black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

POLISEEK AIS INSURANCE SOLUTIONS INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN136418
Status:
Active
First Licensure:
02/07/2007
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
19800 MACARTHUR BLVD STE 1050
IRVINE, CA 92612-2439
Mailing:
19800 MACARTHUR BLVD STE 1050
IRVINE, CA 92612-2439
Phone:
+1 (562) 345-4622
Email:
licensing@aisinsurance.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 02/07/2007 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ALLIED INSURANCE COMPANY OF AMERICA
 04/11/2018 PCF216138 05/06/2022
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 04/11/2018 PCF223935 05/06/2022
AMCO INSURANCE COMPANY
 04/11/2018 PCF223938 05/06/2022
AMERICAN ECONOMY INSURANCE COMPANY
 08/20/2014 PCF363 12/10/2021
AMERICAN ECONOMY INSURANCE COMPANY
 07/14/2022 PCF363
AMERICAN FIRE AND CASUALTY COMPANY
 08/20/2014 PCF200822 11/10/2023
AMERICAN MODERN HOME INSURANCE COMPANY
 02/10/2009 PCF808
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
 10/16/2017 PCF234561
AMERICAN MODERN SELECT INSURANCE COMPANY
 02/10/2009 PCF123448 10/28/2021
AMERICAN STATES INSURANCE COMPANY
 08/20/2014 PCF377 12/10/2021
AMERICAN STRATEGIC INSURANCE CORP
 01/12/2023 PCF258492
THE AUTOMOBILE INSURANCE COMPANY OF HARTFORD, CONNECTICUT
 10/26/2009 PCF659 07/01/2014
BRISTOL WEST INSURANCE COMPANY
 01/20/2009 PCF78370
DAIRYLAND INSURANCE COMPANY
 09/09/2013 PCF721
DEPOSITORS INSURANCE COMPANY
 04/11/2018 PCF223940 05/06/2022
EMPIRE FIRE AND MARINE INSURANCE COMPANY
 02/05/2009 PCF429 11/16/2015
EXCELSIOR INSURANCE COMPANY
 08/20/2014 PCF46786 05/09/2024
FARMERS CASUALTY INSURANCE COMPANY
 03/05/2021 PCF895
FARMERS INSURANCE EXCHANGE FARMERS GROUP INC
 03/27/2009 IIF106 03/21/2012
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
 03/13/2009 PCF714
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
 03/02/2009 PCF868 11/23/2015
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
 03/11/2009 PCF445
GENERAL INSURANCE COMPANY OF AMERICA
 08/20/2014 PCF447 12/09/2022
GENERAL INSURANCE COMPANY OF AMERICA
 01/09/2023 PCF447
INFINITY INSURANCE COMPANY
 02/23/2009 PCF72865 03/01/2024
INTEGON NATIONAL INSURANCE COMPANY
 06/03/2016 PCF310
JEWELERS MUTUAL INSURANCE COMPANY, SI
 04/12/2022 PCF773
KEMPER INDEPENDENCE INSURANCE COMPANY
 01/25/2021 PCF94586 02/06/2024
NATIONAL INTERSTATE INSURANCE COMPANY
 12/30/2008 PCF73883 03/05/2018
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 04/11/2018 PCF151937 05/06/2022
NATIONWIDE ASSURANCE COMPANY
 10/05/2021 PCF38952 05/06/2022
NATIONWIDE GENERAL INSURANCE COMPANY
 08/28/2018 PCF30 05/06/2022
NATIONWIDE INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF422 05/06/2022
NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
 08/28/2018 PCF31 05/06/2022
NATIONWIDE MUTUAL INSURANCE COMPANY
 04/11/2018 PCF32 05/06/2022
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 10/05/2021 PCF151089 05/06/2022
