DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dillingham, Adam A	DOIID	810795	NAIC NPN	14563115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/22/2013		4/30/2025
Active	Non Resident	Agent	Property	5/22/2013		4/30/2025
* 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	American Agri-Business Insurance Company	634731	Agent - Casualty	12/28/2020	3/18/2024
Inactive	American Agri-Business Insurance Company	634731	Agent - Property	12/28/2020	3/18/2024
Inactive	CGB Insurance Company	559048	Agent - Casualty	2/10/2014	12/28/2020
Inactive	CGB Insurance Company	559048	Agent - Property	2/10/2014	12/28/2020
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	6/11/2013	11/25/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	6/11/2013	11/25/2015
Inactive	Technology Insurance Company	613278	Agent - Casualty	3/28/2019	5/20/2022
Inactive	Technology Insurance Company	613278	Agent - Property	3/28/2019	5/20/2022
Inactive	Triangle Insurance Company, Inc.	883488	Agent - Casualty	2/19/2016	5/22/2018
Inactive	Triangle Insurance Company, Inc.	883488	Agent - Property	2/19/2016	5/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CGB Diversified Services Inc.	510810	Agent - Property	9/24/2018	7/15/2021
Inactive	CGB Diversified Services Inc.	510810	Agent - Casualty	9/24/2018	7/15/2021