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NAIC#: 23396 DOM: Michigan Group: AMERISURE COMPANIES Phone: 800-253-1900 
CPAF: 359 ORG: PC Group#: 124 Spl Risk:
DMV#: 214 Website: www.amerisure.com  Admitted Dt: 10/21/1947
Amerisure Mutual Insurance Company
26777 Halsted Road
PO Box 2060
Farmington Hills, MI 48333-2060
Company Name History: Change Dt
Michigan Mutual Insurance Company 07/31/2000
Michigan Mutual Liability Company 03/27/1975
Current Writing Powers:
NYS Insurance
Law Section Code
Line of
Business

Description
1113(a) 3 Accident And Health
1113(a) 4 Fire
1113(a) 5 Miscellaneous Property
1113(a) 6 Water Damage
1113(a) 7 Burglary And Theft
1113(a) 8 Glass
1113(a) 9 Boiler And Machinery
1113(a) 10 Elevator
1113(a) 11 Animal
1113(a) 12 Collision
1113(a) 13 Personal Injury Liability
1113(a) 14 Property Damage Liability
1113(a) 15 Workers' Compensation And Employers' Liability
1113(a) 16 Fidelity And Surety
1113(a) 17 Credit
1113(a) 19 Motor Vehicle And Aircraft Physical Damage
1113(a) 20 Marine And Inland Marine
1113(a) 21 Marine Protection And Indemnity
1113(a) 22 Residual Value
1113(a) 24 Credit Unemployment