NETHERLANDS INSURANCE COMPANY
 07/30/2012 PCF827 05/09/2024
OHIO CASUALTY INSURANCE COMPANY
 08/20/2014 PCF73059 12/09/2022
OHIO CASUALTY INSURANCE COMPANY
 01/09/2023 PCF73059
OHIO SECURITY INSURANCE COMPANY
 08/20/2014 PCF200581 11/10/2023
OHIO SECURITY INSURANCE COMPANY
 08/19/2024 PCF200581
PEERLESS INDEMNITY INSURANCE COMPANY
 08/20/2014 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
 07/30/2012 PCF548
THE PHOENIX INSURANCE COMPANY
 10/26/2009 PCF557 07/01/2014
PROGRESSIVE NORTHERN INSURANCE COMPANY
 05/15/2015 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
 03/18/2009 PCF27738
QBE INSURANCE CORPORATION
 11/16/2015 PCF82307
RLI INSURANCE COMPANY
 01/01/2009 PCF695
SAFECO NATIONAL INSURANCE COMPANY
 06/17/2022 PCF248658
SENTINEL INSURANCE COMPANY LTD
 09/06/2016 PCF84269 01/18/2018
THE STANDARD FIRE INSURANCE COMPANY
 10/26/2009 PCF584 07/01/2014
THE STANDARD FIRE INSURANCE COMPANY
 01/11/2016 PCF584
STILLWATER PROPERTY AND CASUALTY INSURANCE COMPANY
 01/30/2009 PCF988 11/21/2013
STILLWATER PROPERTY AND CASUALTY INSURANCE COMPANY
 07/10/2015 PCF988
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 07/28/2016 PCF974 07/11/2017
TRAVELERS CASUALTY COMPANY OF CONNECTICUT
 10/26/2009 PCF31810 07/01/2014
THE TRAVELERS HOME AND MARINE INSURANCE COMPANY
 10/26/2009 PCF56556 08/12/2024
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 10/26/2009 PCF585 07/01/2014
THE TRAVELERS INDEMNITY COMPANY
 10/26/2009 PCF602 07/01/2014
TRAVELERS PERSONAL INSURANCE COMPANY
 10/30/2019 PCF201268 08/14/2023
TRAVELERS PERSONAL INSURANCE COMPANY
 10/12/2023 PCF201268
TRIUMPHE CASUALTY COMPANY
 10/08/2014 PCF232901 03/05/2018
TRUCK INSURANCE EXCHANGE TRUCK UNDERWRITERS ASSOCIATION
 03/27/2009 IIF107 10/19/2012
TWIN CITY FIRE INSURANCE COMPANY
 02/12/2015 PCF963 06/02/2021
UNITED FINANCIAL CASUALTY COMPANY
 03/18/2009 PCF61704 03/31/2012
UNITED STATES FIRE INSURANCE COMPANY
 04/29/2020 PCF101256
UNITRIN SAFEGUARD INSURANCE COMPANY
 01/25/2021 PCF167010 02/06/2024
WEST AMERICAN INSURANCE COMPANY
 08/20/2014 PCF200576

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
MARK CASAS
 04/07/2009 PRN130005
SHELLI HARRIS-BLACKSHEAR
 12/01/2008 PRN129627
DERRIS YVETTE INGRAM-DAVIS
 12/01/2008 PRN148441
LISA LYNN KAPPA-NAVARRO
 04/15/2016 PRN267059
NICOLE MORENO
 12/01/2008 PRN130454
CANDACE SILVERMAN
 12/01/2008 PRN127791
ANNETTE ROSANNE UGALDE
 04/10/2009 PRN165329

Branch Office
Name Issue Date License Number Expiration Date Cancel Date
POLISEEK AIS INSURANCE SOLUTIONS INC (E HAMPTON CT)
 09/09/2008 BRN156883
POLISEEK AIS INSURANCE SOLUTIONS INC (OSSIAN IN)
 03/19/2008 BRN151474
POLISEEK AIS INSURANCE SOLUTIONS INC (SAN FRANCISCO CA)
 09/09/2008 BRN156884

Supervised Entity

None.

Responsible Individual
Name License Number
CANDACE SILVERMAN PRN127791

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2104393

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: 05/14/2025 02:58:14 AM