Individual Information

STEVEN FOLLOS

BENNINGTON, VT 05201-2894

Active

sfollos@cpg.org

07/23/2014

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	966461	07/23/2014	Active	07/23/2014	07/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/23/2014	Active	07/23/2014
Health	07/23/2014	Active	07/23/2014
Life	07/23/2014	Active	07/23/2014
Property	07/23/2014	Active	07/23/2014

Company Name	Appointment Type	Status	Active Date
797
CHURCH INSURANCE COMPANY	Casualty	Active	05/14/2018
	Property	Active	05/14/2018
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	09/03/2014
	Property	Active	09/03/2014
1125
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ASSURANCE COMPANY	Casualty	Active	09/03/2014
	Property	Active	09/03/2014
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	09/03/2014
	Health	Active	10/18/2018
	Property	Active	09/03/2014
65
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK	Casualty	Active	09/03/2014
	Property	Active	09/03/2014
11243
Company Name	Appointment Type	Status	Active Date
MANUFACTURERS ALLIANCE INSURANCE COMPANY	Casualty	Active	07/15/2016
	Property	Active	07/15/2016
807
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE	Casualty	Active	07/15/2016
	Property	Active	07/15/2016
11244
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY	Casualty	Active	07/15/2016
	Property	Active	07/15/2016

row(s) 1 - 17 of 17

Organization	Association Type	Type	Beg dte	End dte
THE CHURCH INSURANCE AGENCY CORPORATION	Designated Resp Lic Prdcr	Agency	07/20/2020	-

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