black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CRESTONE RISK & INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN418295
Status:
First Licensure:
05/11/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
100 OTTAWA AVE SW
GRAND RAPIDS, MI 49503-5087
Mailing:
PO BOX 1788
GRAND RAPIDS, MI 49501-1788
Phone:
+1 (800) 748-0351
Fax:
+1 (800) 847-3129
Email:
insurancelicensing@acrisure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/11/2022 04/01/2027

Alias, DBA or Trade Name

Name
MICHAUD ROWE & RUSCAK INSURANCE ASSOCIATES

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
05/19/2023 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
05/19/2023 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
05/19/2023 PCF937
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
05/24/2023 PCF445
THE HANOVER AMERICAN INSURANCE COMPANY
05/19/2023 PCF197298
THE HANOVER INSURANCE COMPANY
05/19/2023 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
05/19/2023 PCF505
NATIONWIDE AFFINITY INSURANCE COMPANY OF AMERICA
12/03/2024 PCF34188
VERLAN FIRE INSURANCE COMPANY
05/19/2023 PCF161934
VERMONT MUTUAL INSURANCE COMPANY
08/08/2023 PCF37 02/18/2025

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
COURTNEY LYNNE KOLENDA
05/11/2022 PRN323398

Branch Office

Name Issue Date License Number Expiration Date Cancel Date
CRESTONE RISK & INSURANCE SERVICES, LLC (NORTH ANDOVER, MA)
08/04/2023 BRN458851

Supervised Entity

None.

Responsible Individual

Name License Number
COURTNEY LYNNE KOLENDA PRN323398

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20124167

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: 05/15/2025 01:50:40 AM