Company Information

EVERGREEN NATIONAL INDEMNITY COMPANY

Address:

6150 Oak Tree Blvd., Ste 440

Independence, OH 4-4131

Phone

440-229-3420

URL:

Email:

NAIC ID:

12750

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Property and Casualty Insurer	1711	08/18/1998	Active	08/18/1998	Ohio

Authorized Line	Status	Effective Date	Reinsurer
Property	Approved	08/18/1998	No
Marine and Transportation	Approved	08/18/1998	No
Casualty	Approved	08/18/1998	No
Surety	Approved	08/18/1998	No

Agency Name	Status	Active Date	Appointment
113127
DEPOSIT CHOICE LLC	Active	01/16/2019	Casualty
	Active	01/16/2019	Property
126260
Agency Name	Status	Active Date	Appointment
EVERGREEN UNI LLC	Active	11/08/2022	Casualty
	Active	11/08/2022	Property

row(s) 1 - 4 of 4

Agent Name	Status	Active Date	Appointment
688268
BOWERS, JULIE K	Active	04/22/2008	Casualty
	Active	04/22/2008	Property
1286252
Agent Name	Status	Active Date	Appointment
ELSTON, DEREK JAMES	Active	06/21/2017	Casualty
	Active	06/21/2017	Property
1415205
Agent Name	Status	Active Date	Appointment
ENGEL, AMBER	Active	07/10/2019	Casualty
	Active	07/10/2019	Property
50297
Agent Name	Status	Active Date	Appointment
FENNELL, JANICE M	Active	06/21/2017	Casualty
	Active	06/21/2017	Property
1369750
Agent Name	Status	Active Date	Appointment
FRANCIS, HANNAH ELIZABETH	Active	12/21/2018	Casualty
	Active	12/21/2018	Property
1527189
Agent Name	Status	Active Date	Appointment
HAMBY, ANN BAKER	Active	03/27/2019	Casualty
	Active	03/27/2019	Property
82534
Agent Name	Status	Active Date	Appointment
HERROD, MICHAEL JOHN	Active	08/29/2011	Casualty
	Active	08/29/2011	Property
1418169
Agent Name	Status	Active Date	Appointment
HUA, MY	Active	05/03/2019	Casualty

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