DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Angela Mae	DOIID	689270	NAIC NPN	1026057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/16/2008	11/30/2013
Inactive	Non Resident	Agent	Property	9/16/2008	11/30/2013
* 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 Zurich Insurance Company	300592	Agent - Casualty	5/13/2011	12/11/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/13/2011	12/11/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	US Assure Insurance Services of Florida, Inc.	770390	Agent - Property	12/12/2011	10/26/2012
Inactive	US Assure Insurance Services of Florida, Inc.	770390	Agent - Casualty	12/12/2011	10/26/2012
Inactive	USAssure Insurance Services, Inc.	533937	Agent - Property	5/16/2011	2/23/2012
Inactive	USAssure Insurance Services, Inc.	533937	Agent - Casualty	5/16/2011	2/23/2012