black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BASS & ASSOCIATES, INC.

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN490321
Status:
First Licensure:
07/30/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1000 TOWN CENTER DR STE 300
OXNARD, CA 93036-1117
Mailing:
1000 TOWN CENTER DR STE 300
OXNARD, CA 93036-1117
Phone:
+1 (818) 223-0011 x102
Fax:
+1 (818) 223-0012
Email:
gracegomez@maverickinsure.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/30/2024 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
02/27/2025 PCF62719
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
02/27/2025 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
02/27/2025 PCF1019

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
GRACE MARGARET GOMEZ
07/30/2024 PRN475941

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
GRACE MARGARET GOMEZ PRN475941

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2751969

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: 01/03/2026 12:06:59 AM