DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nordby-Gaulin, Dawn M	DOIID	610060	NAIC NPN	5782724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/9/2005		3/31/2028
Active	Non Resident	Agent	Casualty	6/9/2005		3/31/2028
* 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	01/15/2026	03/31/2026	02/15/2026	02/15/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amica Mutual Insurance Company	301405	Agent - Casualty	6/16/2005
Active	Amica Mutual Insurance Company	301405	Agent - Property	6/16/2005
Active	Amica Property and Casualty Insurance Company	962874	Agent - Casualty	4/20/2018
Active	Amica Property and Casualty Insurance Company	962874	Agent - Property	4/20/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/4/2012	7/14/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/4/2012	7/14/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/18/2008	10/5/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/18/2008	10/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amica General Agency, LLC	509383	Agent - Property	6/29/2007
Active	Amica General Agency, LLC	509383	Agent - Casualty	6/29/2007