DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Brock	DOIID	836143	NAIC NPN	17218527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	5/8/2014	5/31/2025
Active	Resident	Agent	Casualty	3/27/2014	5/31/2025
Active	Resident	Agent	Property	3/25/2014	5/31/2025
Denied	Resident	Agent	Health
Denied	Resident	Surplus Lines Broker	Not Applicable
* 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	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/1/2014	5/1/2017
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/10/2017
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/10/2017
Active	Acadia Insurance Company	557871	Agent - Casualty	3/15/2023
Active	Acadia Insurance Company	557871	Agent - Property	3/15/2023
Active	Addison Insurance Company	874810	Agent - Casualty	10/12/2021
Active	Addison Insurance Company	874810	Agent - Property	10/12/2021
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	7/2/2019
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/14/2016	10/22/2020
Active	Berkley National Insurance Company	515028	Agent - Casualty	4/20/2015
Active	Berkley National Insurance Company	515028	Agent - Property	4/20/2015
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	4/20/2015
Active	Berkley Regional Insurance Company	300920	Agent - Property	4/20/2015
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	8/18/2022
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	7/8/2016	12/10/2019
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	6/5/2014
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	6/5/2014
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	6/5/2014
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	6/5/2014
Active	Cincinnati Insurance Company	301298	Agent - Casualty	6/5/2014
Active	Cincinnati Insurance Company	301298	Agent - Property	6/5/2014
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Active	Continental Western Insurance Company	300576	Agent - Casualty	3/15/2023
Active	Continental Western Insurance Company	300576	Agent - Property	3/15/2023
Inactive	EMC National Life Company	300388	Agent - Life	9/28/2016	8/16/2019
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	11/3/2016	11/2/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	11/3/2016	11/2/2020
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	5/22/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	5/22/2018
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	11/3/2016	11/2/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	11/3/2016	11/2/2020
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/1/2014	5/1/2017
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/1/2014	5/1/2017
Active	FCCI Insurance Company	557454	Agent - Casualty	2/7/2022
Active	FCCI Insurance Company	557454	Agent - Property	2/7/2022
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	3/15/2023
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	3/15/2023
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	9/27/2019
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	9/27/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/17/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Property	6/17/2015
Active	Grange Insurance Company	300234	Agent - Casualty	6/17/2015
Active	Grange Insurance Company	300234	Agent - Property	6/17/2015
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/18/2023
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/18/2023
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	5/20/2014	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	5/20/2014	12/18/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	11/3/2016	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	11/3/2016	12/15/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/14/2021	7/25/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/14/2021	7/25/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/22/2019	7/25/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/22/2019	7/25/2023
Active	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/21/2021
Active	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/21/2021
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	8/29/2023
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Property	8/29/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2023
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2023
Active	Insurance Company of the West	301520	Agent - Casualty	1/28/2021
Active	Insurance Company of the West	301520	Agent - Property	1/28/2021
Active	LM Insurance Corporation	301061	Agent - Casualty	9/27/2019
Active	LM Insurance Corporation	301061	Agent - Property	9/27/2019
Active	Liberty Insurance Corporation	300444	Agent - Casualty	9/27/2019
Active	Liberty Insurance Corporation	300444	Agent - Property	9/27/2019
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/22/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/22/2018
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/6/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Property	7/6/2022
Active	Monroe Guaranty Insurance Company	300771	Agent - Casualty	2/7/2022
Active	Monroe Guaranty Insurance Company	300771	Agent - Property	2/7/2022
Active	National Trust Insurance Company	300367	Agent - Casualty	2/7/2022
Active	National Trust Insurance Company	300367	Agent - Property	2/7/2022
Inactive	Nutmeg Insurance Company	751698	Agent - Casualty	10/11/2021	7/25/2023
Inactive	Nutmeg Insurance Company	751698	Agent - Property	10/11/2021	7/25/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/19/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/19/2020
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/22/2019
Active	Ohio Security Insurance Company	300622	Agent - Property	4/22/2019
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	7/14/2017
Active	StarNet Insurance Company	502746	Agent - Casualty	4/20/2015
Active	StarNet Insurance Company	502746	Agent - Property	4/20/2015
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	5/22/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	5/22/2020
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	3/15/2023
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Property	3/15/2023
Active	Trustgard Insurance Company	300104	Agent - Casualty	6/17/2015
Active	Trustgard Insurance Company	300104	Agent - Property	6/17/2015
Active	Union Insurance Company	547433	Agent - Casualty	3/15/2023
Active	Union Insurance Company	547433	Agent - Property	3/15/2023
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	11/3/2016	11/2/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	11/3/2016	11/2/2020
Active	United Fire & Casualty Company	301374	Agent - Casualty	10/12/2021
Active	United Fire & Casualty Company	301374	Agent - Property	10/12/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/10/2017
Active	West Bend Insurance Company	672974	Agent - Casualty	9/4/2015
Active	West Bend Insurance Company	672974	Agent - Property	9/4/2015
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	6/25/2016
Active	Westfield Insurance Company	301950	Agent - Property	6/25/2016
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Casualty	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Property	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions Agency Llc	961527	Agent - Life	9/8/2017	3/31/2021
Inactive	Epic Ins Solutions LLC	802896	Agent - Casualty	5/20/2014	3/5/2019
Inactive	Epic Ins Solutions LLC	802896	Agent - Property	5/20/2014	3/5/2019
Denied	Epic Ins Solutions LLC	802896	Agent - Life
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Casualty	11/12/2018	5/19/2021
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Property	11/12/2018	5/19/2021
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	11/12/2018	5/19/2021
Active	Foundation Risk Partners, Corp.	1026722	Agent - Casualty	6/4/2021
Active	Foundation Risk Partners, Corp.	1026722	Agent - Property	6/4/2021
Active	Foundation Risk Partners, Corp.	1026722	Agent - Life	6/4/2021
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Casualty	6/23/2014	8/18/2016
Inactive	Hayes Utley & Assoc Inc.	399093	Agent - Property	6/23/2014	8/18/2016
Denied	Hayes Utley & Assoc Inc.	399093	Agent - Life