DEPARTMENT OF INSURANCE

Name	Breckenridge Insurance Services, LLC	DOIID	746375	NAIC NPN	10906304

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/20/2011	3/31/2027
Active	Non Resident	Agent	Health	1/20/2025	3/31/2027
Active	Non Resident	Agent	Casualty	1/20/2011	3/31/2027
Active	Non Resident	Agent	Life	1/20/2025	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/20/2011	3/31/2027

*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	01/16/2025	01/16/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/16/2025	01/16/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	3550 George Busbee Pkwy Nw Ste 305 Kennesaw, GA 30144

Internet Information

Type	Address
Business Email	kathy.kelleysmith@assuredpartners.com

Phone Information

Type	Phone
Business / Home Office	(864) 626-5592