Search → EVERGREEN NATIONAL INDEMNITY COMPANY
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
EVERGREEN NATIONAL INDEMNITY COMPANY
INSURANCE COMPANY
License Number:
PCF96999
Status:
First Licensure:
07/21/2003
Cancel Date:
None
Renewal Date:
08/10/2026
NAIC Code:
Street Location:
6150 OAK TREE BLVD STE 440
INDEPENDENCE, OH 44131-6917
INDEPENDENCE, OH 44131-6917
Mailing:
6150 OAK TREE BLVD STE 440
INDEPENDENCE, OH 44131-6917
INDEPENDENCE, OH 44131-6917
Phone:
+1 (440) 229-3420
Fax:
+1 (440) 229-3421
Email:
regulatory@evergreen-national.com
| License Type | Start Date | End Date |
|---|---|---|
| INSURANCE COMPANY | 07/21/2003 | 08/10/2026 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| TIMOTHY M. AYER |
08/15/2003 | PRN47349 | ||
| JULIE K. BOWERS |
12/09/2008 | PRN151970 | ||
| DEPOSIT CHOICE LLC |
01/16/2019 | AGN181200 | ||
| DEREK JAMES ELSTON |
06/21/2017 | PRN276099 | ||
| AMBER ENGEL |
07/10/2019 | PRN302804 | ||
| EVERGREEN/UNI LLC |
11/08/2022 | AGN230440 | ||
| JANICE MARIE FENNELL |
06/21/2017 | PRN54768 | ||
| HANNAH ELIZABETH FRANCIS |
12/21/2018 | PRN292716 | ||
| ANN BAKER HAMBY |
03/27/2019 | PRN327302 | ||
| MICHAEL JOHN HERROD |
08/29/2011 | PRN110107 | ||
| MECHELLE LARKIN |
05/03/2019 | PRN266500 | ||
| KAREN MARIE LOCONTI-DIAZ |
05/18/2005 | PRN81884 | ||
| KATHY MAIR |
05/03/2019 | PRN229631 | ||
| JAMES IRWIN MOORE |
05/05/2005 | PRN48761 | ||
| JEREMY POLK |
03/16/2020 | PRN251486 | ||
| JEREMY C. ROSE |
06/21/2017 | PRN165541 | ||
| AUTUMN SCHNEIDER |
06/21/2017 | PRN285405 | ||
| MATTHEW TRACY TUCKER |
03/19/2014 | PRN229846 | ||
| SUSAN A. WELSH |
06/21/2017 | PRN193528 | ||
| SALENA WOOD |
06/21/2017 | PRN274212 |
Supervised Entity
None.
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| SURETY | 07/21/2003 | Active |
| Type | Contact |
|---|---|
| PRODUCER LICENSING CONTACT | LAUREL ULLMAN BOCKERT LAUREL ULLMAN BOCKERT 6150 OAK TREE BLVD STE 440 INDEPENDENCE, OH 44131-6917 Phone: +1 (440) 229-3420 Fax: +1 (440) 229-3421 Email: regulatory@evergreen-national.com |
| SERVICE OF PROCESS | CT CORPORATION SYSTEM 3 CHASE AVE AUGUSTA, ME 04330-4525 Phone: +1 (855) 316-8944 Email: info@ctadvantage.com |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN)
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 10/23/2025 10:32:25 PM
