Agency Information

CHURCH & CASUALTY INS AGENCY INC

38 EXECUTIVE PARK SUITE 200

IRVINE, CA 92614

800-995-7525

travis@ccia.com

2744414

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	1004480	12/09/2014	Active	12/09/2014	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/09/2014	Active	12/09/2014
Health	12/09/2014	Active	12/09/2014
Life	12/09/2014	Active	12/09/2014
Property	12/09/2014	Active	12/09/2014

Company Name	Appointment Type	Status	Active Date
49
AMERICAN HOME ASSURANCE COMPANY	Health	Active	10/05/2023
1530
Company Name	Appointment Type	Status	Active Date
CHURCH MUTUAL INSURANCE COMPANY, S.I.	Casualty	Active	04/01/2015
	Property	Active	04/01/2015
156201
Company Name	Appointment Type	Status	Active Date
MGT INSURANCE COMPANY	Casualty	Active	06/08/2021
	Property	Active	06/08/2021
456
Company Name	Appointment Type	Status	Active Date
NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH PA	Health	Active	10/05/2023
492
Company Name	Appointment Type	Status	Active Date
OHIO CASUALTY INSURANCE COMPANY, THE	Casualty	Active	01/14/2020
	Property	Active	01/14/2020
1295
Company Name	Appointment Type	Status	Active Date
PHILADELPHIA INDEMNITY INSURANCE COMPANY	Casualty	Active	06/26/2024
	Property	Active	06/26/2024

row(s) 1 - 10 of 10

Name	Association Type	Agent	Begin Date	End Date
GUADALUPE MEDINA IBARRA	Designated Resp Lic Prdcr	Yes	05/09/2023	-
TAMI LEE AKKERMAN	Designated Resp Lic Prdcr	Yes	05/09/2023	-
TRAVIS TAD TJEPKEMA	Designated Resp Lic Prdcr	Yes	09/21/2020	-

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