DEPARTMENT OF INSURANCE

Affiliations

Name	GNW-Evergreen Ins Services LLC	DOIID	738826	NAIC NPN	7906109

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Life
Denied	Non Resident	Agent	Health
Inactive	Non Resident	Agent	Property	10/5/2010	6/24/2014
Inactive	Non Resident	Agent	Casualty	10/5/2010	6/24/2014
* 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	AIG Property Casualty Company	300621	Agent - Casualty	10/19/2010	6/24/2014
Inactive	AIG Property Casualty Company	300621	Agent - Property	10/19/2010	6/24/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/2/2013	6/24/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/2/2013	6/24/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/2/2013	6/24/2014
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/25/2011	6/24/2014
Inactive	Federal Insurance Company	301144	Agent - Property	8/25/2011	6/24/2014
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/4/2013	4/1/2014
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	10/4/2013	4/1/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	5/2/2013	6/24/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/2/2013	6/24/2014
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	7/22/2011	6/24/2014
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	7/22/2011	6/24/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/2/2013	6/24/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/2/2013	6/24/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/2/2013	6/24/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/2/2013	6/24/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	5/2/2013	6/24/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/2/2013	6/24/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/2/2013	6/24/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/2/2013	6/24/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/2/2013	6/24/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/12/2012	3/24/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/12/2012	3/24/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	5/2/2013	6/24/2014
Inactive	West American Insurance Company	301112	Agent - Property	5/2/2013	6/24/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Newman, Jeffrey Scott	543518	Agent - Casualty	10/5/2010	6/24/2014
Inactive	Newman, Jeffrey Scott	543518	Agent - Property	10/5/2010	6/24/2014