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	Property	4/18/2016	3/31/2027
Active	Non Resident	Agent	Casualty	4/18/2016	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/3/2015	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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