DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walczak, Colleen Dorothy	DOIID	632537	NAIC NPN	422771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/23/2006	2/29/2016
Inactive	Non Resident	Agent	Casualty	5/23/2006	2/29/2016
* 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	American Bankers Insurance Company of Florida	300360	Agent - Casualty	2/25/2010	12/21/2010
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	2/25/2010	12/21/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/1/2008	8/9/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/1/2008	8/9/2010
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/3/2007	10/29/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	4/3/2007	10/29/2014
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	1/20/2014	10/29/2014
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	1/20/2014	10/29/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/6/2009	2/29/2016
Inactive	First National Insurance Company of America	301690	Agent - Property	5/6/2009	2/29/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	5/6/2009	2/29/2016
Inactive	General Insurance Company of America	300261	Agent - Property	5/6/2009	2/29/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/6/2009	2/29/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/6/2009	2/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Esurance Ins Services Inc	709770	Agent - Casualty	6/3/2010	10/29/2014
Inactive	Esurance Ins Services Inc	709770	Agent - Property	6/3/2010	10/29/2014