black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASSUREDPARTNERS OF WASHINGTON LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN243949
Status:
Active
First Licensure:
12/23/2014
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
1325 4TH AVE STE 2100
SEATTLE, WA 98101-2572
Mailing:
1325 4TH AVE STE 2100
SEATTLE, WA 98101-2572
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History
License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/23/2014 04/01/2027

Alias, DBA or Trade Name
Name
BRISTOL MARINE INSURANCE

Employer
Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
 08/19/2015 PCF640
AIG PROPERTY CASUALTY COMPANY
 10/31/2017 PCF393
ALLIED INSURANCE COMPANY OF AMERICA
 08/02/2018 PCF216138
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY
 08/02/2018 PCF223935
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
 01/30/2020 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
 01/30/2020 PCF145893
AMCO INSURANCE COMPANY
 08/02/2018 PCF223938
AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA
 10/11/2018 PCF357
AMERICAN ECONOMY INSURANCE COMPANY
 07/14/2015 PCF363 12/10/2021
AMERICAN FIRE AND CASUALTY COMPANY
 07/14/2015 PCF200822 11/10/2023
AMERICAN STATES INSURANCE COMPANY
 07/14/2015 PCF377 12/10/2021
BANKERS STANDARD INSURANCE COMPANY
 08/19/2015 PCF152165
THE CHARTER OAK FIRE INSURANCE COMPANY
 09/19/2016 PCF403 07/18/2018
THE CHARTER OAK FIRE INSURANCE COMPANY
 12/10/2021 PCF403 08/12/2024
CIGNA HEALTH AND LIFE INSURANCE COMPANY
 12/06/2023 LHF860
CITIZENS INSURANCE COMPANY OF AMERICA
 01/30/2020 PCF937
COMMERCE AND INDUSTRY INSURANCE COMPANY
 10/31/2017 PCF413
DEPOSITORS INSURANCE COMPANY
 08/02/2018 PCF223940
EXCELSIOR INSURANCE COMPANY
 07/14/2015 PCF46786 05/09/2024
FARMINGTON CASUALTY COMPANY
 09/27/2016 PCF995
GENERAL INSURANCE COMPANY OF AMERICA
 07/14/2015 PCF447 11/10/2023
GREAT WEST CASUALTY COMPANY
 01/04/2021 PCF456
THE HANOVER AMERICAN INSURANCE COMPANY
 01/30/2020 PCF197298
THE HANOVER INSURANCE COMPANY
 01/30/2020 PCF712
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
 08/19/2015 PCF50104
MASSACHUSETTS BAY INSURANCE COMPANY
 01/30/2020 PCF505
MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA
 01/29/2021 PCF82584
MITSUI SUMITOMO INSURANCE USA INC
 01/29/2021 PCF1019
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY
 08/02/2018 PCF151937
NATIONWIDE ASSURANCE COMPANY
 10/05/2021 PCF38952
NATIONWIDE GENERAL INSURANCE COMPANY
 01/01/2020 PCF30
NATIONWIDE INSURANCE COMPANY OF AMERICA
 10/05/2021 PCF422
NATIONWIDE MUTUAL INSURANCE COMPANY
 08/02/2018 PCF32
NATIONWIDE PROPERTY & CASUALTY INSURANCE COMPANY
 10/05/2021 PCF151089
NAVIGATORS INSURANCE COMPANY
 02/06/2020 PCF47448
NETHERLANDS INSURANCE COMPANY
 07/14/2015 PCF827 05/10/2024
OHIO CASUALTY INSURANCE COMPANY
 07/14/2015 PCF73059
OHIO SECURITY INSURANCE COMPANY
 07/14/2015 PCF200581 11/10/2023
PACIFIC EMPLOYERS INSURANCE COMPANY
 08/19/2015 PCF546
PEERLESS INDEMNITY INSURANCE COMPANY
 07/14/2015 PCF97399 03/04/2022
PEERLESS INSURANCE COMPANY
 07/14/2015 PCF548
THE PHOENIX INSURANCE COMPANY
 09/27/2016 PCF557 07/18/2018
PRIVILEGE UNDERWRITERS RECIPROCAL EXCHANGE
 04/27/2020 PCF212805
RLI INSURANCE COMPANY
 10/18/2017 PCF695
SAFECO NATIONAL INSURANCE COMPANY
 02/03/2021 PCF248658 11/10/2023
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
 10/27/2016 PCF575 07/18/2018
ST. PAUL GUARDIAN INSURANCE COMPANY
 10/27/2016 PCF701 07/18/2018
ST. PAUL MERCURY INSURANCE COMPANY
 10/27/2016 PCF576 07/18/2018
THE STANDARD FIRE INSURANCE COMPANY
 09/27/2016 PCF584
STAR INSURANCE COMPANY
 02/24/2021 PCF59785
TRAVELERS CASUALTY AND SURETY COMPANY
 09/19/2016 PCF348
TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA
 09/19/2016 PCF974
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
 09/27/2016 PCF935 07/18/2018
TRAVELERS COMMERCIAL CASUALTY COMPANY
 09/19/2016 PCF83507 07/22/2021
THE TRAVELERS INDEMNITY COMPANY OF AMERICA
 09/19/2016 PCF585 08/12/2024
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT
 09/27/2016 PCF435 07/18/2018
THE TRAVELERS INDEMNITY COMPANY
 09/27/2016 PCF602
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 09/27/2016 PCF711 07/18/2018
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
 04/13/2022 PCF711
TRUSTMARK INSURANCE COMPANY
 08/26/2021 LHF132
WEST AMERICAN INSURANCE COMPANY
 07/14/2015 PCF200576
WESTERN SURETY COMPANY
 05/29/2019 PCF96 04/07/2023

Affiliated Agent
Name Issue Date License Number Expiration Date Cancel Date
JAMES T. CHAMBERS
 09/27/2023 PRN464423

Branch Office

None.

Supervised Entity

None.

Responsible Individual
Name License Number
JAMES T. CHAMBERS PRN464423

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17443962

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: 05/22/2025 11:53:22 AM