black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ACRISURE SOUTHEAST SPECIALTY INSURANCE AGENCY, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN356958
Status:
First Licensure:
07/21/2020
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 07/21/2020 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CONTRACTORS INDEMNITY COMPANY
05/14/2021 PCF81110
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
SECURITY NATIONAL INSURANCE COMPANY
11/18/2020 PCF189490
SELECTIVE INSURANCE COMPANY OF NEW YORK
06/18/2021 PCF437 10/18/2023
SEQUOIA INSURANCE COMPANY
11/18/2020 PCF128467
TECHNOLOGY INSURANCE COMPANY INC
11/18/2020 PCF136874
UNITED STATES SURETY COMPANY
05/14/2021 PCF115462
US SPECIALTY INSURANCE COMPANY
05/14/2021 PCF31516
WESCO INSURANCE COMPANY
11/18/2020 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
COURTNEY LYNNE KOLENDA
07/21/2020 PRN323398

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
COURTNEY LYNNE KOLENDA PRN323398

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19450427

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 06:13:48 PM