DEPARTMENT OF INSURANCE

Affiliations

Name	Mendoza, Adam	DOIID	1198697	NAIC NPN	20296079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/12/2022	5/31/2025
Active	Non Resident	Agent	Casualty	4/12/2022	5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/21/2023	12/5/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/21/2023	12/5/2023
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	4/20/2022	3/14/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/20/2022	3/14/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Property	4/20/2022	3/14/2023
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/20/2022	3/14/2023
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Property	4/20/2022	3/14/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/20/2022	12/5/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/20/2022	12/5/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	4/20/2022	12/5/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Property	4/20/2022	12/5/2023
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/20/2022	3/14/2023
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	4/20/2022	3/14/2023
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/20/2022	3/14/2023
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	4/20/2022	3/14/2023
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	4/20/2022	3/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	4/20/2022	12/5/2023
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	4/20/2022	12/5/2023