black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASCENSION RISK & INSURANCE SERVICES, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN514545
Status:
First Licensure:
05/02/2025
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 05/02/2025 04/01/2027

Employer

None.

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
COURTNEY LYNNE KOLENDA
05/02/2025 PRN323398
LAURA MAKENZIE MOORE
05/19/2025 PRN424288

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):
20621979

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: 10/07/2025 11:40:58 PM