black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

1099POLICY INSURANCE AGENCY, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN407525
Status:
First Licensure:
01/06/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
383 BARTLETT ST
SAN FRANCISCO, CA 94110-3805
Mailing:
383 BARTLETT ST
SAN FRANCISCO, CA 94110-3805
Phone:
+1 (650) 753-1099
Fax:
+1 (650) 753-1099
Email:
info@1099policy.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/06/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAROLINA CASUALTY INSURANCE COMPANY
06/01/2022 PCF54

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
FITZGERALD N. VENTURA
01/06/2022 PRN131983

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
FITZGERALD N. VENTURA PRN131983

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19235993

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: 03/23/2026 01:08:03 PM