Agency Information

EVERSPORTS & ENTERTAINMENT INSURANCE INC.

11711 N MERIDIAN ST STE 800

CARMEL, IN 46032

317-853-7050

tmoore@specialtyinsurancegroup.com

16924430

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	874484	04/08/2013	Active	04/08/2013	04/30/2025
Non-Res. Surplus Lines Broker	879291	05/06/2013	Active	05/06/2013	05/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/08/2013	Active	04/08/2013
Health	04/29/2014	Active	04/29/2014
Life	04/29/2014	Active	04/29/2014
Property	04/08/2013	Active	04/08/2013
Surplus Lines	05/06/2013	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1163
AXIS INSURANCE COMPANY	Health	Active	08/22/2014
970
Company Name	Appointment Type	Status	Active Date
BEAZLEY INSURANCE COMPANY INC	Casualty	Active	11/22/2017
	Property	Active	11/22/2017
143341
Company Name	Appointment Type	Status	Active Date
EVEREST DENALI INSURANCE COMPANY	Casualty	Active	02/18/2020
	Property	Active	02/18/2020
1345
Company Name	Appointment Type	Status	Active Date
EVEREST NATIONAL INSURANCE COMPANY	Casualty	Active	06/13/2016
	Property	Active	06/13/2016
143384
Company Name	Appointment Type	Status	Active Date
EVEREST PREMIER INSURANCE COMPANY	Casualty	Active	02/18/2020
	Property	Active	02/18/2020
692
Company Name	Appointment Type	Status	Active Date
UNITED STATES FIRE INSURANCE COMPANY	Casualty	Active	01/24/2014
	Property	Active	01/24/2014

row(s) 1 - 11 of 11

Name	Association Type	Agent	Begin Date	End Date
DAVID NIKOLAI	Designated Resp Lic Prdcr	Yes	06/17/2020	-

1 - 1