black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KAPATOES INS SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN273125
Status:
First Licensure:
08/24/2016
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
725 PRIMERA BLVD
LAKE MARY, FL 32746-2125
Mailing:
725 PRIMERA BLVD
LAKE MARY, FL 32746-2125
Phone:
+1 (888) 467-3330 x112
Fax:
+1 (888) 453-5755
Email:
dawn.martin@kisllc.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 08/24/2016 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMTRUST INSURANCE COMPANY
09/20/2022 PCF260762
EMPLOYERS ASSURANCE COMPANY
05/12/2021 PCF285638 03/21/2024
EMPLOYERS COMPENSATION INSURANCE COMPANY
05/12/2021 PCF285639 03/21/2024
EMPLOYERS PREFERRED INSURANCE COMPANY
05/12/2021 PCF285637 03/21/2024
OHIO CASUALTY INSURANCE COMPANY
09/11/2019 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
01/09/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
02/24/2017 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
11/30/2023 PCF200581
SECURITY NATIONAL INSURANCE COMPANY
04/16/2019 PCF189490
SEQUOIA INSURANCE COMPANY
04/23/2020 PCF128467
THE STANDARD FIRE INSURANCE COMPANY
10/25/2019 PCF584 08/14/2023
TECHNOLOGY INSURANCE COMPANY INC
04/16/2019 PCF136874
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
10/25/2019 PCF935 08/14/2023
WESCO INSURANCE COMPANY
04/16/2019 PCF49735

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MARK J. KAPATOES
08/24/2016 PRN51889

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MARK J. KAPATOES PRN51889

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2990227

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 03:11:40 PM