black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AP DESIGN PROFESSIONALS INSURANCE SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN438153
Status:
First Licensure:
11/30/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3697 MT DIABLO BLVD STE 230
LAFAYETTE, CA 94549-6825
Mailing:
3697 MT DIABLO BLVD STE 230
LAFAYETTE, CA 94549-6825
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/30/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
01/26/2023 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
01/26/2023 PCF145893
THE CHARTER OAK FIRE INSURANCE COMPANY
05/17/2024 PCF403
CITIZENS INSURANCE COMPANY OF AMERICA
01/26/2023 PCF937
FIDELITY AND GUARANTY INSURANCE COMPANY
05/07/2025 PCF832
THE HANOVER AMERICAN INSURANCE COMPANY
01/26/2023 PCF197298
THE HANOVER INSURANCE COMPANY
01/26/2023 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
01/26/2023 PCF505
THE PHOENIX INSURANCE COMPANY
05/17/2024 PCF557 08/23/2024
STAR INSURANCE COMPANY
02/09/2023 PCF59785
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
05/17/2024 PCF974
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
05/17/2024 PCF585 08/23/2024
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
05/17/2024 PCF435 08/23/2024
THE TRAVELERS INDEMNITY COMPANY
05/17/2024 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
05/17/2024 PCF711

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MATTHEW L. COPUS
07/05/2023 PRN85430
ASHLEY LOREN HURD
07/05/2023 PRN85429
RYAN M. SCHULTZ
11/30/2022 PRN438097

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
RYAN M. SCHULTZ PRN438097

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19806015

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: 05/14/2025 07:40:28 PM