black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BOX BONDING AGENCY, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN377092
Status:
First Licensure:
03/06/2021
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1200 S MAIN ST STE 1600
GRAPEVINE, TX 76051-7529
Mailing:
1200 S MAIN ST STE 1600
GRAPEVINE, TX 76051-7529
Phone:
+1 (817) 865-1801
Email:
brittany@boxinsurance.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/06/2021 04/01/2027

Alias, DBA or Trade Name

Name
BOX INSURANCE AGENCY

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN CONTRACTORS INDEMNITY COMPANY
05/26/2021 PCF81110
GREAT AMERICAN INSURANCE COMPANY
05/15/2023 PCF764
UNITED STATES SURETY COMPANY
05/26/2021 PCF115462
US SPECIALTY INSURANCE COMPANY
05/26/2021 PCF31516

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BRENT D. HUSTED
05/22/2025 PRN221177
ADAM T. SYSWERDA
03/24/2023 PRN447163

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ADAM T. SYSWERDA PRN447163

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18427110

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: 06/08/2025 03:03:07 PM