black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAFEBUILT INSURANCE SERVICES LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN179719
Status:
Active
First Licensure:
07/22/2010
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1811 ASTON AVE STE 200
CARLSBAD, CA 92008-7396
Mailing:
1811 ASTON AVE STE 200
CARLSBAD, CA 92008-7396
Phone:
+1 (760) 599-7242 x349
Fax:
+1 (866) 467-6701
Email:
staceyr@sisinsure.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 07/22/2010 04/01/2027

Alias, DBA or Trade Name
Name
SIS WHOLESALE INSURANCE SERVICES

Employer
Name Issue Date License Number Expiration Date Cancel Date
AGCS MARINE INSURANCE COMPANY
 08/30/2018 PCF48335
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
 08/30/2018 PCF780
ALLIED INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF216138 10/06/2023
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 06/04/2020 PCF223935 10/06/2023
AMCO INSURANCE COMPANY
 06/04/2020 PCF223938 10/06/2023
AMERICAN AUTOMOBILE INSURANCE COMPANY
 08/30/2018 PCF356
ARCH INSURANCE COMPANY
 09/13/2018 PCF62719
CITIZENS INSURANCE COMPANY OF AMERICA
 03/12/2018 PCF937
DEPOSITORS INSURANCE COMPANY
 06/04/2020 PCF223940 10/06/2023
EMPLOYERS ASSURANCE COMPANY
 05/06/2020 PCF285638 03/21/2024
EMPLOYERS COMPENSATION INSURANCE COMPANY
 05/06/2020 PCF285639 03/21/2024
EMPLOYERS PREFERRED INSURANCE COMPANY
 05/06/2020 PCF285637 03/21/2024
FIREMANS FUND INSURANCE COMPANY
 08/30/2018 PCF443
GREAT AMERICAN INSURANCE COMPANY
 01/31/2013 PCF764 03/12/2019
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
 01/31/2013 PCF326 03/12/2019
THE HANOVER INSURANCE COMPANY
 03/12/2018 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
 03/12/2018 PCF505
NATIONAL SURETY CORPORATION
 08/30/2018 PCF689
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 06/04/2020 PCF151937 10/06/2023
NATIONWIDE ASSURANCE COMPANY
 06/04/2020 PCF38952 10/06/2023
NATIONWIDE GENERAL INSURANCE COMPANY
 06/04/2020 PCF30 10/06/2023
NATIONWIDE INSURANCE COMPANY OF AMERICA
 06/04/2020 PCF422 10/06/2023
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 06/04/2020 PCF31 01/01/2023
NATIONWIDE MUTUAL INSURANCE COMPANY
 06/04/2020 PCF32 10/06/2023
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 06/04/2020 PCF151089 10/06/2023
NOVA CASUALTY COMPANY
 12/07/2017 PCF120494
THE PIE INSURANCE COMPANY
 08/30/2018 PCF368 09/12/2022
WCF SELECT INSURANCE COMPANY
 08/30/2018 PCF386 02/18/2022

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
MATTHEW S. GROSSBERG
 06/25/2020 PRN111487

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
MATTHEW S. GROSSBERG PRN111487

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
11590632

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: 05/19/2025 11:10:14 AM