black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EVANS SIMPSON & ASSOC INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN255627
Status:
First Licensure:
09/03/2015
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2250 HEWATT RD
SNELLVILLE, GA 30039-4021
Mailing:
PO BOX 1549
2250 HEWATT RD
SNELLVILLE, GA 30039-4021
Phone:
+1 (770) 982-1420
Fax:
+1 (770) 982-1418
Email:
tevans@evans-simpson.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/03/2015 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
11/09/2015 PCF808 12/04/2020
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY
09/22/2015 PCF124704
SECURIAN CASUALTY COMPANY
07/07/2023 PCF144513
STARSTONE NATIONAL INSURANCE COMPANY
02/28/2025 PCF544

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
TODD WILLIAM EVANS
09/03/2015 PRN254768

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
TODD WILLIAM EVANS PRN254768

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6621123

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: 06/19/2025 08:02:49 PM