black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BASS UNDERWRITERS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN129382
Status:
Active
First Licensure:
07/17/2006
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
6951 W SUNRISE BLVD
PLANTATION, FL 33313-4406
Mailing:
6951 W SUNRISE BLVD
PLANTATION, FL 33313-4406
Phone:
+1 (954) 316-3167
Fax:
+1 (916) 480-6360
Email:
dpatron@bassuw.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/17/2006 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 07/15/2010 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 07/15/2010 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 07/15/2010 PCF44
AMTRUST INSURANCE COMPANY
 09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
 01/10/2020 PCF285638
EMPLOYERS COMPENSATION INSURANCE COMPANY
 01/10/2020 PCF285639
EMPLOYERS PREFERRED INSURANCE COMPANY
 01/10/2020 PCF285637
EVEREST NATIONAL INSURANCE COMPANY
 04/24/2008 PCF99574 06/21/2013
GEICO MARINE INSURANCE COMPANY
 11/11/2020 PCF103315 05/27/2021
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
 03/31/2020 PCF46804 09/16/2022
GREAT AMERICAN ASSURANCE COMPANY
 03/31/2020 PCF702
GREAT AMERICAN INSURANCE COMPANY
 03/31/2020 PCF764
MOUNT VERNON FIRE INSURANCE COMPANY
 12/15/2006 PCF83792 05/06/2008
NATIONAL SPECIALTY INSURANCE COMPANY
 12/08/2020 PCF94585
PACIFIC EMPLOYERS INSURANCE COMPANY
 08/24/2015 PCF546
PHILADELPHIA INDEMNITY INSURANCE COMPANY
 03/22/2019 PCF46041
RLI INSURANCE COMPANY
 04/19/2022 PCF695
SECURITY NATIONAL INSURANCE COMPANY
 02/09/2021 PCF189490
SENECA INSURANCE COMPANY INC
 06/23/2021 PCF803
SEQUOIA INSURANCE COMPANY
 02/09/2021 PCF128467
STATE NATIONAL INSURANCE COMPANY INC.
 11/07/2023 PCF75933
TECHNOLOGY INSURANCE COMPANY INC
 02/09/2021 PCF136874
WESCO INSURANCE COMPANY
 02/09/2021 PCF49735
WESTCHESTER FIRE INSURANCE COMPANY
 07/15/2010 PCF335 01/01/2011
WESTCHESTER FIRE INSURANCE COMPANY
 11/18/2010 PCF177973

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
EDWARD POWELL JACKSON
 07/17/2006 PRN129159

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
EDWARD POWELL JACKSON PRN129159

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
3679237

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 01:01:32 PM