black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASSUREDPARTNERS OF GEORGIA LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN285272
Status:
First Licensure:
04/07/2017
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
23542 HWY 80 E
STATESBORO, GA 30461
Mailing:
23542 HWY 80 E
STATESBORO, GA 30461
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 04/07/2017 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
THE CHARTER OAK FIRE INSURANCE COMPANY
06/16/2023 PCF403 08/12/2024
GREAT WEST CASUALTY COMPANY
04/18/2017 PCF456
THE HANOVER INSURANCE COMPANY
12/01/2020 PCF712 10/12/2022
THE PHOENIX INSURANCE COMPANY
06/16/2023 PCF557 08/12/2024
PROGRESSIVE NORTHERN INSURANCE COMPANY
06/07/2017 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
06/07/2017 PCF27738
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
06/16/2023 PCF974
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
06/16/2023 PCF585 08/12/2024
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
06/16/2023 PCF435 08/12/2024
THE TRAVELERS INDEMNITY COMPANY
06/16/2023 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
06/16/2023 PCF711

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
SEAN P. DAVIS
02/21/2023 PRN190089

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
ROBERT GUNNELLS FULLER PRN184584

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18111919

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: 01/14/2026 08:13:54 AM