DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers Bay Insurance, LLC	DOIID	1263252	NAIC NPN	18873491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/20/2023		3/31/2025
Active	Non Resident	Agent	Property	3/20/2023		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmGUARD Insurance Company	500010	Agent - Casualty	4/5/2023
Active	AmGUARD Insurance Company	500010	Agent - Property	4/5/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/11/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/11/2023
Active	NorGUARD Insurance Company	500015	Agent - Casualty	4/5/2023
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/27/2023
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/27/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fastabend, Cassandra Jo	1288866	Agent - Casualty	2/6/2024
Active	Fastabend, Cassandra Jo	1288866	Agent - Property	2/6/2024
Active	Mcclure, Jeremy William	1159308	Agent - Casualty	9/11/2023
Active	Mcclure, Jeremy William	1159308	Agent - Property	9/11/2023
Active	Pratt, Larry Mitchell	1263040	Agent - Casualty	3/20/2023
Active	Pratt, Larry Mitchell	1263040	Agent - Property	3/20/2023
Denied	Weidner, Courtney Kay	1270780	Agent - Casualty
Denied	Weidner, Courtney Kay	1270780	Agent - Property