DEPARTMENT OF INSURANCE

Name	Evergreen/Uni LLC	DOIID	836441	NAIC NPN	17211821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Property	10/10/2022		3/31/2026
Active	Non Resident	Agent	Casualty	10/10/2022		3/31/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	6150 Oak Tree Blvd Ste 440 Independence, OH 441316917

Phone Information

Type	Phone
Business / Home Office	(440) 229-3407