Agency Information

CONIFER INSURANCE SERVICES, LLC

Address:

3001 W. BIG BEAVER RD.

TROY, MI 48084

Phone

248-559-0840

URL:

Email:

tjeffreys@coniferinsurance.com

National Producer Number:

16646373

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3427923	04/01/2019	Active	04/01/2019	04/30/2028
Non-Res. Surplus Lines Broker	927741	12/30/2013	Active	12/30/2013	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/01/2019	Active	04/01/2019
Property	04/01/2019	Active	04/01/2019
Surplus Lines	12/30/2013	Active	08/14/2014

Company Name	Appointment Type	Status	Active Date
1109
LIBERTY INSURANCE UNDERWRITERS INC	Casualty	Active	04/30/2019
	Property	Active	04/30/2019
724
Company Name	Appointment Type	Status	Active Date
WESTERN SURETY COMPANY	Casualty	Active	12/02/2020
129874
Company Name	Appointment Type	Status	Active Date
WHITE PINE INSURANCE COMPANY	Casualty	Active	10/16/2023
	Property	Active	10/16/2023

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
NICHOLAS JAMES PETCOFF	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1