black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BRECKENRIDGE INS SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN195510
Status:
Active
First Licensure:
10/06/2011
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3550 GEORGE BUSBEE PKWY NW STE 305
KENNESAW, GA 30144-6608
Mailing:
3550 GEORGE BUSBEE PKWY NW STE 305
KENNESAW, GA 30144-6608
Phone:
+1 (864) 626-5592
Fax:
+1 (678) 631-5959
Email:
kathy.kelleysmith@assuredpartners.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/06/2011 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACADIA INSURANCE COMPANY
 03/02/2017 PCF35064
ACE AMERICAN INSURANCE COMPANY
 05/10/2013 PCF640
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 05/10/2013 PCF44
AGCS MARINE INSURANCE COMPANY
 06/08/2016 PCF48335
AIG PROPERTY CASUALTY COMPANY
 12/23/2015 PCF393 03/01/2017
AMERICAN HOME ASSURANCE COMPANY
 12/23/2015 PCF367
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY
 04/08/2021 PCF124704
ASCOT INSURANCE COMPANY
 08/19/2020 PCF58646
ASPEN AMERICAN INSURANCE COMPANY
 10/28/2016 PCF43292
AXIS INSURANCE COMPANY
 09/13/2017 PCF134278
BERKLEY CASUALTY COMPANY
 10/07/2019 PCF209213
BERKLEY INSURANCE COMPANY
 01/06/2016 PCF166289
BERKLEY LIFE AND HEALTH INSURANCE COMPANY
 12/05/2018 LHF14
BERKLEY NATIONAL INSURANCE COMPANY
 02/27/2017 PCF144434 10/26/2017
BERKLEY REGIONAL INSURANCE COMPANY
 02/27/2017 PCF48727 10/23/2017
BERKLEY REGIONAL INSURANCE COMPANY
 12/12/2019 PCF48727
CAROLINA CASUALTY INSURANCE COMPANY
 01/06/2016 PCF54
THE CHARTER OAK FIRE INSURANCE COMPANY
 08/30/2018 PCF403
CHUBB INDEMNITY INSURANCE COMPANY
 01/09/2018 PCF591
CHUBB NATIONAL INSURANCE COMPANY
 01/09/2018 PCF80404
COMMERCE AND INDUSTRY INSURANCE COMPANY
 12/23/2015 PCF413 03/01/2017
CONTINENTAL WESTERN INSURANCE COMPANY
 03/02/2017 PCF673
CONTRACTORS BONDING AND INSURANCE COMPANY
 08/10/2017 PCF1000
EMPLOYERS ASSURANCE COMPANY
 05/29/2020 PCF285638 12/16/2021
EMPLOYERS COMPENSATION INSURANCE COMPANY
 05/29/2020 PCF285639 12/16/2021
EMPLOYERS PREFERRED INSURANCE COMPANY
 05/29/2020 PCF285637 12/16/2021
EXECUTIVE RISK INDEMNITY INC.
 01/09/2018 PCF42522
FARMINGTON CASUALTY COMPANY
 08/30/2018 PCF995
FEDERAL INSURANCE COMPANY
 01/09/2018 PCF439
FIREMEN'S INSURANCE COMPANY OF WASHINGTON DC
 03/02/2017 PCF35141
GRANITE STATE INSURANCE COMPANY
 12/23/2015 PCF452
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
 12/07/2011 PCF46804 06/17/2020
GREAT AMERICAN ALLIANCE INSURANCE COMPANY
 07/23/2020 PCF46804
GREAT AMERICAN ASSURANCE COMPANY
 12/07/2011 PCF702 07/13/2016
GREAT AMERICAN INSURANCE COMPANY
 12/07/2011 PCF764 07/13/2016
GREAT AMERICAN INSURANCE COMPANY
 03/07/2018 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
 12/07/2011 PCF326 06/17/2020
GREAT AMERICAN SECURITY INS CO
 12/07/2011 PCF47084 07/13/2016
GREAT AMERICAN SPIRIT INSURANCE COMPANY
 12/07/2011 PCF46805 06/17/2020
GREAT DIVIDE INSURANCE COMPANY
 03/15/2017 PCF36251
GREAT NORTHERN INSURANCE COMPANY
 01/09/2018 PCF455
HARTFORD FIRE INSURANCE COMPANY
 05/09/2017 PCF464 05/06/2025
ILLINOIS NATIONAL INSURANCE COMPANY
 03/31/2016 PCF53254
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
 09/16/2016 PCF482
INTEGON NATIONAL INSURANCE COMPANY
 04/14/2020 PCF310 01/31/2025
LANCER INSURANCE COMPANY
