DEPARTMENT OF INSURANCE

Affiliations

Name	Ugalde, Annette Rosanne	DOIID	703448	NAIC NPN	3409159

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/9/2009	12/31/2024
Active	Non Resident	Agent	Casualty	4/9/2009	12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/19/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/19/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/19/2015	11/21/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/19/2015	11/21/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/19/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/19/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/19/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/19/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/3/2019
Active	Bristol West Insurance Company	301655	Agent - Property	1/3/2019
Inactive	Esurance Insurance Company	301072	Agent - Casualty	11/13/2014	6/14/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	11/13/2014	6/14/2016
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/23/2011
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/23/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/14/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/14/2010
Active	RLI Insurance Company	301217	Agent - Casualty	3/9/2011
Active	RLI Insurance Company	301217	Agent - Property	3/9/2011
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/30/2021
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/30/2021
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	3/30/2021
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	3/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PoliSeek AIS Insurance Solutions, Inc.	649167	Agent - Casualty	8/24/2021
Active	PoliSeek AIS Insurance Solutions, Inc.	649167	Agent - Property	8/24/2021