Agency Information

AT-BAY INSURANCE SERVICES LLC

Address:

196 CASTRO ST STE A

MOUNTAIN VIEW, CA 94041

Phone

650-644-7174

URL:

Email:

licensing@at-bay.com

National Producer Number:

18403293

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3902913	05/24/2023	Active	05/24/2023	05/31/2026
Non-Res. Producer Firm	3306495	01/22/2018	Active	01/22/2018	01/31/2027
Non-Res. Surplus Lines Broker	3306514	01/22/2018	Active	01/22/2018	01/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	05/24/2023	Active	05/24/2023
Casualty	01/22/2018	Active	01/22/2018
Property	01/22/2018	Active	01/22/2018
Surplus Lines	01/22/2018	Active	01/22/2018

Company Name	Appointment Type	Status	Active Date
10868
CLEAR BLUE INSURANCE COMPANY	Casualty	Active	04/04/2022
	Property	Active	04/04/2022
311
Company Name	Appointment Type	Status	Active Date
HARTFORD STEAM BOILER INSPECTION & INSURANCE	Casualty	Active	02/27/2018
	Property	Active	02/27/2018

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
BRETT STUART SADOFF	Designated Resp Lic Prdcr	Yes	09/15/2020	-
FOREST INGRAM HUGHES	Designated Resp Lic Prdcr	Yes	09/15/2020	-
JULIA FRANCES VERDI	Designated Resp Lic Adjuster	No	05/24/2023	-

1 - 3