DEPARTMENT OF INSURANCE

Affiliations

Name	Bascule Ins Services Llc	DOIID	979947	NAIC NPN	18630343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/21/2017	3/31/2027
Active	Non Resident	Agent	Casualty	12/21/2017	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/16/2021	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
Active	ACE American Insurance Company	300625	Agent - Casualty	4/9/2020
Active	ACE American Insurance Company	300625	Agent - Property	4/9/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	4/9/2020	9/3/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	4/9/2020	9/3/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/9/2020	9/3/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/9/2020	9/3/2020
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	8/6/2019	1/31/2023
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	8/6/2019	1/31/2023
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	8/6/2019	1/31/2023
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	8/6/2019	1/31/2023
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	8/6/2019	1/31/2023
Inactive	American Automobile Insurance Company	300953	Agent - Property	8/6/2019	1/31/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/5/2018	1/31/2023
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	12/5/2018	1/31/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/9/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/9/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/4/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	6/4/2020
Active	NOVA Casualty Company	622806	Agent - Casualty	1/2/2018
Active	NOVA Casualty Company	622806	Agent - Property	1/2/2018
Inactive	National Surety Corporation	300087	Agent - Casualty	8/6/2019	1/31/2023
Inactive	National Surety Corporation	300087	Agent - Property	8/6/2019	1/31/2023
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/6/2019	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/6/2019	9/2/2022
Active	Star Insurance Company	301553	Agent - Casualty	10/8/2020
Active	Star Insurance Company	301553	Agent - Property	10/8/2020
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	8/6/2019	2/9/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	8/6/2019	2/9/2022
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	10/8/2020
Active	Williamsburg National Insurance Company	301825	Agent - Property	10/8/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Belakonis, Taylor	1129228	Agent - Casualty
Denied	Belakonis, Taylor	1129228	Agent - Property
Active	Moore, Sarah S	977173	Agent - Casualty	12/21/2017
Active	Moore, Sarah S	977173	Agent - Property	12/21/2017
Active	Moore, Sarah S	977173	Surplus Lines Broker - Not Applicable	7/16/2021
Inactive	Souza, Robin Lynn	973937	Agent - Casualty	1/5/2022	3/31/2024
Inactive	Souza, Robin Lynn	973937	Agent - Property	1/5/2022	3/31/2024
Inactive	Souza, Robin Lynn	973937	Surplus Lines Broker - Not Applicable	1/5/2022	3/31/2024