Agency Information

AMANDA COTHRAN CARROLL INSURANCE AGENCY, INC.

Address:

8253 SIERRA AVE STE 101

FONTANA, CA 92335

Phone

909-875-0992

URL:

Email:

amanda.cothran.ul6f@statefarm.com

National Producer Number:

17677577

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3937590	09/08/2023	Active	09/08/2023	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/08/2023	Active	09/08/2023
Health	09/08/2023	Active	09/08/2023
Life	09/08/2023	Active	09/08/2023
Property	09/08/2023	Active	09/08/2023

Company Name	Appointment Type	Status	Active Date
613
STATE FARM FIRE & CASUALTY COMPANY	Casualty	Active	09/13/2023
	Property	Active	09/13/2023
615
Company Name	Appointment Type	Status	Active Date
STATE FARM LIFE INSURANCE COMPANY	Life	Active	09/13/2023
616
Company Name	Appointment Type	Status	Active Date
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY	Casualty	Active	09/13/2023
	Health	Active	09/13/2023
	Property	Active	09/13/2023

row(s) 1 - 6 of 6

Name	Association Type	Agent	Begin Date	End Date
AMANDA COTHRAN CARROLL	Designated Resp Lic Prdcr	No	09/08/2023	-

1 - 1