DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Adam Marshall	DOIID	624763	NAIC NPN	8693035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/3/2009	10/7/2015
Inactive	Non Resident	Agent	Casualty	9/3/2009	10/7/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/7/2006	7/31/2008
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/7/2006	7/31/2008
Inactive	Essentia Insurance Company	300342	Agent - Casualty	9/17/2013	6/2/2015
Inactive	Essentia Insurance Company	300342	Agent - Property	9/17/2013	6/2/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	2/2/2007	4/16/2009
Inactive	Hagerty Ins Agency LLC	541031	Agent - Casualty	2/2/2007	4/16/2009