 08/16/2024 PCF604
MID-CONTINENT ASSURANCE COMPANY
 04/16/2025 PCF297697
MID-CONTINENT CASUALTY COMPANY
 04/16/2025 PCF297698
MIDWEST EMPLOYERS CASUALTY COMPANY
 10/07/2019 PCF77580
MOUNT VERNON FIRE INSURANCE COMPANY
 08/25/2021 PCF83792
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA
 12/23/2015 PCF527
NEW HAMPSHIRE INSURANCE COMPANY
 09/16/2016 PCF531
NORTH RIVER INSURANCE COMPANY
 11/16/2017 PCF698
NOVA CASUALTY COMPANY
 12/06/2017 PCF120494
PACIFIC INDEMNITY COMPANY
 01/09/2018 PCF547
PHILADELPHIA INDEMNITY INSURANCE COMPANY
 12/07/2016 PCF46041
THE PHOENIX INSURANCE COMPANY
 08/30/2018 PCF557
RIVERPORT INSURANCE COMPANY
 02/27/2017 PCF129149 10/23/2017
RLI INSURANCE COMPANY
 10/03/2017 PCF695
SAMSUNG FIRE & MARINE INSURANCE CO., LTD (US BRANCH)
 05/07/2013 PCF208107 07/30/2015
SECURITY NATIONAL INSURANCE COMPANY
 07/28/2017 PCF189490
SENECA INSURANCE COMPANY INC
 04/24/2018 PCF803
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 08/30/2018 PCF575
ST. PAUL GUARDIAN INSURANCE COMPANY
 08/30/2018 PCF701
ST. PAUL MERCURY INSURANCE COMPANY
 08/30/2018 PCF576
THE STANDARD FIRE INSURANCE COMPANY
 08/30/2018 PCF584
STAR INSURANCE COMPANY
 08/31/2017 PCF59785
STARNET INSURANCE COMPANY
 02/27/2017 PCF103936 10/23/2017
STARNET INSURANCE COMPANY
 10/26/2017 PCF103936
STARSTONE NATIONAL INSURANCE COMPANY
 12/24/2024 PCF544
STATE NATIONAL INSURANCE COMPANY INC.
 10/13/2017 PCF75933 05/27/2021
TECHNOLOGY INSURANCE COMPANY INC
 07/28/2017 PCF136874
TRAVELERS CASUALTY AND SURETY COMPANY
 08/30/2018 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 02/06/2023 PCF974
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 08/30/2018 PCF935
TRAVELERS COMMERCIAL CASUALTY COMPANY
 08/30/2018 PCF83507
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 08/30/2018 PCF585
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 08/30/2018 PCF435
THE TRAVELERS INDEMNITY COMPANY
 08/30/2018 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 08/30/2018 PCF711
TRI STATE INSURANCE COMPANY OF MINNESOTA
 02/27/2017 PCF146321 10/23/2017
TRI STATE INSURANCE COMPANY OF MINNESOTA
 01/14/2019 PCF146321
TRUMBULL INSURANCE COMPANY
 01/10/2017 PCF47441 05/20/2019
UNION INSURANCE COMPANY
 03/02/2017 PCF141739
US SPECIALTY INSURANCE COMPANY
 01/05/2021 PCF31516
VIGILANT INSURANCE COMPANY
 01/09/2018 PCF613
WESCO INSURANCE COMPANY
 04/17/2015 PCF49735
WESTCHESTER FIRE INSURANCE COMPANY
 05/10/2013 PCF177973
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
 11/13/2012 PCF165251

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
IAN THOMAS GILCHREST
 07/24/2018 PRR123384
TREVOR SCOTT PIERCE
 08/31/2019 PRN337556
ROBERT D. ROTH
 01/09/2025 PRN243862
STEPHANIE MORGAN VERSEMAN
 02/08/2020 PRN349009

Branch Office
Name Issue Date License Number Expiration Date Cancel Date
BRECKENRIDGE INS SERVICES LLC (KENNESAW GA)
 09/23/2016 BRN275603
BRECKENRIDGE INS SERVICES LLC (WESTBROOK ME)
 09/23/2016 BRN275604

Supervised Entity

None.

Responsible Individual
Name License Number
TREVOR SCOTT PIERCE PRN337556

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10906304

Other Phone Numbers
Phone Number Type
+1 (818) 975-0511 Office

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: 05/15/2025 02:26:55 AM