black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CBI INS AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN194593
Status:
First Licensure:
09/23/2011
Cancel Date:
None
Renewal Date:
04/01/2025

Street Location:
2595 N HIGHWAY 162
EDEN, UT 84310-6711
Mailing:
PO BOX 1120
EDEN, UT 84310-1120
Phone:
+1 (801) 393-0023
Fax:
+1 (866) 211-7419
Email:
staci@cbiins.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/23/2011 04/01/2025

Employer

Name Issue Date License Number Expiration Date Cancel Date
MARKEL INSURANCE COMPANY
09/29/2011 PCF31382
PHILADELPHIA INDEMNITY INSURANCE COMPANY
08/19/2021 PCF46041

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
COLE PATTERSON SCHLACK
09/23/2011 PRN137930

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
COLE PATTERSON SCHLACK PRN137930

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8844212

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: 05/23/2025 10:47:42 AM