DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collingwood, Patrice	DOIID	653803	NAIC NPN	2716864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/20/2007		7/31/2026
Active	Non Resident	Agent	Casualty	4/20/2007		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/21/2024	06/21/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/4/2010	7/5/2023
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/4/2010	7/5/2023
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	6/4/2010	7/5/2023
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/4/2010	7/5/2023
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/16/2015
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	4/16/2015
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	6/4/2010	7/5/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	6/4/2010	7/5/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/4/2010	7/5/2023
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/4/2010	7/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh USA LLC.	514638	Agent - Property	10/8/2010
Active	Marsh USA LLC.	514638	Agent - Casualty	10/8/2010