Agency Information

CONIFER INSURANCE SERVICES, LLC

Address:

3001 W. BIG BEAVER RD.

TROY, MI 48084

Phone

866-412-2424

URL:

Email:

tjeffreys@coniferinsurance.com

National Producer Number:

16646373

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	4244734	07/31/2026	Active	07/31/2026	07/31/2029
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	12/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	07/31/2026	Active	07/31/2026
Adj - Workers Compensation	07/31/2026	Active	07/31/2026
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
1279
Company Name	Appointment Type	Status	Active Date
STARSTONE NATIONAL INSURANCE COMPANY	Casualty	Active	06/10/2025
	Property	Active	06/10/2025

row(s) 1 - 4 of 4

Name	Association Type	Agent	Begin Date	End Date
JENNIFER YERT	Designated Resp Lic Adjuster	No	07/31/2026	-
NICHOLAS JAMES PETCOFF	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 2