black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

RACHAEL M. GONZALEZ

PRODUCER NON-RESIDENT

License Number:
PRN205512
Status:
First Licensure:
07/19/2012
Cancel Date:
None

Mailing:
SOUTHINGTON, CT 06489
Phone:
+1 (860) 628-8276
Fax:
+1 (860) 628-8276
Email:
rachaelg@boltinc.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/19/2012

Agency

Name Issue Date License Number Expiration Date Cancel Date
BUSINESS OWNERS LIABILITY TEAM LLC
07/19/2012 AGN170901 03/07/2018

Employer

Name Issue Date License Number Expiration Date Cancel Date
MAIN STREET AMERICA PROTECTION INSURANCE COMPANY
04/19/2016 PCF235440
MIDVALE INDEMNITY COMPANY
10/24/2014 PCF79410
NGM INSURANCE COMPANY
07/03/2013 PCF86

Authority

Description Issue Date Termination Date Status
CASUALTY 07/19/2012 Active
PROPERTY 07/19/2012 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2320406

Other Addresses

Address Type
SOUTHINGTON, CT 06489
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: 05/22/2025 03:03:52 PM