Agency Information

GILLMAN INS INC

11175 CICERO DR

ALPHARETTA, GA 30022-1179

678-822-0143

ed@gillmanins.com

2968263

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	666665	09/17/2009	Active	09/17/2009	09/30/2024

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/17/2009	Active	09/17/2009
Property	09/17/2009	Active	09/17/2009

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	08/15/2017
	Property	Active	08/15/2017
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	08/15/2017
	Property	Active	08/15/2017
109340
Company Name	Appointment Type	Status	Active Date
PARK NATIONAL INSURANCE COMPANY	Casualty	Active	08/15/2017
	Property	Active	08/15/2017
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	08/15/2017
	Property	Active	08/15/2017
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	08/15/2017
	Property	Active	08/15/2017
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	08/15/2017
	Property	Active	08/15/2017
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	08/15/2017
	Property	Active	08/15/2017

row(s) 1 - 14 of 14

Name	Association Type	Agent	Begin Date	End Date
EDWARD W GILLMAN	Designated Resp Lic Prdcr	Yes	02/13/2021	-

1 - 1