DEPARTMENT OF INSURANCE

Affiliations

Name	Crouse And Assoc Ins Services Of Northern California Inc	DOIID	897286	NAIC NPN	1052648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/18/2016	3/31/2025
Active	Non Resident	Agent	Property	4/18/2016	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/3/2015	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
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arch Insurance Company	300688	Agent - Casualty	11/2/2018	9/14/2022
Inactive	Arch Insurance Company	300688	Agent - Property	11/2/2018	9/14/2022
Inactive	Berkley Casualty Company	300731	Agent - Casualty	7/26/2019	8/12/2022
Inactive	Berkley Casualty Company	300731	Agent - Property	7/26/2019	8/12/2022
Inactive	Berkley Insurance Company	301355	Agent - Casualty	4/4/2017	10/23/2017
Inactive	Berkley Insurance Company	301355	Agent - Property	4/4/2017	10/23/2017
Inactive	Berkley National Insurance Company	515028	Agent - Casualty	4/4/2017	10/23/2017
Inactive	Berkley National Insurance Company	515028	Agent - Property	4/4/2017	10/23/2017
Inactive	Berkley Regional Insurance Company	300920	Agent - Casualty	4/4/2017	10/23/2017
Inactive	Berkley Regional Insurance Company	300920	Agent - Property	4/4/2017	10/23/2017
Active	Canal Insurance Company	301360	Agent - Casualty	7/12/2017
Active	Canal Insurance Company	301360	Agent - Property	7/12/2017
Inactive	Hallmark Insurance Company	301637	Agent - Casualty	8/16/2019	11/15/2023
Inactive	Hallmark Insurance Company	301637	Agent - Property	8/16/2019	11/15/2023
Active	National Casualty Company	301483	Agent - Casualty	2/11/2019
Active	National Casualty Company	301483	Agent - Property	2/11/2019
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/20/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/20/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/13/2019
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/13/2019
Inactive	RLI Insurance Company	301217	Agent - Casualty	6/30/2017	6/30/2022
Inactive	RLI Insurance Company	301217	Agent - Property	6/30/2017	6/30/2022
Inactive	Riverport Insurance Company	301714	Agent - Casualty	4/4/2017	10/23/2017
Inactive	Riverport Insurance Company	301714	Agent - Property	4/4/2017	10/23/2017
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	2/11/2019
Active	Scottsdale Indemnity Company	300232	Agent - Property	2/11/2019
Inactive	StarNet Insurance Company	502746	Agent - Casualty	4/4/2017	10/23/2017
Inactive	StarNet Insurance Company	502746	Agent - Property	4/4/2017	10/23/2017
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	4/4/2017	10/23/2017
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Property	4/4/2017	10/23/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Crouse, Gregory Taft	636246	Agent - Casualty	4/18/2016
Active	Crouse, Gregory Taft	636246	Agent - Property	4/18/2016
Active	Crouse, Gregory Taft	636246	Surplus Lines Broker - Not Applicable	12/3/2015