black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ANNETTE ROSANNE UGALDE

PRODUCER NON-RESIDENT

License Number:
PRN165329
Status:
First Licensure:
04/10/2009
Cancel Date:
None

Mailing:
IRVINE, CA 92612
Phone:
+1 (562) 345-4622
Fax:
+1 (800) 598-9348
Email:
licensing@aisinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/10/2009

Agency

Name Issue Date License Number Expiration Date Cancel Date
POLISEEK AIS INSURANCE SOLUTIONS INC
04/10/2009 AGN136418

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
06/13/2018 PCF216138 05/06/2022
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
06/13/2018 PCF223935 05/06/2022
AMCO INSURANCE COMPANY
06/13/2018 PCF223938 05/06/2022
AMERICAN MODERN HOME INSURANCE COMPANY
01/10/2011 PCF808 12/13/2023
AMERICAN MODERN SELECT INSURANCE COMPANY
01/10/2011 PCF123448 10/28/2021
AMERICAN STRATEGIC INSURANCE CORP
09/17/2024 PCF258492
BRISTOL WEST INSURANCE COMPANY
01/03/2019 PCF78370
DAIRYLAND INSURANCE COMPANY
04/07/2014 PCF721
DEPOSITORS INSURANCE COMPANY
06/13/2018 PCF223940 05/06/2022
FARMERS CASUALTY INSURANCE COMPANY
03/05/2021 PCF895
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
03/23/2011 PCF714 04/29/2020
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
08/04/2020 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
10/18/2010 PCF445
INFINITY INSURANCE COMPANY
03/29/2011 PCF72865 03/01/2024
KEMPER INDEPENDENCE INSURANCE COMPANY
03/16/2021 PCF94586 02/06/2024
NATIONAL INTERSTATE INSURANCE COMPANY
03/29/2011 PCF73883 11/12/2013
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
06/13/2018 PCF151937 05/06/2022
NATIONWIDE ASSURANCE COMPANY
10/05/2021 PCF38952 05/06/2022
NATIONWIDE GENERAL INSURANCE COMPANY
08/28/2018 PCF30 05/06/2022
NATIONWIDE INSURANCE COMPANY OF AMERICA
10/05/2021 PCF422 05/06/2022
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
08/28/2018 PCF31 05/06/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
06/13/2018 PCF32 05/06/2022
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
10/05/2021 PCF151089 05/06/2022
PROGRESSIVE NORTHERN INSURANCE COMPANY
12/02/2010 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
12/02/2010 PCF27738
RLI INSURANCE COMPANY
03/09/2011 PCF695 01/15/2026
UNITRIN SAFEGUARD INSURANCE COMPANY
03/16/2021 PCF167010 02/06/2024

Authority

Description Issue Date Termination Date Status
CASUALTY 04/10/2009 Active
PROPERTY 04/10/2009 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3409159

Other Addresses

Address Type
IRVINE, CA 92612
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 04/24/2026 12:22:14 PM