black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BATES, ROBERTS, FOWLKES & JACKSON INSURANCE INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN426978
Status:
First Licensure:
08/17/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1812 6TH AVENUS SOUTH
IRONDALE, AL 35210
Mailing:
PO BOX 101537
IRONDALE, AL 35210-6537
Phone:
+1 (205) 956-0563
Fax:
+1 (205) 956-6905
Email:
nicole@batesia.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/17/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
05/25/2023 PCF659 08/12/2024
THE PHOENIX INSURANCE COMPANY
05/25/2023 PCF557 08/12/2024
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
10/19/2022 PCF212805
THE STANDARD FIRE INSURANCE COMPANY
05/17/2023 PCF584
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
05/25/2023 PCF56556 08/12/2024
TRAVELERS PERSONAL SECURITY INSURANCE COMPANY
05/21/2025 PCF201269

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
EMMETT DAVID BATES
08/17/2022 PRN426907

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
EMMETT DAVID BATES PRN426907

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
5852511

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: 06/09/2025 08:13:28 AM