black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MANDELA L. SHAW

ADJUSTER NON-RESIDENT

License Number:
ADN319697
Status:
First Licensure:
10/17/2018
Cancel Date:
None
Renewal Date:
01/01/2028

Mailing:
NASHVILLE, TN 37203
Phone:
+1 (615) 762-1443
Fax:
+1 (615) 762-1649
Email:
licensing@asurion.com

History

License Type Start Date End Date
ADJUSTER NON-RESIDENT 10/17/2018 01/01/2028

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASURION INSURANCE SERVICES INC
11/13/2018 AFN205455
ASURION PROTECTION SERVICES LLC
11/13/2018 AFN206553

Authority

Description Issue Date Termination Date Status Additional Information
LIMITED TO HOME STATE 10/17/2018 Active
Designated State:
Tennessee
Authority:
PROPERTY & CASUALTY

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN366441
Status:
First Licensure:
10/22/2020
Cancel Date:
None

Mailing:
NASHVILLE, TN 37203
Phone:
+1 (615) 762-1443
Fax:
+1 (615) 762-1649
Email:
licensing@asurion.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/22/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASURION INSURANCE SERVICES INC
08/06/2021 AGN35488 06/16/2023
ASURION PROTECTION SERVICES LLC
08/06/2021 AGN82112 06/16/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
CONTINENTAL CASUALTY COMPANY
11/16/2021 PCF420
LIBERTY MUTUAL FIRE INSURANCE COMPANY
08/12/2025 PCF330
LIBERTY MUTUAL INSURANCE COMPANY
08/12/2025 PCF331

Authority

Description Issue Date Termination Date Status
CASUALTY 10/22/2020 Active
PROPERTY 10/22/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17957835

Other Addresses

Address Type
NASHVILLE, TN 37203
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: 11/30/2025 07:08:31 AM