DEPARTMENT OF INSURANCE
Insurer Details
NAMEFairmont Specialty Insurance Company
DOI ID300980
FEIN #741280541
ALIEN #
State of DomicileCA
Domicile Country
Merged IntoTIG Insurance Company
NAIC #24384
NAIC Group #158
Entity TypeInsurer
Admitted12/31/1980
AM Best Rating
President
Process AgentCT Corporation System
Date Assigned : 7/1/2008
(See address table below for process agent address)

Authorized Insurer – these insurers are authorized to do the business of insurance by holding a Kentucky Certificate of Authority. Provides insurance coverage.
TypeAddress
Agent Licensing Address250 Commercial Street Suite 5000 Manchester, NH 03101
Agent Licensing Address250 Commercial Street Suite 5000 Manchester, NH 03101
Annual Statement250 Commercial Street Suite 5000 Manchester, NH 03101
Catastrophe/Disaster Coordinator Address250 Commercial Street Suite 5000 Manchester, NH 03101
Claim Information Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Company Licenses/Fee Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Consumer Complaint250 Commercial Street Suite 5000 Manchester, NH 03101
Deposits Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Local Domestic/Foreign State Contact Address250 Commerical Street Street 5000 Manchester, NH 03101
Mailing250 Commercial Street Suite 5000 Manchester, NH 03101
Managing General Agent250 Commercial Street Street 5000 Manchester, NH 03101
P & C Form and Rate Filing250 Commercial Street Suite 5000 Manchester, NH 03101
Policyholder Information Contact Address250 Commercial Street Suite 5000 Manchester, NH 03101
Premium Tax AddressFairfax Tax Services 2850 lake Vista Drive Suite 150 Lewisville, TX 75067
Process Agent306 West Main Street Suite 512 Frankfort, KY 40601
Regulatory Compliance/Gvmt Relations Contact Address250 Commercial Street Street 5000 Manchester, NH 03101
Statutory Home Officec/o RiverStone Resources LLC, 8880 Rio San Diego Dr. Suite 510 San Diego, CA 92108
TypeNumber
Business / Home Office(603) 656-2233
Deposits Contact - Other(603) 656-2577
P & C Form and Rate Filing - Other(603) 656-2344
Local Office in Domestic/Foreign State Contact - Other(603) 656-2344
Managing General Agent - Other(603) 656-2344
Regulatory Compliance/Gvmt Relations Contact - Other(603) 656-2344
Policyholder Information Contact - Other(603) 656-2432
Catastrophe/Disaster Coordination Contact - Other(603) 656-2259
Claim Information Contact - Other(603) 656-2432
Company Licenses/Fees Contact - Other(603) 656-2344
Consumer Complaint - Other(678) 504-4553
Licensing - Agent Licensing Phone(678) 504-4553
Annual Statement - Annual Statement(603) 656-2233
Premium Tax Contact - Premium Tax (972) 318-6594
TypeInternet Information
Annual Statement - Business EmailLaura_Chabot@trg.com
Licensing - Business EmailBenson_Jeffress@trg.com
Managing General Agent - Business EmailBrenda_Van_Hirtum@trg.com
Local Office in Domestic/Foreign State Contact - Business EmailBrenda_Van_Hirtum@trg.com
Regulatory Compliance/Gvmt Relations Contact - Business EmailBrenda_Van_Hirtum@trg.com
Policyholder Information Contact - Business EmailMichael_Owens@trg.com
Premium Tax Contact - Business Emaildwhitaker@fairfaxtax.net
Consumer Complaint - Business EmailComplaints.TRG@trg.com
Catastrophe/Disaster Coordination Contact - Business EmailKaren_Myers@trg.com
Claim Information Contact - Business EmailMichael_owens@trg.com
Company Licenses/Fees Contact - Business EmailBrenda_Van_Hirtum@trg.com

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