933	Agent - Property	8/8/2016	9/27/2023
Inactive	Hall Michael J & Co	552163	Agent - Casualty	12/13/2004	3/31/2018
Inactive	Hall Michael J & Co	552163	Agent - Property	12/13/2004	3/31/2018