black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FORREST CHAMBERLAIN

PRODUCER NON-RESIDENT

License Number:
PRN484718
Status:
First Licensure:
05/21/2024
Cancel Date:
None

Mailing:
SAN RAFAEL, CA 94903
Phone:
+1 (415) 288-1651
Email:
forrest_chamberlain@ajg.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/21/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES LLC
05/23/2024 AGN37963

Employer

Name Issue Date License Number Expiration Date Cancel Date
GREENWICH INSURANCE COMPANY
11/21/2024 PCF43984
XL REINSURANCE AMERICA INC
10/16/2024 PCF582 11/21/2024
XL SPECIALTY INSURANCE COMPANY
10/16/2024 PCF43958

Authority

Description Issue Date Termination Date Status
CASUALTY 05/21/2024 Active
PROPERTY 05/21/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
16531787

Other Addresses

Address Type
ARTHUR J GALLAGHER SERVICES COMPANY
2121 N CALIFORNIA BLVD FL 3
WALNUT CREEK, CA 94596-3572
Office

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: 03/28/2026 06:05:52 PM