Agency Information

Core Specialty Insurance Services, Inc.

Address:

412 MT KEMBLE AVE STE G-60

MORRISTOWN, NJ 07960

Phone

201-743-7700

URL:

Email:

licensing@pattoncompliance.com

National Producer Number:

14282508

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3741287	10/27/2021	Active	10/27/2021	10/31/2027
Non-Res. Producer Firm	744228	03/08/2011	Active	03/08/2011	03/31/2026
Non-Res. Surplus Lines Broker	3739616	10/25/2021	Active	10/25/2021	10/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	10/27/2021	Active	10/27/2021
Casualty	03/08/2011	Active	03/08/2011
Health	01/11/2019	Active	01/11/2019
Property	03/08/2011	Active	03/08/2011
Surplus Lines	10/25/2021	Active	10/25/2021

Name	Association Type	Agent	Begin Date	End Date
ADAM D NEWMAN	Designated Resp Lic Prdcr	Yes	07/08/2021	-
STEVEN M SHAPIRO	Designated Resp Lic Prdcr	Yes	10/14/2025	-
SUSAN CUSICK-CARPENTER	Designated Resp Lic Adjuster	No	10/27/2021	-

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