black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CHAMBER INSURANCE AGENCY SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN75156
Status:
Active
First Licensure:
12/28/2000
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
317 RIVER EDGE BLVD STE 206
COCOA, FL 32922-7985
Mailing:
317 RIVER EDGE BLVD STE 206
COCOA, FL 32922-7985
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/28/2000 04/01/2027

Alias, DBA or Trade Name
Name
POWDERHORN AGENCY
SOUTHEAST INSURANCE ASSOCIATES

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 02/05/2008 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 02/05/2008 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 02/05/2008 PCF44
AIU INSURANCE COMPANY
 10/24/2001 PCF308
AMERICAN CASUALTY COMPANY OF READING PENNSYLVANIA
 08/30/2004 PCF358 11/09/2023
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
 03/16/2009 PCF366 01/22/2025
AMERICAN INTERNATIONAL LIFE ASSURANCE COMPANY OF NEW YORK
 01/01/2001 LHF122 12/31/2010
AMERICAN ZURICH INSURANCE COMPANY
 03/16/2009 PCF914 01/22/2025
COMMERCE AND INDUSTRY INSURANCE COMPANY
 07/15/2014 PCF413
CONTINENTAL CASUALTY COMPANY
 08/30/2004 PCF420 11/09/2023
CONTINENTAL INSURANCE COMPANY
 02/27/2006 PCF782 11/09/2023
FEDERAL INSURANCE COMPANY
 12/04/2013 PCF439
GREAT MIDWEST INSURANCE COMPANY
 08/21/2014 PCF82030
GREAT NORTHERN INSURANCE COMPANY
 12/04/2013 PCF455
HARTFORD ACCIDENT & INDEMNITY COMPANY
 03/07/2005 PCF462 07/03/2008
HARTFORD CASUALTY INSURANCE COMPANY
 03/07/2005 PCF967 07/03/2008
HARTFORD FIRE INSURANCE COMPANY
 03/07/2005 PCF464 07/03/2008
HARTFORD INSURANCE COMPANY OF THE MIDWEST
 03/07/2005 PCF1021 07/03/2008
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
 02/28/2006 LHF193
HARTFORD UNDERWRITERS INSURANCE COMPANY
 03/07/2005 PCF992 07/03/2008
IMPERIUM INSURANCE COMPANY
 09/09/2014 PCF80207
NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
 08/30/2004 PCF523 11/09/2023
PACIFIC EMPLOYERS INSURANCE COMPANY
 02/05/2008 PCF546
SENTINEL INSURANCE COMPANY LTD
 07/11/2008 PCF84269 05/19/2015
TRANSCONTINENTAL INSURANCE COMPANY
 08/30/2004 PCF597 12/31/2007
TRANSPORTATION INSURANCE COMPANY
 08/30/2004 PCF601 11/09/2023
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 01/25/2021 PCF974 08/12/2024
TRUMBULL INSURANCE COMPANY
 03/07/2005 PCF47441 07/03/2008
TWIN CITY FIRE INSURANCE COMPANY
 03/07/2005 PCF963 07/03/2008
VALLEY FORGE INSURANCE COMPANY
 08/30/2004 PCF612 11/09/2023
ZURICH AMERICAN INSURANCE COMPANY
 03/16/2009 PCF61397 01/22/2025
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
 05/01/2009 PCF165251 01/22/2025

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
ROBERT D. ROTH
 08/30/2022 PRN243862

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
ROBERT D. ROTH PRN243862

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3692318

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: 05/13/2025 06:53:49 PM