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	3/31/2025
Active	Non Resident	Agent	Casualty	12/21/2017	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/16/2021	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
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