black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

PEACHTREE SPECIAL RISK BROKERS LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN107296
Status:
Active
First Licensure:
09/30/2004
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3525 PIEDMONT RD NE STE 700 BLDG 5
ATLANTA, GA 30305-1608
Mailing:
3525 PIEDMONT RD NE STE 700 BLDG 5
ATLANTA, GA 30305-1608
Phone:
+1 (678) 284-4812
Email:
apolk@bridgespecialty.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 09/30/2004 04/01/2027

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 05/19/2020 PCF640
ACE FIRE UNDERWRITERS INSURANCE COMPANY
 02/22/2022 PCF43
ACE PROPERTY & CASUALTY INSURANCE COMPANY
 06/14/2023 PCF44
AIG PROPERTY CASUALTY COMPANY
 04/08/2015 PCF393
AMERICAN GUARANTEE & LIABILITY INSURANCE COMPANY
 03/20/2013 PCF366
AMERICAN HOME ASSURANCE COMPANY
 04/08/2015 PCF367
AMERICAN ZURICH INSURANCE COMPANY
 03/20/2013 PCF914
ARCH INDEMNITY INSURANCE COMPANY
 07/05/2021 PCF674
ASCOT INSURANCE COMPANY
 08/19/2020 PCF58646
AXIS INSURANCE COMPANY
 06/15/2023 PCF134278
BERKLEY INSURANCE COMPANY
 07/07/2016 PCF166289
BERKLEY REGIONAL INSURANCE COMPANY
 02/13/2025 PCF48727
CAPITOL INDEMNITY CORPORATION
 05/21/2018 PCF162568 11/26/2024
COLONY SPECIALTY INSURANCE COMPANY
 05/01/2013 PCF171994
COMMERCE AND INDUSTRY INSURANCE COMPANY
 06/17/2010 PCF413
EMPLOYERS ASSURANCE COMPANY
 12/06/2018 PCF285638 07/08/2022
EMPLOYERS COMPENSATION INSURANCE COMPANY
 12/06/2018 PCF285639 07/08/2022
EMPLOYERS PREFERRED INSURANCE COMPANY
 12/06/2018 PCF285637 07/08/2022
FEDERAL INSURANCE COMPANY
 05/19/2020 PCF439
FIREMANS FUND INSURANCE COMPANY
 09/10/2020 PCF443
GRANITE STATE INSURANCE COMPANY
 04/08/2015 PCF452
GREAT AMERICAN ASSURANCE COMPANY
 04/21/2014 PCF702
GREAT AMERICAN INSURANCE COMPANY
 10/12/2021 PCF764
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK
 12/16/2015 PCF326
GREAT MIDWEST INSURANCE COMPANY
 08/21/2014 PCF82030
HDI GLOBAL INSURANCE COMPANY
 08/09/2023 PCF167923
ILLINOIS NATIONAL INSURANCE COMPANY
 04/08/2015 PCF53254
IMPERIUM INSURANCE COMPANY
 08/21/2014 PCF80207
INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
 04/08/2015 PCF482
LIBERTY MUTUAL FIRE INSURANCE COMPANY
 03/16/2005 PCF330 02/23/2012
MIDVALE INDEMNITY COMPANY
 04/17/2021 PCF79410
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
 12/01/2017 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
 12/01/2017 PCF1019
NATIONAL CASUALTY COMPANY
 08/09/2018 PCF85
NEW HAMPSHIRE INSURANCE COMPANY
 04/08/2015 PCF531
RLI INSURANCE COMPANY
 08/06/2020 PCF695
SCOTTSDALE INDEMNITY COMPANY
 08/09/2018 PCF61167
SENECA INSURANCE COMPANY INC
 04/23/2021 PCF803
STAR INSURANCE COMPANY
 06/14/2019 PCF59785
STARR INDEMNITY & LIABILITY COMPANY
 11/18/2011 PCF1010
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 07/22/2020 PCF974
VERLAN FIRE INSURANCE COMPANY
 12/09/2021 PCF161934
WESTCHESTER FIRE INSURANCE COMPANY
 05/31/2023 PCF177973
ZURICH AMERICAN INSURANCE COMPANY
 03/20/2013 PCF61397
ZURICH AMERICAN INSURANCE COMPANY OF ILLINOIS
 03/20/2013 PCF165251

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
DAVID TIMOTHY O'KEEFFE
 09/30/2009 PRN136276
ELIZABETH B. WHITE
 09/27/2006 PRN131660

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
ELIZABETH B. WHITE PRN131660

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
7114515

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: 05/13/2025 08:48:43 PM