DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Eric G	DOIID	341995	NAIC NPN	7187939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	11/23/1987	7/31/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Bassett Services Inc.	401196	Adjuster - Independent	2/25/2002	7/31/2004
Inactive	Indiana Insurance Company	301909	Adjuster - Independent	11/23/1987	7/31/2004