DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Laskowski, Samuel	DOIID	929605	NAIC NPN	17797600

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/16/2016	7/12/2018
Inactive	Non Resident	Agent	Property	9/16/2016	7/12/2018
* 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	Consolidated Insurance Company	300943	Agent - Casualty	10/20/2016	6/4/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/20/2016	6/4/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/20/2016	6/4/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	10/20/2016	6/4/2018
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	10/13/2016	7/12/2018
Inactive	Midvale Indemnity Company	300292	Agent - Property	10/13/2016	7/12/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/20/2016	6/4/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/20/2016	6/4/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/20/2016	6/4/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/20/2016	6/4/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/20/2016	6/4/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	10/20/2016	6/4/2018
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/11/2016	7/12/2018
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/11/2016	7/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	10/12/2016	7/12/2018
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	10/12/2016	7/12/2018