DEPARTMENT OF INSURANCE

Affiliations

Name	Burnett, Adrian	DOIID	1172787	NAIC NPN	19428427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	11/16/2021	7/31/2023
Inactive	Non Resident	Agent	Casualty	11/16/2021	7/31/2023
* 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	Allstate Indemnity Company	300778	Agent - Casualty	12/1/2022	7/7/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	12/1/2022	7/7/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	12/1/2022	7/7/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	12/1/2022	7/7/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	12/1/2022	7/7/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	12/1/2022	7/7/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	12/1/2022	7/7/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	12/1/2022	7/7/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/9/2023	6/26/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/9/2023	6/26/2023
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	11/19/2021	7/12/2023
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	11/19/2021	7/12/2023
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	11/19/2021	7/12/2023
Inactive	CSAA General Insurance Company	606675	Agent - Property	11/19/2021	7/12/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2022	6/26/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2022	6/26/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/5/2022	7/5/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/5/2022	7/5/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/5/2022	7/5/2023
Inactive	Grange Insurance Company	300234	Agent - Property	12/5/2022	7/5/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/5/2022	7/5/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/5/2022	7/5/2023
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/5/2022	7/5/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/5/2022	7/5/2023
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	12/13/2021	3/22/2023
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	12/13/2021	3/22/2023
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	12/13/2021	3/22/2023
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	12/13/2021	3/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Polly Insurance Agency, LLC	992125	Agent - Casualty	11/24/2021	6/21/2023
Inactive	Polly Insurance Agency, LLC	992125	Agent - Property	11/24/2021	6/21/2023