DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrillo, Eric P	DOIID	753479	NAIC NPN	16209572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	5/3/2011	11/30/2012
Inactive	Non Resident	Independent Adjuster	Property & Casualty	1/16/2014	11/30/2024
* 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	Essentia Insurance Company	300342	Agent - Personal Lines	6/1/2011	11/30/2012

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 - Personal Lines	6/1/2011	11/30/2012
Inactive	Hagerty Ins Agency LLC	541031	Independent Adjuster - Property & Casualty	7/14/2016	11/30/2024