black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SEATTLE SPECIALTY INSURANCE SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN74440
Status:
First Licensure:
11/17/2000
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
16502 MERIDIAN E
PUYALLUP, WA 98375-2515
Mailing:
PO BOX 3199
WINSTON SALEM, NC 27102-3199
Phone:
+1 (800) 526-0332
Fax:
+1 (336) 435-8105
Email:
lmave@allstate.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 11/17/2000 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN HOME INSURANCE COMPANY
01/05/2004 PCF808 06/16/2021
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY
09/02/2015 PCF124704 07/15/2016
AMERICAN SECURITY INSURANCE COMPANY
07/02/2002 PCF1015 06/23/2003
ARCH INSURANCE COMPANY
08/22/2003 PCF62719
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
05/12/2005 PCF72568
GREAT AMERICAN ASSURANCE COMPANY
06/11/2001 PCF702 11/14/2022
GREAT AMERICAN INSURANCE COMPANY
06/11/2001 PCF764 11/14/2022
INTEGON NATIONAL INSURANCE COMPANY
10/28/2016 PCF310
SPINNAKER INSURANCE COMPANY
08/03/2004 PCF77301 12/31/2008
TESLA INSURANCE COMPANY
01/04/2006 PCF50 01/12/2016

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
BARBARA S. BERG
06/05/2019 PRN331582
WILLIAM MILLEVILLE
06/19/2024 PRN124369
EVELINA KATHERINA MONTCRIEFFE
06/06/2018 PRN310619
TODD ALLAN MYERS
06/08/2018 PRN248870

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
EVELINA KATHERINA MONTCRIEFFE PRN310619

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2763110

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: 05/25/2025 07:38:45 AM