DEPARTMENT OF INSURANCE

Affiliations

Name	Pisecki, Robin	DOIID	719309	NAIC NPN	2306724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	12/8/2009	3/31/2018
Inactive	Non Resident	Agent	Property	12/8/2009	3/31/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/17/2013	3/31/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	6/8/2011	3/31/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	6/8/2011	3/31/2018
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/8/2011	3/31/2018
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/8/2011	3/31/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/8/2011	3/31/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/8/2011	3/31/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	6/8/2011	3/31/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	6/8/2011	3/31/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/8/2011	3/31/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/8/2011	3/31/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	6/8/2011	3/31/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	6/8/2011	3/31/2018
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	12/28/2011	11/2/2016
Inactive	Praetorian Insurance Company	301021	Agent - Property	12/28/2011	11/2/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	12/28/2011	11/2/2016
Inactive	QBE Insurance Corporation	300515	Agent - Property	12/28/2011	11/2/2016
Inactive	RLI Insurance Company	301217	Agent - Casualty	3/23/2010	4/8/2014
Inactive	RLI Insurance Company	301217	Agent - Property	3/23/2010	4/8/2014
Inactive	StarNet Insurance Company	502746	Agent - Casualty	3/26/2010	12/14/2011
Inactive	StarNet Insurance Company	502746	Agent - Property	3/26/2010	12/14/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Programs Of Connecticut, Inc	557086	Agent - Property	6/8/2011	10/13/2016
Inactive	Willis Programs Of Connecticut, Inc	557086	Agent - Casualty	6/8/2011	10/13/2016
Inactive	Willis Programs Of Connecticut, Inc	557086	Surplus Lines Broker - Not Applicable	9/26/2013	3/31/2018