DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Teresa	DOIID	628204	NAIC NPN	6566423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/20/2006		1/31/2025
Active	Non Resident	Agent	Casualty	3/20/2006		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/7/2006		1/31/2025
* 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	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	12/15/2015
Active	ACE American Insurance Company	300625	Agent - Property	12/15/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/15/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/15/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/15/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/15/2015
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	12/15/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	12/15/2015
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/2/2023
Active	Fireman's Fund Insurance Company	301423	Agent - Property	5/2/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/15/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	12/15/2015
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	12/15/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	12/15/2015
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	12/15/2015
Active	Westchester Fire Insurance Company	300990	Agent - Property	12/15/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	2/3/2020
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	2/3/2020
Active	Willis Towers Watson Southeast Inc	399919	Surplus Lines Broker - Not Applicable	2/3/2020
Inactive	Willis of North Carolina, Inc.	558918	Agent - Property	12/15/2015	1/16/2020
Inactive	Willis of North Carolina, Inc.	558918	Agent - Casualty	12/15/2015	1/16/2020
Inactive	Willis of North Carolina, Inc.	558918	Surplus Lines Broker - Not Applicable	5/4/2006	7/8/2020