Agency Information

ALLY RISK SERVICES, INC

500 WOODWARD AVE, 14TH FLOOR

DETROIT, MI 48226

248-263-6912

insurancelicensing@ally.com

654406

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	9186	10/01/2001	Active	10/01/2001	06/30/2024
Non-Res. Surplus Lines Broker	763981	07/19/2011	Active	07/19/2011	07/31/2023

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Surplus Lines	07/19/2011	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
476
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA	Life	Active	11/02/2021
152
Company Name	Appointment Type	Status	Active Date
CIM INSURANCE CORPORATION	Casualty	Active	06/08/2000
306
Company Name	Appointment Type	Status	Active Date
HARCO NATIONAL INSURANCE COMPANY	Casualty	Active	09/28/2017
	Property	Active	09/28/2017
1122
Company Name	Appointment Type	Status	Active Date
MIC PROPERTY AND CASUALTY INSURANCE CORPORATION	Casualty	Active	06/08/2000
	Property	Active	03/01/2010
428
Company Name	Appointment Type	Status	Active Date
MOTORS INSURANCE CORPORATION	Casualty	Active	06/08/2000
795
Company Name	Appointment Type	Status	Active Date
TALCOTT RESOLUTION LIFE INSURANCE COMPANY	Health	Active	02/12/2002
	Life	Active	02/12/2002

row(s) 1 - 9 of 9

Name	Association Type	Agent	Begin Date	End Date
GARY LEE FOLTZ	Designated Resp Lic Prdcr	Yes	05/05/2020	-

1 - 1