black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CAMICO INSURANCE SERVICES

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN68506
Status:
First Licensure:
03/27/2000
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1800 GATEWAY DR STE 200
SAN MATEO, CA 94404-4072
Mailing:
1800 GATEWAY DR STE 200
SAN MATEO, CA 94404-4072
Phone:
+1 (650) 378-6835
Fax:
+1 (800) 227-2090
Email:
cclouse@camico.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 03/27/2000 04/01/2027

Alias, DBA or Trade Name

Name
CAMICO SERVICES INC

Employer

Name Issue Date License Number Expiration Date Cancel Date
CAMICO MUTUAL INSURANCE COMPANY
01/02/2002 PCF81726
GREAT DIVIDE INSURANCE COMPANY
06/11/2018 PCF36251
LIBERTY INSURANCE UNDERWRITERS INC
03/02/2011 PCF175807
LIBERTY INSURANCE UNDERWRITERS INC.
03/04/2010 PCF351 01/03/2011

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BEVERLY KAY BULLARD
05/12/2021 PRN369560
JESSICA ALEXANDRA CARTY
08/19/2025 PRN436381
ALPA PATEL EVANS
08/28/2020 PRN299913
GARY MATTHEW FLORIAN
02/14/2017 PRN281681
HARRIS HAUPTMAN
09/04/2014 PRN66725
STEPHANIE LANAE MCMANUS
05/06/2025 PRN513319
AGUSTIN NICOLAS OLIVARES
08/29/2023 PRN420844
RACHEL JOY PAINTER
09/03/2009 PRN98367

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
GARY MATTHEW FLORIAN PRN281681

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1641512

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: 04/12/2026 06:15:48 PM