DEPARTMENT OF INSURANCE

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	3/31/2025
Active	Non Resident	Agent	Casualty	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

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

Address Information

Type	Address
Business / Home Office	3900 W Alameda Ave Ste 2000 Burbank, CA 915054373

Phone Information

Type	Phone
Business / Home Office	(415) 982-3870