Agency Information

COUNTERPART, INC.

Address:

440 N. BARRANCA AVE. #7008

COVINA, CA 91723

Phone

310-845-6833

URL:

Email:

tanner@yourcounterpart.com

National Producer Number:

19374834

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3871141	01/31/2023	Active	01/31/2023	01/31/2026
Non-Res. Producer Firm	3508460	12/23/2019	Active	12/23/2019	12/31/2025
Non-Res. Surplus Lines Broker	3514895	01/21/2020	Active	01/21/2020	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	01/31/2023	Active	01/31/2023
Casualty	12/23/2019	Active	12/23/2019
Property	12/23/2019	Active	12/23/2019
Surplus Lines	01/21/2020	Active	01/21/2020

Company Name	Appointment Type	Status	Active Date
725
WESTFIELD INSURANCE COMPANY	Casualty	Active	04/23/2025
	Property	Active	04/23/2025
167282
Company Name	Appointment Type	Status	Active Date
WESTFIELD SELECT INSURANCE COMPANY	Casualty	Active	04/23/2025
	Property	Active	04/23/2025

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
ERIC JASON MARLER	Designated Resp Lic Adjuster	No	01/31/2023	-
TANNER KENNETH HACKETT	Designated Resp Lic Prdcr	Yes	04/08/2020	-

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