black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ADAM T. GILROY

PRODUCER NON-RESIDENT

License Number:
PRN279423
Status:
First Licensure:
12/02/2016
Cancel Date:
None

Mailing:
LANSING, MI 48911
Phone:
+1 (517) 482-7900 x818
Fax:
+1 (517) 482-1696
Email:
accounting@capitalinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/02/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
CAPITAL INS SERVICES CORP
12/02/2016 AGN250000

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAPITOL INDEMNITY CORPORATION
02/17/2017 PCF162568
THE GUARANTEE COMPANY OF NORTH AMERICA USA
01/30/2017 PCF186703 11/20/2023
HARTFORD FIRE INSURANCE COMPANY
05/14/2019 PCF464
HUDSON INSURANCE COMPANY
12/30/2016 PCF165252
MERCHANTS BONDING COMPANY (MUTUAL)
06/09/2017 PCF108067 02/04/2019
MERCHANTS BONDING COMPANY (MUTUAL)
01/20/2022 PCF108067
MERCHANTS NATIONAL BONDING INC
06/09/2017 PCF205259 02/04/2019
OHIO CASUALTY INSURANCE COMPANY
08/15/2018 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
01/10/2023 PCF73059
PLATTE RIVER INSURANCE COMPANY
02/17/2017 PCF61518
WESTERN SURETY COMPANY
12/11/2019 PCF96

Authority

Description Issue Date Termination Date Status
CASUALTY 12/02/2016 Active
PROPERTY 12/02/2016 Active

Responsible For

Name License Number
CAPITAL INS SERVICES CORP AGN250000

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
4592888

Other Addresses

Address Type
4299 FIVE OAKS DR
LANSING, MI 48911-4214
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: 10/22/2025 04:09:29 AM