black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TIMOTHY BUCKLEY DEROSA

PRODUCER NON-RESIDENT

License Number:
PRN175076
Status:
First Licensure:
02/19/2010
Cancel Date:
None

Mailing:
BEND, OR 97703
Phone:
+1 (541) 215-4427
Fax:
+1 (978) 548-3792
Email:
tderosa@risk-strategies.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/19/2010

Agency

Name Issue Date License Number Expiration Date Cancel Date
ORCHID UNDERWRITERS AGENCY LLC
10/31/2017 AGN182909 06/29/2021
PLATINUM PARTNERS INSURANCE SERVICES INC
02/19/2010 AGN91435 07/01/2017
PLATINUM PARTNERS X S SERVICES LLC
11/11/2011 AGN197112 07/01/2017

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
06/07/2013 PCF640 03/03/2022
ACE PROPERTY & CASUALTY INSURANCE COMPANY
02/27/2016 PCF44 09/09/2021
AIG PROPERTY CASUALTY COMPANY
01/04/2012 PCF393
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
12/19/2013 PCF659 06/09/2015
BANKERS STANDARD INSURANCE COMPANY
06/07/2013 PCF152165 03/03/2022
BERKLEY REGIONAL INSURANCE COMPANY
11/03/2021 PCF48727
CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY
05/05/2010 PCF396 12/17/2021
COMMERCE AND INDUSTRY INSURANCE COMPANY
01/04/2012 PCF413
FEDERAL INSURANCE COMPANY
03/25/2010 PCF439 03/03/2022
FIREMANS FUND INSURANCE COMPANY
04/17/2014 PCF443 05/31/2017
GREAT NORTHERN INSURANCE COMPANY
11/18/2014 PCF455 03/03/2022
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
08/05/2015 PCF50104 09/09/2021
JEWELERS MUTUAL INSURANCE COMPANY, SI
08/06/2020 PCF773 07/06/2021
MERRIMACK MUTUAL FIRE INSURANCE COMPANY
05/05/2010 PCF79 12/17/2021
MOUNT VERNON FIRE INSURANCE COMPANY
08/04/2017 PCF83792 12/28/2023
PACIFIC EMPLOYERS INSURANCE COMPANY
08/05/2015 PCF546 09/09/2021
PACIFIC INDEMNITY COMPANY
11/18/2014 PCF547 03/03/2022
THE PHOENIX INSURANCE COMPANY
12/19/2013 PCF557 06/09/2015
THE PIE INSURANCE COMPANY
04/17/2014 PCF368 09/02/2022
THE STANDARD FIRE INSURANCE COMPANY
12/19/2013 PCF584 06/09/2015
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
12/19/2013 PCF31810 06/09/2015
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
12/19/2013 PCF56556 04/24/2018
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
12/19/2013 PCF585 06/09/2015
THE TRAVELERS INDEMNITY COMPANY
12/19/2013 PCF602 06/09/2015
VIGILANT INSURANCE COMPANY
11/18/2014 PCF613 03/03/2022
WESTCHESTER FIRE INSURANCE COMPANY
02/27/2016 PCF177973 09/09/2021

Authority

Description Issue Date Termination Date Status
CASUALTY 02/19/2010 Active
PROPERTY 02/19/2010 Active
SURPLUS LINES 07/01/2011 09/22/2021 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9600758

Other Addresses

Address Type
BEND, OR 97703
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: 05/13/2025 01:05:29 PM