black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID JAMES BASTA

PRODUCER NON-RESIDENT

License Number:
PRN502839
Status:
First Licensure:
12/04/2024
Cancel Date:
None

Mailing:
OCEANSIDE, CA 92058
Phone:
+1 (310) 818-5140
Email:
dbasta@boltinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 12/04/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
BUSINESS OWNERS LIABILITY TEAM LLC
12/05/2024 AGN170901
SUPERIOR ACCESS INSURANCE SERVICES INC
12/05/2024 AGN65856

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
04/29/2025 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
04/29/2025 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
04/29/2025 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
04/29/2025 PCF197298
THE HANOVER INSURANCE COMPANY
04/29/2025 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
04/29/2025 PCF505
VERLAN FIRE INSURANCE COMPANY
04/29/2025 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 12/04/2024 Active
PROPERTY 12/04/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
9126117

Other Addresses

Address Type
OCEANSIDE, CA 92058
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: 06/29/2025 11:33:18 AM