black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GASLAMP INS SERVICES

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN213709
Status:
Active
First Licensure:
02/16/2013
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1811 ASTON AVE STE 200
CARLSBAD, CA 92008-7396
Mailing:
2244 FARADAY AVE # 125
CARLSBAD, CA 92008-7208
Phone:
+1 (760) 599-7242 x349
Fax:
+1 (866) 467-6701
Email:
staceyr@sisinsure.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/16/2013 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 12/29/2015 PCF216138 08/08/2018
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 12/29/2015 PCF223935 08/08/2018
AMCO INSURANCE COMPANY
 12/29/2015 PCF223938 08/08/2018
AMERICAN CONTRACTORS INDEMNITY COMPANY
 11/04/2019 PCF81110
AMGUARD INSURANCE COMPANY
 07/24/2018 PCF51460
DEPOSITORS INSURANCE COMPANY
 12/29/2015 PCF223940 08/08/2018
EMPLOYERS ASSURANCE COMPANY
 08/04/2021 PCF285638 03/20/2024
EMPLOYERS COMPENSATION INSURANCE COMPANY
 08/04/2021 PCF285639 03/20/2024
EMPLOYERS PREFERRED INSURANCE COMPANY
 08/04/2021 PCF285637 03/20/2024
NATIONWIDE MUTUAL INSURANCE COMPANY
 09/22/2016 PCF32 08/08/2018
NORGUARD INSURANCE COMPANY
 07/24/2018 PCF51459
PROGRESSIVE NORTHERN INSURANCE COMPANY
 08/07/2013 PCF51006 12/01/2015
PROGRESSIVE NORTHERN INSURANCE COMPANY
 01/27/2019 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 08/07/2013 PCF27738 12/01/2015
US SPECIALTY INSURANCE COMPANY
 11/04/2019 PCF31516

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
BRADLEY KEVIN ASBURY
 11/30/2021 PRN404713
JAZON BALATAN
 02/07/2021 PRN374833
MEAGAN DANIELLE BONGBERG
 04/03/2021 PRN379481
BRUCE LOFTIN CARLILE
 09/21/2019 PRN339227
TIFFANY LYNN CARTER
 05/29/2021 PRN384585
JUAN CARLOS CORCUERA
 11/23/2019 PRN344775
KEARSTYN AYRE FREERKING
 05/29/2021 PRN384581
MATTHEW S. GROSSBERG
 09/03/2020 PRN111487
JEANNINE MICHELLE LARIOS
 10/04/2019 PRN328502
JONATHAN JACOB LOPEZ
 11/01/2019 PRN343231
JONATHAN MALDONADO
 10/04/2019 PRN340315
CHERISE EMORY MCCOY
 01/03/2020 PRN346804
TRISTAN M. MCKNIGHT
 06/04/2021 PRN384933
BRENT MATTHEW NELSON
 10/30/2019 PRN342981
TYLER MARSTON RUNYON
 10/04/2019 PRN340300
ALISA ROSEMARIE SAULTER
 01/03/2020 PRN346818
JEFFREY JAMES SCHMIDT
 10/04/2019 PRN340289

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
MATTHEW S. GROSSBERG PRN111487

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16875989

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: 05/18/2025 10:09:55 AM