black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JUSTIN D. DOSS

PRODUCER NON-RESIDENT

License Number:
PRN389691
Status:
First Licensure:
07/29/2021
Cancel Date:
None

Mailing:
PEORIA, IL 61615
Phone:
+1 (309) 692-1000
Fax:
+1 (309) 692-4634
Email:
licensing@rlicorp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/29/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
RLI UNDERWRITING SERVICES INC
05/04/2022 AGN43107

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONTRACTORS BONDING AND INSURANCE COMPANY
01/31/2022 PCF1000
RLI INSURANCE COMPANY
09/09/2021 PCF695

Authority

Description Issue Date Termination Date Status
CASUALTY 07/29/2021 Active
PROPERTY 07/29/2021 Active
SURPLUS LINES 01/31/2022 Active

Responsible For

Name License Number
RLI UNDERWRITING SERVICES INC AGN43107
SAFE FLEET INS SERVICES INC AGN269734

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2976559

Other Addresses

Address Type
9025 N LINDBERGH DR
PEORIA, IL 61615-1499
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: 11/22/2025 09:10:36 AM