DEPARTMENT OF INSURANCE

Affiliations

Name	Burlingame, Angela M	DOIID	911490	NAIC NPN	8985993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/1/2016	8/31/2026
Active	Non Resident	Agent	Property	4/1/2016	8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/12/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/12/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/8/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/8/2016	11/14/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/6/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/6/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	4/27/2016
Active	Homesite Insurance Company	301139	Agent - Property	4/27/2016
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017
Active	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/25/2023
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	4/7/2016
Active	Progressive Direct Insurance Company	301379	Agent - Property	4/7/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	4/14/2016	11/10/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	4/14/2016	11/10/2022
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	5/9/2016	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	5/9/2016	11/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/8/2016
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/8/2016