Individual Information

DEVON TOLLEY

Address:

OREM, UT 84057-3510

Status:

Active

Email:

dtolley@tesla.com

Date:

12/20/2018

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3403213	12/20/2018	Active	12/20/2018	12/31/2027
Non-Res. Motor Club Agt/Agy	3409618	01/22/2019	Active	01/22/2019	01/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/20/2018	Active	12/20/2018
Motor Club	01/22/2019	Active	01/22/2019
Property	12/20/2018	Active	12/20/2018

Company Name	Appointment Type	Status	Active Date
98401
TESLA GENERAL INSURANCE, INC.	Casualty	Active	02/11/2025
	Property	Active	02/11/2025

row(s) 1 - 2 of 2

Organization	Association Type	Type	Beg dte	End dte
TESLA INS SERVICES INC	Designated Resp Lic Prdcr	Agency	03/05/2024	-

1 - 1